CPT 75885 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 75885 |
National average reimbursement for CPT 75885 by major payers:
$192.10
$252.72
$204.42
$282.25
| 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 75885 | ||||||
United | 75885 | $69.65 | 1154378164 - HASSAN SHAFEEQ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 75885 | $151.94 | 1730180431 - MARLOU HEILAND | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Urology Physician (208800000X) |
United | 75885 | $82.29 | 1073925939 - RYAN GUY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 75885 | $94.01 | 1285363473 - AMANDA REEDER | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 75885 | $108.53 | 1255766531 - MARISSA LIVERIS | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Physician Assistant (363A00000X) |
United | 75885 | $69.65 | 1023074317 - JASON DANIELS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 75885 | $123.59 | 1730180431 - MARLOU HEILAND | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Urology Physician (208800000X) |
United | 75885 | $123.59 | 1285874362 - FARHOUD KHOSRAVI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Gastroenterology Physician (207RG0100X) |
United | 75885 | $123.59 | 1861544744 - SUSANN CLINTON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 75885 | $69.65 | 1235387119 - OMER AHMED | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Sleep Medicine (Internal Medicine) Physician (207RS0012X) |
United | 75885 | $347.98 | 1518664895 - ELIZABETH BIESEMEYER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 75885 | $184.97 | 1720087513 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 75885 | $151.94 | 1306828702 - RICHARD BEAMON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KS | Emergency Medicine Physician (207P00000X) |
United | 75885 | $123.59 | 1376017459 - NICHOLAS FINLINSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Certified Registered Nurse Anesthetist (367500000X) |
United | 75885 | $347.98 | 1760992390 - YOONHA KIM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | GA | Physician Assistant (363A00000X) |
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 75885 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75885 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 75885 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 | Shuntogram For Investigation Of Previously Placed Indwelling Nonvascular Shunt (Eg, Leveen Shunt, Ventriculoperitoneal Shunt, Indwelling Infusion Pump), Radiological Supervision And Interpretation |
| 75825-CPT | Low | Venography Inferior Caval W/Serial Rad S |
| 75885-CPT | Low | Perc Trnshep Portgraphy W/Hemo S&I |
| 75887-CPT | Low | Perc Trnshep Portgrphy Wo/Hemo 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 75885. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75885 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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