CPT 74360 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 GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74360 |
National average reimbursement for CPT 74360 by major payers:
$164.75
$175.57
$129.40
$198.79
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 74360 | $425.67 | 1245274919 - ENVISION IMAGING OF FRISCO | 271385885 | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74360 | $189.91 | 1730412255 - CHRISTOPHER MARINO | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 74360 | $322.13 | 1861805913 - JAMES MONTGOMERY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74360 | $87.16 | 1891774519 - LEON HOME HEALTH, LLC, LEON AT HOME | 261288029 | FL | Home Health Agency (251E00000X) |
United | 74360 | $72.16 | 1487110474 - JONATHAN DICKSON | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 74360 | $514.82 | 1023439767 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 74360 | $237.77 | 1629020243 - JAMES DAVID | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74360 | $394.29 | 1033552682 - SAAD HUSSAIN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 74360 | $154.48 | 1073530523 - DAVID KIM | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Interventional Pain Medicine Physician (208VP0014X) |
United | 74360 | $160.49 | 1699074518 - LAURA CONTINETTI | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 74360 | $322.13 | 1568914984 - ARIEL TEMPORAL | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 74360 | $394.29 | 1578564118 - CHRISTOPHER MCMILLAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74360 | $35.43 | 1891771176 - CHRISTOPHER DREW | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 74360 | $143.42 | 1033320049 - ANN STECK | 344428256 - TOLEDO HOSPITAL | OH | Family Medicine Physician (207Q00000X) |
United | 74360 | $137.55 | 1124510201 - ALEXANDER PECKHAM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | HI | Internal Medicine Physician (207R00000X) |
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 74360 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74360 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 74360 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 Catheterization Of, Endoscopic Catheterization Of The Pancreatic Ductal System Radiological Supervision And Interpretation Endoscopic Catheterization Of The Pancreatic Ductal System |
| 74340-CPT | Low | X-Ray Of The Intestines, A Tube Is Inserted Through The Nose And Guided To The Intestines By X-Ray. The Tube Enables Fluoroscopy Of The Intestines. This Is An X-Ray That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 74360-CPT | Low | Widening Of Narrowed Esophagus, A Balloon Is Inserted Down The Throat And Guided By X-Ray To A Point Where The Esophagus Has Become Too Narrow. The Balloon Is Inflated To Widen The Passage And Then Taken Out. |
| 74415-CPT | Low | X-Ray Of Urinary Tract, An Intravenous Urogram (Ivu) X-Rays The Urinary Tract From The Kidneys Through The Bladder. Contrast Material Is Injected To Highlight The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74360 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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