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 |
| Medicare Fee Schedule | View Medicare rates for 75825 |
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 | $57.75 | 1538134853 - ISRAEL GALTES MD PA | 542127846 - (FL) ISRAEL GALTES MD PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $86.62 | 1093776411 - NORMAN BENNETT | 590637874 - MARTIN MEMORIAL MEDICAL CENTER INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $46.90 | 1578959557 - JAMIA WASHINGTON | 462021581 - (FL) FLORIDA HOSPITAL PHYSICIAN GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $101.47 | 1700230281 - NIDA WAHEED | 582030692 - EMORY UNIVERSITY | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $51.49 | 1194715607 - VINH LUU | 270520049 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $61.97 | 1720307853 - DEAN ABTAHI | 592951990 - MEMORIAL HOSPITAL FLAGLER INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $122.41 | 1669445623 - SHANNON LEU | 352429650 - (FL) BAPTIST CARDIOLOGY INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $48.25 | 1114138815 - KUNAL CHAUDHRY | 650636090 - (FL) CARDIOLOGY ASSOCIATES OF STUART PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $178.61 | 1639158850 - MICHAEL ANESTA | 592051198 - (FL) ANESTA & SILVER, M.D.'S | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $157.66 | 1952608119 - ZHAOHUI LI | 721239079 - (LA) CARDIOLOGY INSTITUTE INC | 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 | $171.92 | 1164776688 - NICOLE SCHWAB | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Family Nurse Practitioner (363LF0000X) |
United | 75825 | $121.70 | 1922012087 - CARDIOVASCULAR SPECIALISTS OF SOUTH FLORIDA | 200337721 - (FL) CARDIOVASCULAR SPECIALISTS OF SOUTH FLORIDA, PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $48.25 | 1851523328 - CRISTIANA G SCRIDON MD PL | 264132816 - (FL) CRISTIANA G SCRIDON MD PL | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 75825 | $100.41 | 1891932331 - HARRIS BOYIADZIS | 592766165 | 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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