CPT 74177 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 |
National average reimbursement for CPT 74177 by major payers:
$380.27
$388.87
$432.30
$497.34
| 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 74177 | ||||||
United | 74177 | $336.20 | 1316357932 - ANAHID PAHLAWANIAN | 610458376 - PIKEVILLE MEDICAL CENTER INC | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $203.08 | 1598874869 - RYLAND MELFORD | 330185577 - (CA) SOUTH ORANGE COUNTY CARDIOLOGY GROUP | CA | Cardiovascular Disease Physician (207RC0000X) |
United | 74177 | $419.47 | 1700822244 - JOSEPH FIELD | 204881619 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $382.88 | 1023093770 - WILLIAM WONG | 800756169 | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $539.17 | 1770557845 - ROBERT PRAGER | 952669833 - (CA) SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $1551.70 | 1356404180 - ANDREW QUON | 954373071 | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $289.20 | 1215457148 - JANIS YEE | 611729294 - (CA) REGENTS OF THE UNIVERSITY OF CALIFORNIA | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $448.30 | 1245686898 - SATHYA RAM | 581537752 - EMORY UNIVERSITY | IL | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $517.71 | 1003089624 - BRETT CHRISTIAN | 942854057 - IHC HEALTH SERVICES INC | UT | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $284.01 | 1902884430 - JEFFREY ROBINSON | 202048959 | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $477.83 | 1508974379 - DOUGLAS CURRY | 611904605 | MO | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $135.72 | 1013900281 - DOUGLAS TIPPIN | 860320447 - SUMMIT HEALTHCARE ASSOCIATION | CA | Radiation Oncology Physician (2085R0001X) |
United | 74177 | $79.44 | 1295026102 - ARTHUR CHUNG | 954031209 - (CA) ADVANCED UROLOGY | CA | Radiation Oncology Physician (2085R0001X) |
United | 74177 | $1325.81 | 1386844694 - BENJAMIN PLOTKIN | 954449910 - (CA) REGENTS OF THE UNIVERSITY OF CALIFORNIA | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 74177 | $267.26 | 1629073804 - SAMUEL SALEN | 451861648 | CA | Diagnostic Radiology Physician (2085R0202X) |
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 74177 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74177 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 74177 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 Abdomen; W/O Contrast Material |
| 74174-CPT | Moderate | Computed Tomographic Angiography Abdomen And Pelvis With Contrast Material(S) Including Non Contrast Images If Performed And Image Post Processing |
| 74175-CPT | Moderate | Computed Tomographic Angiography Abdomen With Contrast Material(S) Including Noncontrast Images If Performed And Image Postprocessing Rocessing |
| 74177-CPT | Moderate | Computed Tomography, Abdomen And Pelvis; With Cont Rast Material(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74177. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74177 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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