CPT 74775 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 • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74775 |
National average reimbursement for CPT 74775 by major payers:
$155.27
$236.81
$214.64
$130.88
| 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 74775 | ||||||
United | 74775 | $31.76 | 1740426790 - JESSICA KERR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 74775 | $144.00 | 1407920952 - JEFFREY WILLIAMS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | LA | Plastic Surgery Physician (208200000X) |
United | 74775 | $264.89 | 1912986944 - JACQUELINE EUBANY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 74775 | $92.40 | 1134431885 - ASRA KHAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Family Medicine Physician (207Q00000X) |
United | 74775 | $92.40 | 1154385250 - ROBERT PUNTEL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pediatric Cardiology Physician (2080P0202X) |
United | 74775 | $51.59 | 1770870867 - KRISHNA PAKANATI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Internal Medicine Physician (207R00000X) |
United | 74775 | $144.00 | 1003127341 - JEREMY NIELSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 74775 | $31.76 | 1194757427 - ROBERT TIBALLI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Hospitalist Physician (208M00000X) |
United | 74775 | $144.00 | 1609372044 - SHANE ZACHARY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 74775 | $51.59 | 1134126766 - ROBERT RIPLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 74775 | $51.59 | 1780654988 - SHAYAN ALAM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 74775 | $51.59 | 1104875186 - WILLIAM UTZ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Urology Physician (208800000X) |
United | 74775 | $92.40 | 1508850637 - BRIAN LAUNIUS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 74775 | $32.74 | 1285363473 - AMANDA REEDER | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 74775 | $92.40 | 1104137710 - JACOB FELDMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Otolaryngology Physician (207Y00000X) |
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 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.
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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