CPT 73223 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 73223 |
National average reimbursement for CPT 73223 by major payers:

$577.09

$668.97

$670.59

$766.53
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 73223 | ||||||
United | 73223 | $379.60 | 1407167000 - CHRISTINE BRANDES | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Family Nurse Practitioner (363LF0000X) |
United | 73223 | $147.74 | 1619031267 - CLINTON KEILMAN | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Emergency Medicine Physician (207P00000X) |
United | 73223 | $1028.44 | 1437131919 - JONATHAN FIELDS | 262157500 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 73223 | $694.29 | 1437131919 - JONATHAN FIELDS | 262157500 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 73223 | $747.85 | 1194727917 - GHADA ISAAC | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | AZ | Anesthesiology Physician (207L00000X) |
United | 73223 | $379.60 | 1831814540 - SUSANNAH SMITH | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Physician Assistant (363A00000X) |
United | 73223 | $594.34 | 1376558957 - LUBOMIR SOKOL | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Hematology (Internal Medicine) Physician (207RH0000X) |
United | 73223 | $505.17 | 1730647132 - JENA SCHMITZ | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Nurse Practitioner (363L00000X) |
United | 73223 | $147.75 | 1851619118 - HAYDER SAEED | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Hematology & Oncology Physician (207RH0003X) |
United | 73223 | $446.58 | 1487046488 - PRERNA DOGRA | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Endocrinology, Diabetes & Metabolism Physician (207RE0101X) |
United | 73223 | $594.34 | 1891720439 - JANE MESSINA | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 73223 | $116.38 | 1497068035 - KEVIN SIMMONS | 853861695 - MUSC COMMUNITY PHYSICIANS | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 73223 | $147.75 | 1225226400 - JAMIE HOFFMAN | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anesthesiology Physician (207L00000X) |
United | 73223 | $125.58 | 1578268751 - BRET BELTER | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Physician Assistant (363A00000X) |
United | 73223 | $937.02 | 1902845043 - NOEL TAN | 593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC | FL | Neonatal-Perinatal Medicine Physician (2080N0001X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 73223 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73223 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 73223 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 73218-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Upper Extremity, Other Than Joint; Without Contrast Material(S) |
| 73219-CPT | Moderate | Mri, Upper Extremity, Other Than Joint; With Contrast Material(S) |
| 73220-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Upper Extremity, Other Than Joint; Without Contrast Material(S), Followed By Contrast Material(S) And Further Sequences |
| 73223-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Any Joint Of Upper Extremity; Without Contrast Material(S), Followed By Contrast Material(S) And Further Sequences |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73223. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73223 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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