CPT 73552 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 | • 23 - Emergency Room • 11 - Office |
| Common Modifiers | • 26 - Professional component • LT - Left side of body • RT - Right side of body |
| Complexity Level | Low |
National average reimbursement for CPT 73552 by major payers:
$48.69
$39.20
$43.03
$59.90
| 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 73552 | ||||||
United | 73552 | $30.96 | 1649634320 - MOHANAD ELTAHIR | 860441791 - (AZ) ACADEMY FOOT AND ANKLE CLINICS LTD | AZ | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $14.18 | 1598151375 - MATTHEW CUMMINS | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $39.88 | 1609015452 - DANIEL DZIADOSZ | 263094596 | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 73552 | $25.00 | 1699960641 - ROBERT M CROPPER DPM PA | 650736911 - (FL) ROBERT M CROPPER DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $23.64 | 1396757878 - DAVID HANCOCK | 262886009 - (FL) TIMOTHY P MASON DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $17.07 | 1285984104 - MARTHA HERRERA | 460863659 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $8.52 | 1649569302 - PAUL FOREMAN | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | PA | Neurological Surgery Physician (207T00000X) |
United | 73552 | $23.93 | 1649233958 - ELLEN GERSHBEIN | 650339840 - (FL) DARYL GERSHBEIN DPM PA | FL | Podiatrist (213E00000X) |
United | 73552 | $7.03 | 1154395069 - DAVID MOATS | 822410133 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $25.51 | 1912112384 - CHRISTIAAN MAMCZAK | 592929608 - (FL) MUSCULOSKELETAL INSTITUTE INC. FLORIDA ORTHOPAEDIC INSTITUTE | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 73552 | $22.50 | 1942641618 - RIKHIL PATEL | 521709568 - (MD) JOHN G DELEONIBUS DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $19.52 | 1538310214 - DAVID BRAUN | 474754011 - (FL) DAVID BRAUN MD PLLC | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 73552 | $17.07 | 1922426493 - ARMANDO GONZALEZ | 462678719 - (FL) CARL SALVATI DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $52.84 | 1427294651 - CYRIL DESILVA | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Neurological Surgery Physician (207T00000X) |
United | 73552 | $6.65 | 1780606889 - AMY DUNETZ | 650569491 - (FL) FAMILY PODIATRY ASSOCIATES PA | FL | Foot Surgery Podiatrist (213ES0131X) |
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 73552 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 73552 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 73552 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) |
| 73221-CPT | Moderate | Magnetic Resonance (Eg, Proton) Imaging, Any Joint Of Upper Extremity; Without Contrast Material(S) |
| 73501-CPT | Low | Radiologic Examination, Hip, Unilateral, With Pelvis When Performed; 1 View |
| 73552-CPT | Low | Radiological Exami, Sacroiliac Joint Arthrography, Radiological |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 73552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 73552 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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