CPT 74415 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 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74415 |
National average reimbursement for CPT 74415 by major payers:
$174.20
$163.42
$166.78
$210.16
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 74415 | $217.80 | 1669960365 - JOSHUA WALLENTIN-FLORES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Orthopaedic Trauma Physician (207XX0801X) |
United | 74415 | $283.32 | 1396215059 - REBECA STANLEY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 74415 | $176.38 | 1063070175 - EMMA KROLOFF | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Physician Assistant (363A00000X) |
United | 74415 | $217.80 | 1063070175 - EMMA KROLOFF | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Physician Assistant (363A00000X) |
United | 74415 | $102.64 | 1619910627 - BRADLEY WEISNER | 562107759 - UROLOGY SPECIALISTS OF THE CAROLINAS, PLLC | NC | Urology Physician (208800000X) |
United | 74415 | $176.38 | 1558679233 - LEIGH MCGLINN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Critical Care Neonatal Nurse Practitioner (363LN0005X) |
United | 74415 | $176.38 | 1952324170 - NAVJOT SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Gastroenterology Physician (207RG0100X) |
United | 74415 | $30.04 | 1821097627 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 74415 | $176.38 | 1518450113 - JOHN WILLIAMS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 74415 | $24.89 | 1871577890 - THOMAS TAKASH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 74415 | $217.80 | 1528065919 - DAVID VAN DE WYNGAERDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Orthopaedic Surgery Physician (207X00000X) |
United | 74415 | $217.80 | 1285874362 - FARHOUD KHOSRAVI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AK | Gastroenterology Physician (207RG0100X) |
United | 74415 | $176.38 | 1710471750 - JESSICA FLETCHER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NE | Hospitalist Physician (208M00000X) |
United | 74415 | $217.80 | 1225326127 - NICOLE KURNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Plastic Surgery Physician (208200000X) |
United | 74415 | $41.40 | 1710210273 - JENNIFER FAIRCLOTH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Certified Registered Nurse Anesthetist (367500000X) |
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 74415 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74415 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 74415 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 |
|---|---|---|
| 74400-CPT | Low | X-Ray Exam Of Urinary System, An Intravenous Pyelogram (Ivp) Is An X-Ray Of The Kidney Drainage Tubes (Ureters) And Bladder Using A Contrast Agent. Images Are Taken As The Bladder Fills And During Urination To Assess The System. |
| 74410-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. |
| 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. |
| 74420-CPT | Low | Exam For Urine Backflow, An Imaging Study To Evaluate Flow Of Urine Back To The Kidneys From The Bladder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74415 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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