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See a sample rate comparisonHealthcare 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 | 26 - Professional component None RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75801 |
| Medicaid Fee Schedule | View Medicaid rates for 75801 |
National average reimbursement for CPT 75801 by major payers:

$424.42

$581.27

$506.27

$378.15
Choose a payer to see a sample of rates for CPT 75801.
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
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Rate Benchmarking
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See a sample payer proposalCPT 75801 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75801 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 75801 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 |
|---|---|---|
| 75801-CPT | Moderate | X-Ray Study Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels Of One Or Both Arms Or Legs After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75803-CPT | Moderate | X-Ray Study Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels Of One Or Both Arms Or Legs After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75805-CPT | High | X-Ray Of Lymph Vessels, X-Rays Taken Of The Lymph Nodes And Vessels In The Abdomen Or Pelvis After Injecting Contrast Material. The Procedure Is Called A Lymphangiogram. |
| 75810-CPT | High | X-Ray Of Spleen Blood Flow, An Evaluation Of Blood Flow In The Spleen (Splenoportography). X-Rays Are Taken After Introducing A Contrast Agent To Highlight The Blood Vessels. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75801. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75801 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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