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CPT 75803 Fee Schedule

Last Verified: September 2026

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.

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.
Key FactDetail
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

GC - Service performed by resident under supervision

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 75803
Medicaid Fee ScheduleView Medicaid rates for 75803

National average reimbursement for CPT 75803 by major payers:

bcbs

$780.08

uhc

$1,219.06

aetna

$1,167.11

cigna

$395.83

Compare published rates across providers.

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CPT 75803
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $4,273.06Published rate
  2. Dereje Moti

    Northern Arizona Healthcare Corporation

    AZHospitalist PhysicianNPI 1962792499Tax ID 74-2410946

    $439.20Published rate
  3. Daniel Hainley

    Northern Arizona Healthcare Corporation

    TXCertified Registered Nurse AnesthetistNPI 1043718950Tax ID 74-2410946

    $343.19Published rate
  4. Brandon Abbott

    Northern Arizona Healthcare Corporation

    AZHospitalist PhysicianNPI 1528350139Tax ID 74-2410946

    $96.01Published rate
  5. Megan Alatorre

    Northern Arizona Healthcare Corporation

    CAPhysician AssistantNPI 1568870988Tax ID 74-2410946

    $57.70Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 75803 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 75803 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 75803 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.

CodeComplexityDescription
75801-CPTModerateX-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-CPTModerateX-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-CPTHighX-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.
75807-CPTHighX-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.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75803. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 75803 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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