CPT 75630 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 • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 75630 by major payers:
$213.41
$281.47
$254.88
$313.39
| 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 75630 | ||||||
United | 75630 | $108.40 | 1821081720 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 75630 | $370.79 | 1346541380 - ERICK IMBERTSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Gastroenterology Physician (207RG0100X) |
United | 75630 | $156.61 | 1528350139 - BRANDON ABBOTT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Hospitalist Physician (208M00000X) |
United | 75630 | $99.97 | 1811299159 - OSAMA ABDEL-HAFEZ | 272530852 - (AZ) NORTHWEST CARDIOLOGY LLC | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 75630 | $157.94 | 1144212721 - RIYAZ SUMAR | 860783428 - (AZ) INTEGRATED MEDICAL SERVICES, INC. | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 75630 | $186.02 | 1891085361 - JEROME CORDOVA | 263792403 - PHOEBE PHYSICIAN GROUP INC | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 75630 | $173.58 | 1932543774 - MELISSA DAKKAK | 272530852 - (AZ) NORTHWEST CARDIOLOGY LLC | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 75630 | $527.40 | 1952324170 - NAVJOT SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Gastroenterology Physician (207RG0100X) |
United | 75630 | $317.02 | 1326333733 - AMY DALIMAN | 860711625 - (AZ) CARDIOVASCULAR ASSOCIATES OF MESA, P.C. | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 75630 | $119.97 | 1558023317 - COURTNEY ZAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NM | Medical Physician Assistant (363AM0700X) |
United | 75630 | $370.79 | 1285160069 - MITCHELL SEMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Anesthesiology Physician (207L00000X) |
United | 75630 | $226.47 | 1467847574 - SUSAN SCHMIDT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 75630 | $156.61 | 1003303611 - JENNA PLUMMER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MA | Physical Therapist (225100000X) |
United | 75630 | $108.40 | 1295728186 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 75630 | $370.79 | 1215299094 - BRANDON LAWRENCE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | 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 75630 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75630 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 75630 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 |
|---|---|---|
| 75600-CPT | Moderate | Aortography Thoracic Wo Serial S&I |
| 75605-CPT | Low | Aortography Thoracic W/Serial S&I |
| 75625-CPT | Low | Aortography Abd Serialography S&I |
| 75630-CPT | Moderate | Aortography, Abdominal Plus Bilateral Iliofemoral Lower Extremity, Catheter, By Serialography, Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75630 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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