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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 74713 |
| Medicaid Fee Schedule | View Medicaid rates for 74713 |
National average reimbursement for CPT 74713 by major payers:

$264.23

$269.27

$366.91

$334.06
Choose a payer to see a sample of rates for CPT 74713.
Northern Arizona Healthcare Corporation
Radiology Associates Of North Texas, PA
Samaritan Emergency Medical Services PC
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 74713 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74713 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 74713 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 |
|---|---|---|
| 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. |
| 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. |
| 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 74713. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74713 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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