CPT 74713 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74713 |
National average reimbursement for CPT 74713 by major payers:
$264.23
$269.27
$366.91
$341.32
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 74713 | ||||||
United | 74713 | $198.16 | 1336623578 - LEILA HARDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 74713 | $198.16 | 1295977718 - CHRISTOPHER MUELLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Cardiovascular Disease Physician (207RC0000X) |
United | 74713 | $115.78 | 1730412255 - CHRISTOPHER MARINO | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 74713 | $224.95 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 74713 | $153.00 | 1518209964 - MATTHEW RYBKA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 74713 | $117.48 | 1396775227 - STEPHEN MURPHY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 74713 | $185.06 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 74713 | $153.00 | 1659516169 - JESSICA COURTNEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Certified Registered Nurse Anesthetist (367500000X) |
United | 74713 | $391.19 | 1295137743 - JENNIFER RONECKER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 74713 | $238.19 | 1669764924 - DAVID DELMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Neurology Physician (2084N0400X) |
United | 74713 | $198.16 | 1346668225 - STEPHANIE RICE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Radiation Oncology Physician (2085R0001X) |
United | 74713 | $153.00 | 1073787545 - MICHAEL MIRZOYAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NJ | Pulmonary Disease Physician (207RP1001X) |
United | 74713 | $180.01 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 74713 | $238.19 | 1699739862 - JONATHAN WEISER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Family Medicine Physician (207Q00000X) |
United | 74713 | $191.15 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | 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 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 |
|---|---|---|
| 74329-CPT | Low | Endoscopic Cath Pancreatic Duct S&I |
| 74330-CPT | Low | Combined Endoscopic Catheterization Of The Biliary And Pancreatic Ductal Systems, Radiological Supervision And Interpretation |
| 74363-CPT | Moderate | Percutaneous Transhepatic Dilation Of Biliary Duct Stricture With Or Without Placement Of Stent, Radiological Supervision And Interpretation |
| 74713-CPT | Moderate | 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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