CPT 74355 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 | • 21 - Inpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component • RT - Right side of body |
| Complexity Level | Low |
National average reimbursement for CPT 74355 by major payers:
$176.52
$165.71
$138.75
$212.82
| 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 74355 | ||||||
United | 74355 | $228.58 | 1093751091 - STEPHEN TANN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Cardiovascular Disease Physician (207RC0000X) |
United | 74355 | $224.21 | 1639121254 - JOHN EVANS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74355 | $268.01 | 1487637914 - MATTHEW GLASER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74355 | $38.72 | 1235629825 - ALYSSA NORMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Psychiatry Physician (2084P0800X) |
United | 74355 | $39.34 | 1588615173 - KEITH HUTCHINSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 74355 | $154.11 | 1134126766 - ROBERT RIPLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 74355 | $114.76 | 1205182284 - SHAHID AHMAD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 74355 | $228.58 | 1386163129 - BRENT DAVIDSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TN | Certified Registered Nurse Anesthetist (367500000X) |
United | 74355 | $114.76 | 1992424923 - JEFFREY ROTH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 74355 | $99.23 | 1326394859 - DANIELLA PINHO | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74355 | $99.23 | 1124029764 - STEVEN HOLMAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74355 | $166.19 | 1659516169 - JESSICA COURTNEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Certified Registered Nurse Anesthetist (367500000X) |
United | 74355 | $62.40 | 1003337981 - SARAH SALCE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 74355 | $62.40 | 1326066648 - RICHARD MONTGOMERY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KY | Surgery Physician (208600000X) |
United | 74355 | $62.40 | 1427585843 - ANGIE TU | 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 74355 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74355 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 74355 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 |
|---|---|---|
| 74329-CPT | Low | Endoscopic Cath Pancreatic Duct S&I |
| 74340-CPT | Low | Introduction Of Long Gastrointestinal Tube (Eg Miller-Abbott) Including Multiple Fluoroscopies And Images Radiological Supervision And Interpretation Revised 01/01/2016 |
| 74355-CPT | Low | Perc Plcmt Enterclysis Tube Rad S&I |
| 74420-CPT | Low | Imaging Of Urinary Tract Following Injection Of A Contrast Agent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74355 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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