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 |
| Medicare Fee Schedule | View Medicare rates for 73552 |
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 | $24.07 | 1144208406 - MICHAEL FROMKE | 590714812 - LEE MEMORIAL HEALTH SYSTEM | NC | Neurological Surgery Physician (207T00000X) |
United | 73552 | $22.26 | 1184689119 - HENRY MERRITT | 591611896 - (FL) HENRY N. MERRITT, JR., P.A. | FL | Podiatrist (213E00000X) |
United | 73552 | $18.54 | 1154775153 - JESSY PIERRE-LOUIS | 591404594 - (FL) CENTRAL FLORIDA HEALTH CARE INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $15.64 | 1194116343 - INTEGRATIVE FOOT AND ANKLE LLC | 453535631 - (FL) INTEGRATIVE FOOT AND ANKLE LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $7.51 | 1205148913 - EVAN LEWIS | 264800380 | MD | Neurological Surgery Physician (207T00000X) |
United | 73552 | $21.45 | 1649703935 - YOHANDY FUENTES | 592430274 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $17.07 | 1346521150 - MARCUS FREY | 471721154 - (FL) PATRIOT PODIATRY | FL | Podiatrist (213E00000X) |
United | 73552 | $30.96 | 1649634320 - MOHANAD ELTAHIR | 860441791 - (AZ) ACADEMY FOOT AND ANKLE CLINICS LTD | AZ | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $26.65 | 1861633463 - CLAUDIA MALLETTE | 264722064 - (FL) CLAUDIA R MALLETTE DPM LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $24.45 | 1013258953 - CRIGLER FOOT & ANKLE CENTER, LLC | 461399807 - (FL) CRIGLER FOOT ANKLE CENTER LLC | FL | Podiatrist (213E00000X) |
United | 73552 | $34.77 | 1275564064 - BRIAN CROSS | 461243081 | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | 73552 | $49.74 | 1376906735 - HUGHEY CARTER | 271081647 - TRIANGLE PHYSICIAN NETWORK LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 73552 | $37.15 | 1598147290 - COLETTE YORI TOBIA | 251002937 - (PA) MILLCREEK COMMUNITY HOSPITAL | FL | Podiatrist (213E00000X) |
United | 73552 | $11.64 | 1225128705 - BADIH ADADA | 650003177 - CLEVELAND CLINIC FLORIDA A NONPROFIT CORPORATION | FL | Neurological Surgery Physician (207T00000X) |
United | 73552 | $7.03 | 1245485259 - D.S. MILES DPM, PA, DAWN S. MILES DPM PA | 593675191 - (FL) D S MILES D P M P A | FL | Podiatrist (213E00000X) |
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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