CPT 75561 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 • ME - The order for this service adheres to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
National average reimbursement for CPT 75561 by major payers:
$489.19
$575.02
$615.75
$679.52
| 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 75561 | ||||||
United | 75561 | $929.40 | 1053548495 - MICHAEL HANSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 75561 | $929.40 | 1205013919 - PATRICK MARTIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 75561 | $228.61 | 1649237678 - ANITA EISENHART | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Emergency Medicine Physician (207P00000X) |
United | 75561 | $1158.01 | 1669733580 - EDWARD JACKMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Medicine Physician (207Q00000X) |
United | 75561 | $228.61 | 1821532987 - MICHELE AYOTTE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 75561 | $362.58 | 1346668225 - STEPHANIE RICE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Radiation Oncology Physician (2085R0001X) |
United | 75561 | $929.40 | 1982678322 - ZOHREH KAZEMI-DUNN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
United | 75561 | $929.40 | 1861513509 - JASJEET SOMAL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 75561 | $155.47 | 1235629825 - ALYSSA NORMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Psychiatry Physician (2084P0800X) |
United | 75561 | $929.40 | 1104259597 - JARON BUTTERFIELD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ME | Surgery Physician (208600000X) |
United | 75561 | $228.61 | 1487940524 - KATHERINE FORD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 75561 | $228.61 | 1639369366 - DANIEL SCHERE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Neurology Physician (2084N0400X) |
United | 75561 | $110.73 | 1588680516 - JAMES ARTHUR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Medicine Physician (207Q00000X) |
United | 75561 | $1158.01 | 1477107613 - MATTHEW SPENLA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 75561 | $251.85 | 1386872166 - NIKI POPP | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Anesthesiology Physician (207L00000X) |
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 75561 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75561 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 75561 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 |
|---|---|---|
| 75557-CPT | Moderate | Cardiac Mri For Morph |
| 75559-CPT | Moderate | Cardiac Mri W/Stress Img |
| 75561-CPT | Moderate | Cardiac Magnetic Resonance Imaging For Morphology And Function Without Contrast Material(S) Followed By Contrast Material(S) And Further Sequences; |
| 75563-CPT | Moderate | Cardiac Magnetic Resonance Imaging For Morphology And Function Without Contrast Material(S) Followed By Contrast Material(S) And Further Sequences; With Stress Imaging |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75561 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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