CPT 75880 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 • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 51 - Multiple procedures |
| Complexity Level | Low |
National average reimbursement for CPT 75880 by major payers:
$166.15
$139.46
$134.56
$174.12
| 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 75880 | ||||||
United | 75880 | $35.72 | 1497174593 - HEIDI UNDERWOOD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ND | Certified Registered Nurse Anesthetist (367500000X) |
United | 75880 | $84.80 | 1467914291 - DANIEL MERRILL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Pediatrics Physician (208000000X) |
United | 75880 | $92.94 | 1114920444 - JOHN WILCOX | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75880 | $35.72 | 1578559563 - JEFFREY FERNLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MD | Anesthesiology Physician (207L00000X) |
United | 75880 | $84.80 | 1821377607 - DANIEL CHOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 75880 | $198.60 | 1730624990 - REBECCA HEISINGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WY | Certified Registered Nurse Anesthetist (367500000X) |
United | 75880 | $35.00 | 1649599168 - RESTORATIVE HEALTH REHABILITATION INC | 272533824 - (FL) RESTORATIVE HEALTH REHABILITATION INC | FL | Home Health Agency (251E00000X) |
United | 75880 | $58.18 | 1487041935 - TOMASZ KROLIKOWSKI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 75880 | $198.60 | 1770661712 - JAMES RASMUSSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | UT | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 75880 | $120.54 | 1194757427 - ROBERT TIBALLI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TN | Hospitalist Physician (208M00000X) |
United | 75880 | $140.41 | 1639131923 - EUGENE MCGOUGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Certified Registered Nurse Anesthetist (367500000X) |
United | 75880 | $120.54 | 1740324235 - DEBORAH MERRILL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Anesthesiology Physician (207L00000X) |
United | 75880 | $84.80 | 1629070529 - GREGORY LINDERER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NV | Anesthesiology Physician (207L00000X) |
United | 75880 | $58.18 | 1972584779 - CHARLES COFFMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 75880 | $35.72 | 1083224521 - CARTER STARK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
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 75880 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75880 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 75880 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 |
|---|---|---|
| 75842-CPT | Moderate | Venography Adrenal Bil Select Rad S&I |
| 75860-CPT | Low | Venography Venous Sinus (Eg Petrosal And Inferior Sagittal) Or Jugular Catheter Radiological Supervision And Interpretation (Rvsd 1/1/04) |
| 75870-CPT | Moderate | Venography Sup Sagittal Sinus S&I |
| 75880-CPT | Low | Venography Orbital 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 75880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75880 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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