CPT 75825 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 | • 11 - Office • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 75825 by major payers:
$169.86
$229.32
$199.42
$250.28
| 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 75825 | ||||||
United | 75825 | $106.00 | 1114138815 - KUNAL CHAUDHRY | 650701827 - (FL) STUART CARDIOLOGY GROUP, PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $58.88 | 1851625164 - VISALI KODALI | 462354804 - (FL) FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $131.28 | 1639445166 - SALMAN MANDHAI | 756002888 - (TX) HEMPHILL COUNTY HOSPITAL DISTRICT | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $100.41 | 1265661532 - VIKAS BHATIA | 592291897 - (FL) BAY AREA HEART CENTER, P.A. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $106.00 | 1003808544 - CRAIG BRODSKY | 201847488 - (FL) LEWIS, GOTLIEB, SALTZMAN AND EDEP, M.D. LLP | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $58.47 | 1376634311 - MEENAKSHI BHALLA | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $39.65 | 1649236167 - KENNETH SAMPONG | 43726148 - (FL) KENNETH APPAH SAMPONG PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $51.49 | 1194715607 - VINH LUU | 270520049 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $290.39 | 1376593392 - PANEL OF EKG | 203253353 - (FL) PANEL OF EKG | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $57.75 | 1366795742 - FIRST COAST HEART & VASCULAR CENTER, PA | 470854466 - (FL) FIRST COAST CARDIOVASCULAR INSTITUTE | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $178.61 | 1013926906 - ESTHER LEVIN | 202671985 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $46.47 | 1073560736 - ANTHONY D'SOUZA | 650983923 - (FL) HEART SPECIALISTS OF SARASOTA, P.L. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $106.00 | 1306885314 - MICHAEL ENTENBERG | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $122.41 | 1669445623 - SHANNON LEU | 352429650 - (FL) BAPTIST CARDIOLOGY INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $85.76 | 1649442740 - LAWRENCE BERGER | 650783243 | FL | Cardiovascular Disease Physician (207RC0000X) |
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 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 |
|---|---|---|
| 75805-CPT | High | Lymphangiography Pelv/Abd Uni Rad S&I |
| 75809-CPT | Low | Shuntogram For Investigation Of Previously Placed Indwelling Nonvascular Shunt (Eg, Leveen Shunt, Ventriculoperitoneal Shunt, Indwelling Infusion Pump), Radiological Supervision And Interpretation |
| 75810-CPT | High | Splenoportography Rad S&I |
| 75825-CPT | Low | Venography Inferior Caval W/Serial Rad S |
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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