CPT 75580 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 |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75580 |
National average reimbursement for CPT 75580 by major payers:
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| 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 75580 | ||||||
United | 75580 | $72.43 | 1336124825 - STACY GREENSPAN | 830249708 | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $63.79 | 1437174182 - RICHARD PACINI | 364100298 - (NE) NORTHEAST MEDICAL IMAGING, P.C. | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $3084.83 | 1982782173 - KIM GRAY | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $168.88 | 1881842755 - ERIC NYBERG | 840398876 - YAMPA VALLEY MEDICAL CENTER | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $1086.23 | 1922072099 - JOHN HAUSCHILDT | 371363001 - (IL) RICHLAND MEMORIAL HOSPITAL INC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $93.83 | 1831517382 - ERIC DEPOPAS | 840563230 - (CO) VAIL CLINIC INC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $42.84 | 1548223001 - CHRISTINE BLIVEN | 363637465 - (IL) HOOPESTON COMMUNITY MEMORIAL HOSPITAL | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $2446.87 | 1568564300 - BENJAMIN COOPER | 840563230 - (CO) VAIL CLINIC INC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $95.69 | 1720421613 - MICHAEL DURST | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $1676.61 | 1508863549 - LISA LANGMO | 840398876 - YAMPA VALLEY MEDICAL CENTER | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $1977.06 | 1952433641 - MONIQUE FOX | 841156388 - (CO) DIVERSIFIED RADIOLOGY OF COLORADO, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $1267.52 | 1174556567 - VERNON ZURICK | 341996544 | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $49.65 | 1851684120 - JON NIELSEN | 840597929 - RADIOLOGY IMAGING ASSOCIATES, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $93.83 | 1558533356 - VINCENT HERLIHY | 840563230 - (CO) VAIL CLINIC INC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 75580 | $63.56 | 1134130925 - CRAIG KORNBLUTH | 841156388 - (CO) DIVERSIFIED RADIOLOGY OF COLORADO, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
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 75580 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75580 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 75580 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 |
|---|---|---|
| 75580-CPT | Moderate | Noninvasive Estimate Of Coronary Fractional Flow Reserve (Ffr) Derived From Augmentative Software Analysis Of The Data Set From A Coronary Computed Tomography Angiography, With Interpretation And Report By A Physician Or Other Qualified Health Care Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75580 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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