CPT 78483 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 Nuclear Medicine 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 |
| Medicare Fee Schedule | View Medicare rates for 78483 |
National average reimbursement for CPT 78483 by major payers:
$287.40
$314.82
$285.65
$365.84
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 78483 | $135.00 | 1225326127 - NICOLE KURNIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Plastic Surgery Physician (208200000X) |
United | 78483 | $211.83 | 1184356685 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 78483 | $149.08 | 1669649075 - MICHAEL SARKEES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ND | Interventional Cardiology Physician (207RI0011X) |
United | 78483 | $326.18 | 1982953915 - LAURA HIGGINS | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 78483 | $537.01 | 1689923096 - JUSTIN DELANGE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Neurology Physician (2084N0400X) |
United | 78483 | $182.25 | 1710942529 - MICHAEL GOUVION | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78483 | $62.27 | 1528065919 - DAVID VAN DE WYNGAERDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 78483 | $62.27 | 1093775512 - ROBERT SANCHEZ | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 78483 | $275.83 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 78483 | $135.00 | 1386930667 - RIZWAN JAFRI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 78483 | $537.01 | 1881639581 - BHUVANAPRASAD MANDALAPU | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Neurology Physician (2084N0400X) |
United | 78483 | $537.01 | 1043718950 - DANIEL HAINLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 78483 | $90.16 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 78483 | $451.14 | 1235407248 - PHYLLIS MOORE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Family Nurse Practitioner (363LF0000X) |
United | 78483 | $875.41 | 1811948706 - SAMUEL LA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
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 78483 vs. Other Nuclear Medicine Procedures Codes
The CPT 78483 code is part of the Radiology Procedures services used for Nuclear Medicine 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 78483 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 |
|---|---|---|
| 78472-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
| 78473-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
| 78481-CPT | Moderate | Heart First Pass Single, Cardiac Blood Pool Imaging Planar First Pass Technique Single Study At Rest Or With Stress Exercise And Or Pharmacologic Wall Motion Study Plus Ejection Fraction With Or Without Quantification |
| 78483-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78483. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78483 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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