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See a sample rate comparisonCPT 99175 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.
Poisoning Treatment, Treatment For Poisoning Including Administration Of Ipecac To Induce Vomiting And Observation Until The Stomach Is Completely Emptied.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Other Medicine Services and Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 50 - Federally Qualified Health Center 20 - Urgent Care Facility |
| Common Modifiers | None 59 - Distinct Procedural Service SL EP - Residential facility to Physician's office GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 99175 |
| Medicaid Fee Schedule | View Medicaid rates for 99175 |
National average reimbursement for CPT 99175 by major payers:
$39.38
$34.94
$32.71
$47.36
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CPT 99175
5 of 25 sample ratesHigher to lower in this preview
Harwood Egan
Mass General Brigham Incorporated
$102.55Published rateRodney Brown
Waco Cardiology Associates, P.A.
$79.86Published rateMark Hernandez
Seton Family Of Doctors
$38.09Published rateYara Fernandez
Abington Pediatrics
$25.50Published rateManuel Mercado
Manuel J Mercado Md PA
$14.27Published rate
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See a sample payer proposalCPT 99175 vs. Other Other Medicine Services and Procedures Codes
The CPT 99175 code is part of the Medicine Services and Procedures services used for Other Medicine Services and 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 99175 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 |
|---|---|---|
| 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. |
| 99174-CPT | Low | Lazy Eye Screening Test, Screening Test For Amblyopia (Lazy Eye). Amblyopia Is A Problem With Visual Development In Which The Brain Favors One Eye Over The Other Causing The Visual Brain Cells In The Neglected Eye To Fail To Mature. |
| 99175-CPT | Low | Poisoning Treatment, Treatment For Poisoning Including Administration Of Ipecac To Induce Vomiting And Observation Until The Stomach Is Completely Emptied. |
| 99177-CPT | Low | Lazy Eye Screening Test, Screening Test For Amblyopia (Lazy Eye). Amblyopia Is A Problem With Visual Development In Which The Brain Favors One Eye Over The Other Causing The Visual Brain Cells In The Neglected Eye To Fail To Mature. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99175 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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