CPT 74270 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 74270 by major payers:
$179.00
$170.70
$186.98
$221.12
| 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 74270 | ||||||
United | 74270 | $396.88 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 74270 | $112.62 | 1346762069 - ANA RICA NGUYEN | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 74270 | $229.28 | 1396770111 - WILLIAM POOLE | 42893917 - (MA) RADIOLOGY & IMAGING, INC. | CT | Diagnostic Radiology Physician (2085R0202X) |
United | 74270 | $204.08 | 1134796022 - MELODY MUTANGE-CANELAS | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Nurse Practitioner (363L00000X) |
United | 74270 | $132.47 | 1598732380 - MICHAEL VOGELBAUM | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Neurological Surgery Physician (207T00000X) |
United | 74270 | $112.62 | 1033453352 - ANDREA ROGERS | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Registered Nurse (163W00000X) |
United | 74270 | $132.49 | 1831329655 - DAVID BUXTON | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X) |
United | 74270 | $112.61 | 1356932958 - JESSICA FISHER | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Family Nurse Practitioner (363LF0000X) |
United | 74270 | $132.47 | 1619102563 - HYE SOOK CHON | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Gynecologic Oncology Physician (207VX0201X) |
United | 74270 | $36.75 | 1821595091 - KELSEY GRACE | 381917674 - (MI) CHELSEA COMMUNITY HOSPITAL | MI | Emergency Medicine Physician (207P00000X) |
United | 74270 | $112.62 | 1265942924 - ASHLEY MOSS | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Physician Assistant (363A00000X) |
United | 74270 | $165.32 | 1821380932 - SVETLANA YABLOK | 223970667 - (NY) NORTH SHORE-LIJ RADIOLOGY SERVICES P C | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 74270 | $34.81 | 1780655795 - RALPH PICKARD | 363637465 - (IL) HOOPESTON COMMUNITY MEMORIAL HOSPITAL | CO | Pediatric Radiology Physician (2085P0229X) |
United | 74270 | $126.18 | 1740934959 - JARED GROW | 201778316 | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 74270 | $113.80 | 1154372423 - KEVIN KROEGER | 851040784 | OH | 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 74270 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74270 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 74270 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 |
|---|---|---|
| 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) |
| 74261-CPT | Moderate | Ct Colonogrphy Dx Image Postprocess No Contrast |
| 74262-CPT | Moderate | Computed Tomographic (Ct) Colonography Diagnostic Including Image Postprocessing; With Contrast Material(S) Including Non-Contrast Images If Performed |
| 74270-CPT | Low | Radiologic Examination Colon Including Scout Abdominal Radiograph(S) And Delayed Image(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 74270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74270 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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