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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 75820 |
| Medicaid Fee Schedule | View Medicaid rates for 75820 |
National average reimbursement for CPT 75820 by major payers:

$130.25

$126.38

$144.98

$157.99
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Integrated Medicine Alliance, P.A
St James Hospital
Integrated Medicine Alliance, P.A
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Rate Benchmarking
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See a sample payer proposalCPT 75820 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75820 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 75820 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. |
| 75820-CPT | Low | X-Ray Of Leg Or Arm Vein, An X-Ray Of One Or More Veins In One Or Both Arms Or Legs After Injection Of A Contrast Agent (Venogram). |
| 75822-CPT | Low | X-Ray Of Leg Or Arm Vein, An X-Ray Of One Or More Veins In One Or Both Arms Or Legs After Injection Of A Contrast Agent (Venogram). |
| 75831-CPT | Low | X-Ray Of Kidney Veins, An X-Ray Of A Portion Of A Vein In One Or Both Kidneys After Injection Of A Contrast Agent To Highlight Areas. The Procedure Is Called A Venogram. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75820 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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