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See a sample rate comparisonCPT 74775 Fee Schedule
Last Verified: September 2026
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.
X-Ray Of The Perineum, An Examination By X-Ray Of The Perineum The Area Between The Pubic Bone And Anus Where The Genitals Are Located. The Exam Helps To Determine Gender When An Infant Is Born With Genitals That Are Not Well-Formed Or Are Absent.
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74775 |
| Medicaid Fee Schedule | View Medicaid rates for 74775 |
National average reimbursement for CPT 74775 by major payers:
$155.27
$236.81
$214.64
$127.23
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CPT 74775
5 of 25 sample ratesHigher to lower in this preview
Patricia Melendez Moreno
Radiology Associates Of North Texas, PA
$562.10Published rateShane Zachary
Northern Arizona Healthcare Corporation
$144.00Published rateBrian Launius
Northern Arizona Healthcare Corporation
$92.40Published rateWilliam Utz
Northern Arizona Healthcare Corporation
$51.59Published rateRobert Tiballi
Northern Arizona Healthcare Corporation
$31.76Published rate
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See a sample payer proposalCPT 74775 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74775 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 74775 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 |
|---|---|---|
| 74440-CPT | Low | Male Reproductive System X-Ray, An Evaluation Of A Mans Reproductive System. A Contrast Agent Is Introduced To Highlight The Area And X-Rays Are Taken. |
| 74450-CPT | Low | X-Ray Of Bladder Function, An X-Ray Of The Bladder And Urinary Tract. The Images Evaluate The Flow Of Urine Or Check For Backflow Of Urine Into The Bladder. |
| 74455-CPT | Low | X-Ray Of Bladder Function, An X-Ray Of The Bladder And Urinary Tract. The Images Evaluate The Flow Of Urine Or Check For Backflow Of Urine Into The Bladder. |
| 74775-CPT | Low | X-Ray Of The Perineum, An Examination By X-Ray Of The Perineum The Area Between The Pubic Bone And Anus Where The Genitals Are Located. The Exam Helps To Determine Gender When An Infant Is Born With Genitals That Are Not Well-Formed Or Are Absent. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74775. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74775 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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