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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 74712 |
| Medicaid Fee Schedule | View Medicaid rates for 74712 |
National average reimbursement for CPT 74712 by major payers:

$519.43

$555.89

$535.43

$666.44
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Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Sunrise Home Health Care Inc
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Rate Benchmarking
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See a sample payer proposalCPT 74712 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74712 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 74712 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 |
| 74330-CPT | Low | Bile Pancreatic Duct Imaging, An Exam Of The Bile Duct System Using A Scope (Endoscope). The Procedure Examines The Ducts From The Liver To The Pancreas Taking X-Rays With Contrast Agents To View The Area. |
| 74712-CPT | Moderate | Mri Fetal Sngl 1st Gestation, Magnetic Resonance Eg Proton Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed Single Or First Gestation |
| 74713-CPT | Moderate | Mri Fetal Ea Addl Gestation, Magnetic Resonance Eg Proton Imaging Fetal Including Placental And Maternal Pelvic Imaging When Performed Each Additional Gestation List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74712. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74712 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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