CPT 74485 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74485 |
National average reimbursement for CPT 74485 by major payers:
$142.26
$133.55
$139.69
$169.35
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 74485 | $41.13 | 1629270731 - DIPAK JANA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 74485 | $233.67 | 1962403501 - MICHAEL HILL | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74485 | $46.79 | 1306828702 - RICHARD BEAMON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KS | Emergency Medicine Physician (207P00000X) |
United | 74485 | $115.12 | 1912070608 - CHRISTIAN BREBURDA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Cardiovascular Disease Physician (207RC0000X) |
United | 74485 | $233.67 | 1396806444 - RADIOLOGY ASSOCIATES OF NORTH TEXAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Nuclear Radiology Physician (2085N0904X) |
United | 74485 | $196.80 | 1427585843 - ANGIE TU | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 74485 | $150.00 | 1124152368 - SCOTT LONGFELLOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Anesthesiology Physician (207L00000X) |
United | 74485 | $150.00 | 1427555168 - GREGORY CALDWELL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 74485 | $196.80 | 1669452348 - KRISTINA KEZAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 74485 | $46.79 | 1801888433 - HARSH SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | GA | Neurology Physician (2084N0400X) |
United | 74485 | $77.28 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 74485 | $196.80 | 1225052566 - CARRIE HEISINGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 74485 | $27.37 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 74485 | $233.67 | 1821382409 - BENJAMIN WILSON | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | PA | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 74485 | $88.54 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
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 74485 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74485 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 74485 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 |
|---|---|---|
| 74363-CPT | Moderate | Widening Of Narrowed Bile Duct, A Balloon Is Inserted Into The Common Bile Duct And Guided By X-Ray To A Point Where The Duct Has Become Too Narrow. The Balloon Is Inflated To Widen The Passage And Then Taken Out. A Support Device (Stent) May Be Left In The Duct. |
| 74420-CPT | Low | Exam For Urine Backflow, An Imaging Study To Evaluate Flow Of Urine Back To The Kidneys From The Bladder. |
| 74425-CPT | Low | Imaging Exam Urine System, Contrast Dye Is Injected Into An Artificial Opening That Provides Access To The Urinary System. X-Rays Are Taken As The Dye Moves From The Kidneys To The Bladder. The Pictures Help Detect Problems In The Urine Drainage System. |
| 74485-CPT | Low | Urine Tract Enlargement, Enlargement Of A Portion Of The Urine Tract. The Procedure Using X-Rays To Assist With Viewing The Surgical Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74485 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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