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See a sample rate comparisonHealthcare 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 | 22 - On Campus Outpatient Hospital 23 - Emergency Room 19 - Off Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74235 |
| Medicaid Fee Schedule | View Medicaid rates for 74235 |
National average reimbursement for CPT 74235 by major payers:

$200.55

$190.15

$166.93

$245.75
Choose a payer to see a sample of rates for CPT 74235.
Radiology Associates Of North Texas, PA
Town Center Orthopaedic Associates, P.C.
Town Center Orthopaedic Associates, P.C.
Radiology Associates Of North Texas, PA
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 74235 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74235 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 74235 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 |
|---|---|---|
| 74210-CPT | Low | X Ray Xm Phrnx Crv Esoph C, Radiologic Examination Pharynx And Or Cervical Esophagus Including Scout Neck Radiograph S And Delayed Image S When Performed Contrast Eg Barium Study |
| 74220-CPT | Low | X Ray Xm Esophagus 1cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study |
| 74221-CPT | Low | X Ray Xm Esophagus 2cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Double Contrast Eg High Density Barium And Effervescent Agent Study |
| 74235-CPT | Moderate | X-Ray-Guided Removal Of Object, Removal Of An Object From The Esophagus. An X-Ray Is Used To Accurately Guide A Small Tube To The Object. The Esophagus Is Enlarged Just Enough To Dislodge The Object And Remove It. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74235 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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