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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 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74280 |
| Medicaid Fee Schedule | View Medicaid rates for 74280 |
National average reimbursement for CPT 74280 by major payers:

$252.74

$241.27

$260.76

$307.63
Choose a payer to see a sample of rates for CPT 74280.
Radiology Associates Of North Texas, PA
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 74280 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74280 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 74280 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 |
|---|---|---|
| 74261-CPT | Moderate | Ct Scan Of The Colon, A Ct Scan Taken Of The Colon (Large Intestine). The Scan May Be Used To Check For Polyps Or To Help Diagnose And Stage Colon Cancer. Typically Images Are Taken Both With And Without A Contrast Agent To Enhance Areas. |
| 74262-CPT | Moderate | Ct Scan Of The Colon, A Ct Scan Taken Of The Colon (Large Intestine). The Scan May Be Used To Check For Polyps Or To Help Diagnose And Stage Colon Cancer. Typically Images Are Taken Both With And Without A Contrast Agent To Enhance Areas. |
| 74270-CPT | Low | X Ray Xm Colon 1cntrst Std, Radiologic Examination Colon Including Scout Abdominal Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study |
| 74280-CPT | Moderate | X Ray Xm Colon 2cntrst Std, Radiologic Examination Colon Including Scout Abdominal Radiograph S And Delayed Image S When Performed Double Contrast Eg High Density Barium And Air Study Including Glucagon When Administered |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74280 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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