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See a sample rate comparisonCPT 73552 Fee Schedule
Last Verified: September 2026
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.
Radiological Exami Sacroiliac Joint Arthrography Radiological, Radiological Examination Sacroiliac Joint Arthrography Radiological
| 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 |
| Medicaid Fee Schedule | View Medicaid rates for 73552 |
National average reimbursement for CPT 73552 by major payers:
$48.69
$39.20
$43.03
$56.38
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CPT 73552
5 of 25 sample ratesHigher to lower in this preview
Hughey Carter
Triangle Physician Network LLC
$49.74Published rateOliver Flouty
University Medical Service Association Inc
$26.54Published rateEdward Jackson
Emory University
$23.20Published rateIntegrative Foot And Ankle LLC
$15.64Published rateGenesis Foot And Ankle Institute, Inc.
Genesis Foot And Ankle Institute Inc
$6.30Published rate
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See a sample payer proposalCPT 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 | Mri Of An Arm, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Arms. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken. |
| 73221-CPT | Moderate | Mri Of An Arm Joint, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of A Shoulder Elbow Or Wrist Joint. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken. |
| 73551-CPT | Low | Radiologic Examination Femur, Radiologic Examination Femur 1 View |
| 73552-CPT | Low | Radiological Exami Sacroiliac Joint Arthrography Radiological, Radiological Examination 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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