CPT 76390 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 • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 76390 by major payers:
$483.93
$512.39
$566.62
$625.45
| 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 76390 | ||||||
United | 76390 | $768.00 | 1346650942 - JACK SHORT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 76390 | $306.14 | 1528090032 - NAEEM CHAVLA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Urology Physician (208800000X) |
United | 76390 | $116.41 | 1104137710 - JACOB FELDMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Otolaryngology Physician (207Y00000X) |
United | 76390 | $768.00 | 1851735856 - TIFFANY YNOSENCIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 76390 | $768.00 | 1467108308 - MADELINE SMITH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 76390 | $768.00 | 1396278669 - JENNIFER DAVIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 76390 | $768.00 | 1295137743 - JENNIFER RONECKER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 76390 | $367.50 | 1629270731 - DIPAK JANA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 76390 | $367.50 | 1922413285 - STEVEN NUANES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ME | Internal Medicine Physician (207R00000X) |
United | 76390 | $306.14 | 1114568821 - KELLY BLANNER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MO | Nurse Practitioner (363L00000X) |
United | 76390 | $768.00 | 1922263938 - FADI DOMIT | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 76390 | $116.41 | 1275538217 - ROGER PEDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Anesthesiology Physician (207L00000X) |
United | 76390 | $768.00 | 1003337981 - SARAH SALCE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Acute Care Nurse Practitioner (363LA2100X) |
United | 76390 | $367.50 | 1124057070 - NITEEN ANDALKAR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurological Surgery Physician (207T00000X) |
United | 76390 | $367.50 | 1447808407 - BRYCE RANDALL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
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 76390 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76390 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 76390 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 |
|---|---|---|
| 76145-CPT | High | Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold Including Report |
| 76376-CPT | Low | 3d Rendering With Interpretation And Reporting Of Computed Tomography Magnetic Resonance Imaging Ultrasound Or Other Tomographic Modality; With Image Postprocessing Under Concurrent Supervision;Not Requiring Image Postprocessing On An Indepen- Dent Workstation(Revised 1/1/2013) |
| 76377-CPT | Low | 3d Rendering With Interpretation And Reporting Of Of Computed Tomography Magnetic Resonance Imagingultrasound Or Other Tomographic Modality With Image Postprocessing Under Concurrent Supervision;Requiring Image Postprocessing On An Independent Workstation (Revised 1/1/2013) |
| 76390-CPT | Moderate | Magnetic Resonance Spectroscopy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76390 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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