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See a sample rate comparisonCPT 76497 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.
Ct Scan, A Ct (Computed Tomography) Scan Is Made From A Sequence Of X-Rays Taken As The Scanner Moves In Circles Around The Body. The Images Are Assembled Into A 3-D View.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 76497 |
National average reimbursement for CPT 76497 by major payers:
$300.13
$298.81
$146.86
$225.24
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CPT 76497
5 of 25 sample ratesHigher to lower in this preview
Swedish Health Services, Swedish/Issaquah
Swedish Health Services
$298.17Published rateNorth Wheeler County Hospital District, Parkview Hospital
North Wheeler County Hospital District
$185.86Published rateHighlands Hospital And Health Center, Highlands Hospital Emergency Dept Physicians
Highlands Hospital And Health Center
$121.44Published rateColumbia Medical Center Of Arlington Subsidiary Lp, Medical City Arlington
Columbia Medical Center Of Arlington Subsidiary Lp
$83.86Published ratePrime Healthcare Services, Saint John Hospital
$66.26Published rate
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See a sample payer proposalCPT 76497 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76497 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 76497 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 |
|---|---|---|
| 76010-CPT | Low | X-Ray Of Child To Find Object, X-Rays Taken Of A Childs Digestive Tract From Nose To Rectum. The Images Are Taken To Find A Foreign Object. |
| 76145-CPT | High | Medical Physics Dose Eval Radiation Exposure Incl, Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold Incl Report |
| 76496-CPT | Moderate | X-Ray Of Structures In Motion, Fluoroscopy Is An X-Ray Technique That Shows Movement Of Tissues In Real-Time. A Contrast Agent Is Introduced To Highlight Movements. |
| 76497-CPT | Moderate | Ct Scan, A Ct (Computed Tomography) Scan Is Made From A Sequence Of X-Rays Taken As The Scanner Moves In Circles Around The Body. The Images Are Assembled Into A 3-D View. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76497. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76497 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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