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See a sample rate comparisonHealthcare 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 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76015 |
| Medicaid Fee Schedule | View Medicaid rates for 76015 |
National average reimbursement for CPT 76015 by major payers:

$80.94

$73.70

$159.56

$84.21
Choose a payer to see a sample of rates for CPT 76015.
Ut Le Bonheur Pediatric Specialists Inc
U T Physicians
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 76015 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76015 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 76015 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 |
|---|---|---|
| 76015-CPT | Low | Mr Sfty Mplt&/Fb Asmt Stf Ea, Mr Safety Implant And/Or Foreign Body Assessment By Trained Clinical Staff Including Identification And Verification Of Implant Components From Appropriate Sources (Eg Surgical Reports Imaging Reports Medical Device Databases Device Vendors Review Of Prior Imaging) Analyzing Current Mr Conditional Status Of Individual Components And Systems And Consulting Published Professional Guidance With Written Report; Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76015 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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