CPT 74175 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74175 |
National average reimbursement for CPT 74175 by major payers:
$380.43
$443.08
$427.25
$520.41
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 74175 | $295.57 | 1912366568 - INLET PULMONARY CRITICAL CARE AND SLEEP MEDICINE, PA | 472541656 - (SC) IPCCSM, PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $89.30 | 1922772904 - INSPIRE PULMONARY LLC | 851491442 - (SC) INSPIRE PULMONARY LLC | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $187.71 | 1093592644 - ANSIBLE HEALTH MEDICAL GROUP PA | 883238466 | AL | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $880.21 | 1508829912 - ALGIMANTAS JECIUS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Surgery Physician (208600000X) |
United | 74175 | $489.44 | 1003047168 - ROPER SAINT FRANCIS PHYSICIANS NETWORK, ROPER ST FRANCIS PHYSICIANS PULMONARY | 262946628 - ROPER SAINT FRANCIS PHYSICIANS NETWORK | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $328.42 | 1104106368 - LEONARD LIM | 270623555 - SELF MEDICAL GROUP | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $212.10 | 1760425532 - DESMOND YOUNG | 472541656 - (SC) IPCCSM, PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $226.28 | 1417444340 - JOHN MICHAEL SWEETNAM | 582540874 | GA | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $47.86 | 1851355614 - WILLIAM DAVIDSON | 520591531 - UPMC WESTERN MARYLAND CORPORATION | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $302.85 | 1407437114 - AKSHAR CORPORATIONS LLC | 861528212 - (SC) AKSHAR CORPORATIONS LLC | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $90.87 | 1740711811 - DAVID DENNIS | 271370967 | OH | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $256.26 | 1700889904 - WILLIAM WALKER | 570359174 - ANMED HEALTH | SC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $345.10 | 1598968620 - SUSAN CUTTER | 570828733 - ROPER HOSPITAL INC | SC | Medical Physician Assistant (363AM0700X) |
United | 74175 | $206.80 | 1760772602 - MARIA LEU | 853035104 - (SC) ML PULMONOLOGY LLC | NC | Pulmonary Disease Physician (207RP1001X) |
United | 74175 | $489.44 | 1508864968 - SOLA KIM | 570828733 - ROPER HOSPITAL INC | SC | Sleep Medicine (Internal Medicine) Physician (207RS0012X) |
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 74175 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74175 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 74175 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 |
|---|---|---|
| 74150-CPT | Low | Ct Scan Of Abdomen, Ct (Computed Tomography) Of The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See. |
| 74174-CPT | Moderate | Ct Scan Of Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of Blood Vessels In The Abdomen And Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area. |
| 74175-CPT | Moderate | Ct Of Abdominal Blood Vessels, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Abdomen. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight The Area. |
| 74176-CPT | Moderate | Ct Scan Of Abdomen And Pelvis, A Ct Scan Of Both The Abdomen (Belly) And Pelvis. Ct Takes A Series Of X-Rays As The Machine Revolves Around The Body. Contrast Material May Be Injected During The Procedure To Enhance Details. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74175 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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