CPT 75872 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 | • 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 75872 by major payers:
$184.17
$251.19
$192.78
$276.49
| 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 75872 | ||||||
United | 75872 | $103.80 | 1215299094 - BRANDON LAWRENCE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Emergency Medicine Physician (207P00000X) |
United | 75872 | $386.38 | 1831864800 - JENNIFER LEE MOFFITT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Audiologist (231H00000X) |
United | 75872 | $137.13 | 1679561914 - ANN TEAL | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 75872 | $137.13 | 1548249105 - BRUCE CARTER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75872 | $286.35 | 1942081153 - HEALTH IMAGING PARTNERS LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 75872 | $137.13 | 1568652345 - SCOTT ECKERT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75872 | $137.13 | 1669423489 - BENJAMIN HYMAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75872 | $490.19 | 1669733580 - EDWARD JACKMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MA | Family Medicine Physician (207Q00000X) |
United | 75872 | $39.04 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 75872 | $103.80 | 1790162063 - JOSEPH WOOLLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pediatric Gastroenterology Physician (2080P0206X) |
United | 75872 | $103.80 | 1609950500 - MICHAEL REIDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Pulmonary Disease Physician (207RP1001X) |
United | 75872 | $103.80 | 1710210273 - JENNIFER FAIRCLOTH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Certified Registered Nurse Anesthetist (367500000X) |
United | 75872 | $490.19 | 1508829912 - ALGIMANTAS JECIUS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 75872 | $103.80 | 1841452737 - SALLY MCFARLANE-PARROTT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Anesthesiology Physician (207L00000X) |
United | 75872 | $57.90 | 1235629825 - ALYSSA NORMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Psychiatry Physician (2084P0800X) |
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 75872 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75872 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 75872 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 |
|---|---|---|
| 75820-CPT | Low | Venography Extremity Uni Rad S&I |
| 75827-CPT | Low | Venography Superior Caval W/Serial Rad S |
| 75860-CPT | Low | Venography Venous Sinus (Eg Petrosal And Inferior Sagittal) Or Jugular Catheter Radiological Supervision And Interpretation (Rvsd 1/1/04) |
| 75872-CPT | Low | Venography Epidural Rad S&I |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75872. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75872 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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