CPT 73523 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 • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 73523 by major payers:
$72.99
$67.68
$74.23
$97.89
| 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 73523 | ||||||
United | 73523 | $44.29 | 1780691956 - JOHN BAZATA | 593483440 | FL | Podiatrist (213E00000X) |
United | 73523 | $13.30 | 1447543954 - CORY HARTMAN | 474412267 - (FL) FAIRBANKS PARTNERS, LLC | FL | Neurological Surgery Physician (207T00000X) |
United | 73523 | $12.55 | 1639460827 - JESNA SUBLETT | 590973502 - MEMORIAL HEALTH SYSTEMS INC | FL | Neurological Surgery Physician (207T00000X) |
United | 73523 | $30.09 | 1720037138 - PREFERRED PODIATRY GROUP PC | 363885637 - PREFERRED PODIATRY GROUP, P.C. | OH | Podiatrist (213E00000X) |
United | 73523 | $47.20 | 1750363230 - MICHAEL MIKOLAJCZAK | 571162559 - (FL) ORTHOPEDIC CENTER OF PALM BEACH COUNTY | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 73523 | $14.52 | 1508251489 - TERENCE VERLA | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | FL | Neurological Surgery Physician (207T00000X) |
United | 73523 | $48.63 | 1740749548 - JOSHUA STEWART | 592750728 - (FL) ORTHOPEDIC CENTER OF FLORIDA, INC. | MI | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73523 | $11.92 | 1760440234 - BRUCE FLETCHER | 650647199 - (FL) NORTHWEST BROWARD ORTHOPAEDIC ASSOCIATES PA | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 73523 | $106.26 | 1144631490 - LUKE LOPAS | 43666805 - (IN) UNIVERSITY ORTHOPAEDIC ASSOCIATES INC | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 73523 | $29.03 | 1023085313 - MICHAEL WARSHAW | 203729549 - (FL) TRI COUNTY PODIATRY, P.A. | FL | Podiatrist (213E00000X) |
United | 73523 | $42.54 | 1295181600 - PATRICK BARTHOLOMEW | 202194533 - FAMILY FOOT AND LEG CENTER PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73523 | $33.45 | 1447489620 - JOHN MORRISON | 833547668 - (FL) MORRISON CLINIC | NY | Neurological Surgery Physician (207T00000X) |
United | 73523 | $29.94 | 1790761088 - PATRICK TREVISANI | 592920114 | FL | Podiatrist (213E00000X) |
United | 73523 | $16.23 | 1275564064 - BRIAN CROSS | 721561134 - (AZ) ST JOSEPHS HOSPITAL AND MEDICAL CENTER | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 73523 | $124.61 | 1760845879 - RACHEAL PETERSON | 462021581 - (FL) FLORIDA HOSPITAL PHYSICIAN GROUP INC | FL | Neurological Surgery Physician (207T00000X) |
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 73523 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73523 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 73523 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 |
|---|---|---|
| 73501-CPT | Low | Radiologic Examination, Hip, Unilateral, With Pelvis When Performed; 1 View |
| 73502-CPT | Low | Radiologic Examination, Hip, Unilateral, With Pelvis When Performed; 2-3 Views |
| 73503-CPT | Low | Radiologic Examination, Hip, Unilateral, With Pelvis When Performed; Minimum Of 4 Views |
| 73523-CPT | Low | Radiologic Examination, Hips, Bilateral, With Pelvis When Performed; Minimum Of 5 Views |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73523. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73523 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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