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See a sample rate comparisonCPT 76140 Fee Schedule
Last Verified: September 2026
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.
Consult--X-Ray Made Elsewh,Written
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 20 - Urgent Care Facility |
| Common Modifiers | None 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76140 |
| Medicaid Fee Schedule | View Medicaid rates for 76140 |
National average reimbursement for CPT 76140 by major payers:
$141.42
$30.76
$87.02
$30.84
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CPT 76140
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateRestorative Health Rehabilitation Inc
$35.00Published rateDavid Diffley
Radiology Associates Of North Texas, PA
$25.72Published rateSamuel La
Radiology Associates Of North Texas, PA
$25.72Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$15.89Published rate
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See a sample payer proposalCPT 76140 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76140 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 76140 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 |
|---|---|---|
| 26010-CPT | Moderate | Drain Finger Abscess |
| 76140-CPT | Low | Consult--X-Ray Made Elsewh,Written |
| 76145-CPT | High | Medical Physics Dose Eval Radiation Exposure Incl, Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold Incl Report |
| 76380-CPT | Low | Ct Scan Follow-Up Study, Ct (Computed Tomography) Follow-Up Study. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Additional Pictures Are Taken After Injecting Dye To Make A Specific Area Easier To See. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76140. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76140 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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