CPT 75731 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • 26 - Professional component • 59 - Distinct Procedural Service • None |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75731 |
National average reimbursement for CPT 75731 by major payers:
$221.92
$263.98
$210.99
$300.39
| 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 75731 | ||||||
United | 75731 | $292.33 | 1720442890 - TONY ALIAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 75731 | $491.41 | 1124057070 - NITEEN ANDALKAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 75731 | $292.33 | 1609308105 - BRADFORD BENNETT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75731 | $233.35 | 1821182429 - ALLISON KIRSHNER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 75731 | $388.20 | 1205822665 - DANIEL BLAKE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Anesthesiology Physician (207L00000X) |
United | 75731 | $166.00 | 1801888433 - HARSH SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Neurology Physician (2084N0400X) |
United | 75731 | $147.07 | 1144225459 - WALDO MARTINEZ | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75731 | $439.41 | 1700812815 - MICHAEL PENNEY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | MO | Diagnostic Radiology Physician (2085R0202X) |
United | 75731 | $107.54 | 1821377607 - DANIEL CHOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 75731 | $132.02 | 1235122029 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 75731 | $147.07 | 1265438691 - GARY SIMMONS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75731 | $103.20 | 1124602537 - JESSICA ALLEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 75731 | $439.41 | 1720442890 - TONY ALIAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75731 | $58.47 | 1194757427 - ROBERT TIBALLI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Hospitalist Physician (208M00000X) |
United | 75731 | $233.35 | 1629284211 - MARK PICO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
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 75731 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75731 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 75731 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 |
|---|---|---|
| 75710-CPT | Low | Angiography Extremity Unilateral Rad S&I |
| 75716-CPT | Moderate | Angiography Extremity Bilat Rad S&I |
| 75726-CPT | Moderate | Angiography, Visceral, Selective Or Supraselective (With Or Without Flush Aortogram), Radiological Supervision And Interpretation |
| 75731-CPT | Moderate | Angiography Adrenal Uni Select S&I |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75731. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75731 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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