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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 | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 75825 |
| Medicaid Fee Schedule | View Medicaid rates for 75825 |
National average reimbursement for CPT 75825 by major payers:

$169.86

$229.32

$199.42

$241.79
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Baptist Cardiology Inc
Revived Soul Medical, PC
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Rate Benchmarking
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See a sample payer proposalCPT 75825 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75825 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 75825 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 |
|---|---|---|
| 75809-CPT | Low | Nonvascular Shunt X Ray, Shuntogram For Investigation Of Previously Placed Indwelling Nonvascular Shunt Eg Leveen Shunt Ventriculoperitoneal Shunt Indwelling Infusion Pump Radiological Supervision And Interpretation |
| 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. |
| 75825-CPT | Low | X-Ray Of Vein (Vena Cava), An X-Ray Of The Upper Or Lower Portion Of The Largest Vein In The Body (Vena Cava) After Injection Of A Contrast Agent (Venogram). |
| 75827-CPT | Low | X-Ray Of Vein (Vena Cava), An X-Ray Of The Upper Or Lower Portion Of The Largest Vein In The Body (Vena Cava) After Injection Of A Contrast Agent (Venogram). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75825 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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