CPT 74248 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 74248 by major payers:
$100.83
$96.31
$101.97
$131.69
| 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 74248 | ||||||
United | 74248 | $79.77 | 1942266390 - DENNIS REED | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
United | 74248 | $59.40 | 1942737978 - KATHLEEN COLLINS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 74248 | $110.30 | 1699530857 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 74248 | $110.30 | 1275892341 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 74248 | $59.40 | 1063832889 - OMAR WAHEED | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 74248 | $35.72 | 1285160069 - MITCHELL SEMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Anesthesiology Physician (207L00000X) |
United | 74248 | $79.77 | 1427248806 - ROBERT CHAVEZ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 74248 | $79.77 | 1215461785 - AMANDA WADDELL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 74248 | $35.70 | 1285405514 - JOSEPH LACH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 74248 | $59.40 | 1962448480 - CHANCE GREEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 74248 | $83.73 | 1992851828 - YU HUANG | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 74248 | $57.59 | 1396010856 - BERTRAND LIANG | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Neurology Physician (2084N0400X) |
United | 74248 | $83.73 | 1548645021 - JELISA VICK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NM | Acute Care Nurse Practitioner (363LA2100X) |
United | 74248 | $139.19 | 1508865239 - KHAWAJA RAHMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CT | Pulmonary Disease Physician (207RP1001X) |
United | 74248 | $79.77 | 1275195950 - SAMER HASSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
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 74248 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74248 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 74248 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 |
|---|---|---|
| 74240-CPT | Low | Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph(S) And Delayed Image(S) When Performed; Single- Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
| 74246-CPT | Low | Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph(S) And Delayed Image(S) When Performed; Double- Contrast (Eg High-Density Barium And Effervescent Agent) Study Including Glucagon When Administered (Desc Rvsd 1/1/20) |
| 74248-CPT | Low | Radiologic Small Intestine Follow-Through Study Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examination) |
| 74250-CPT | Low | Radiologic Examination Small Intestine Includingmultiple Serial Images And Scout Abdominal Radiograph(S) When Performed; Single-Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74248 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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