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See a sample rate comparisonCPT 99075 Fee Schedule
Last Verified: October 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.
Testimony For A Legal Case, Testimony By A Health Care Professional About Medical Care That Is Provided To A Medical Board In A Deposition Or As A Witness In A Court Case.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Services, Procedures and Reports |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 50 - Federally Qualified Health Center |
| Common Modifiers | None GP - Services delivered under an outpatient physical therapy plan of care H9 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 99075 |
| Medicaid Fee Schedule | View Medicaid rates for 99075 |
National average reimbursement for CPT 99075 by major payers:
$81.78
$183.55
$286.21
$257.39
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CPT 99075
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$137.66Published rateDa Pediatric Rehabilitation
$60.00Published rateRestorative Health Rehabilitation Inc
$55.00Published rateAll Ways Homecare Inc
$40.00Published rateDa Pediatric Rehabilitation
$35.00Published rate
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See a sample payer proposalCPT 99075 vs. Other Special Services, Procedures and Reports Codes
The CPT 99075 code is part of the Medicine Services and Procedures services used for Special Services, Procedures and Reports. 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 99075 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 |
|---|---|---|
| 99075-CPT | Low | Testimony For A Legal Case, Testimony By A Health Care Professional About Medical Care That Is Provided To A Medical Board In A Deposition Or As A Witness In A Court Case. |
| 99080-CPT | Low | Special Reports Such As Insura, Special Reports Such As Insurance Forms More Thantheinformation Conveyed In The Usual Medical Comm Unications Or Standard Reporting Form |
| 99170-CPT | Low | Genital Exam Of Child, Exam Of The Anus And Genitals Of A Child With A Magnifying Scope (Colposcope). This Exam Is Given When Injury From Abuse Is Suspected. |
| 99183-CPT | Low | Physician Or Other Qualified H, Physician Or Other Qualified Health Care Professional Attendance And Supervision Of Hyperbaric Oxygen Therapy Per Session |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99075. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99075 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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