arizona physicians' fee schedule radiology codes … fee schedule radiology codes.pdfarizona...

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ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor: $82.38 CODE CATEGORY NF RVU FAC RVU RBRVS NF RATE RBRVS FAC RATE The codes listed herein are CPT only copyright 2018 American Medical Association. All rights reserved. 178 70010 00 Radiology 1.73 1.73 $ 277.50 $ 277.50 70015 00 Radiology 4.35 4.35 $ 358.37 $ 358.37 70015 26 Radiology 1.7 1.7 $ 140.05 $ 140.05 70015 TC Radiology 2.65 2.65 $ 218.32 $ 218.32 70030 00 Radiology 0.83 0.83 $ 68.38 $ 68.38 70030 26 Radiology 0.24 0.24 $ 19.77 $ 19.77 70030 TC Radiology 0.59 0.59 $ 48.61 $ 48.61 70100 00 Radiology 0.97 0.97 $ 79.91 $ 79.91 70100 26 Radiology 0.26 0.26 $ 21.42 $ 21.42 70100 TC Radiology 0.71 0.71 $ 58.49 $ 58.49 70110 00 Radiology 1.13 1.13 $ 93.09 $ 93.09 70110 26 Radiology 0.36 0.36 $ 29.66 $ 29.66 70110 TC Radiology 0.77 0.77 $ 63.44 $ 63.44 70120 00 Radiology 0.97 0.97 $ 79.91 $ 79.91 70120 26 Radiology 0.26 0.26 $ 21.42 $ 21.42 70120 TC Radiology 0.71 0.71 $ 58.49 $ 58.49 70130 00 Radiology 1.61 1.61 $ 132.64 $ 132.64 70130 26 Radiology 0.49 0.49 $ 40.37 $ 40.37 70130 TC Radiology 1.12 1.12 $ 92.27 $ 92.27 70134 00 Radiology 1.51 1.51 $ 124.40 $ 124.40 70134 26 Radiology 0.5 0.5 $ 41.19 $ 41.19 70134 TC Radiology 1.01 1.01 $ 83.21 $ 83.21 70140 00 Radiology 0.86 0.86 $ 70.85 $ 70.85 70140 26 Radiology 0.29 0.29 $ 23.89 $ 23.89 70140 TC Radiology 0.57 0.57 $ 46.96 $ 46.96 70150 00 Radiology 1.23 1.23 $ 101.33 $ 101.33 70150 26 Radiology 0.38 0.38 $ 31.31 $ 31.31 70150 TC Radiology 0.85 0.85 $ 70.03 $ 70.03 70160 00 Radiology 0.97 0.97 $ 79.91 $ 79.91 70160 26 Radiology 0.25 0.25 $ 20.60 $ 20.60 70160 TC Radiology 0.72 0.72 $ 59.32 $ 59.32 70170 00 Radiology 1.48 1.48 $ 121.93 $ 121.93 70170 26 Radiology 0.43 0.43 $ 35.43 $ 35.43 70170 TC Radiology 1.05 1.05 $ 86.50 $ 86.50 70190 00 Radiology 1.03 1.03 $ 84.86 $ 84.86 70190 26 Radiology 0.31 0.31 $ 25.54 $ 25.54 70190 TC Radiology 0.72 0.72 $ 59.32 $ 59.32 70200 00 Radiology 1.24 1.24 $ 102.16 $ 102.16 70200 26 Radiology 0.4 0.4 $ 32.95 $ 32.95 70200 TC Radiology 0.84 0.84 $ 69.20 $ 69.20 70210 00 Radiology 0.89 0.89 $ 73.32 $ 73.32

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Page 1: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

178

70010 00 Radiology 1.73 1.73 $ 277.50 $ 277.50

70015 00 Radiology 4.35 4.35 $ 358.37 $ 358.37

70015 26 Radiology 1.7 1.7 $ 140.05 $ 140.05

70015 TC Radiology 2.65 2.65 $ 218.32 $ 218.32

70030 00 Radiology 0.83 0.83 $ 68.38 $ 68.38

70030 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

70030 TC Radiology 0.59 0.59 $ 48.61 $ 48.61

70100 00 Radiology 0.97 0.97 $ 79.91 $ 79.91

70100 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

70100 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

70110 00 Radiology 1.13 1.13 $ 93.09 $ 93.09

70110 26 Radiology 0.36 0.36 $ 29.66 $ 29.66

70110 TC Radiology 0.77 0.77 $ 63.44 $ 63.44

70120 00 Radiology 0.97 0.97 $ 79.91 $ 79.91

70120 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

70120 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

70130 00 Radiology 1.61 1.61 $ 132.64 $ 132.64

70130 26 Radiology 0.49 0.49 $ 40.37 $ 40.37

70130 TC Radiology 1.12 1.12 $ 92.27 $ 92.27

70134 00 Radiology 1.51 1.51 $ 124.40 $ 124.40

70134 26 Radiology 0.5 0.5 $ 41.19 $ 41.19

70134 TC Radiology 1.01 1.01 $ 83.21 $ 83.21

70140 00 Radiology 0.86 0.86 $ 70.85 $ 70.85

70140 26 Radiology 0.29 0.29 $ 23.89 $ 23.89

70140 TC Radiology 0.57 0.57 $ 46.96 $ 46.96

70150 00 Radiology 1.23 1.23 $ 101.33 $ 101.33

70150 26 Radiology 0.38 0.38 $ 31.31 $ 31.31

70150 TC Radiology 0.85 0.85 $ 70.03 $ 70.03

70160 00 Radiology 0.97 0.97 $ 79.91 $ 79.91

70160 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

70160 TC Radiology 0.72 0.72 $ 59.32 $ 59.32

70170 00 Radiology 1.48 1.48 $ 121.93 $ 121.93

70170 26 Radiology 0.43 0.43 $ 35.43 $ 35.43

70170 TC Radiology 1.05 1.05 $ 86.50 $ 86.50

70190 00 Radiology 1.03 1.03 $ 84.86 $ 84.86

70190 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

70190 TC Radiology 0.72 0.72 $ 59.32 $ 59.32

70200 00 Radiology 1.24 1.24 $ 102.16 $ 102.16

70200 26 Radiology 0.4 0.4 $ 32.95 $ 32.95

70200 TC Radiology 0.84 0.84 $ 69.20 $ 69.20

70210 00 Radiology 0.89 0.89 $ 73.32 $ 73.32

Page 2: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

179

70210 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

70210 TC Radiology 0.64 0.64 $ 52.73 $ 52.73

70220 00 Radiology 1.1 1.1 $ 90.62 $ 90.62

70220 26 Radiology 0.36 0.36 $ 29.66 $ 29.66

70220 TC Radiology 0.74 0.74 $ 60.96 $ 60.96

70240 00 Radiology 0.89 0.89 $ 73.32 $ 73.32

70240 26 Radiology 0.28 0.28 $ 23.07 $ 23.07

70240 TC Radiology 0.61 0.61 $ 50.25 $ 50.25

70250 00 Radiology 1.07 1.07 $ 88.15 $ 88.15

70250 26 Radiology 0.36 0.36 $ 29.66 $ 29.66

70250 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

70260 00 Radiology 1.34 1.34 $ 110.40 $ 110.40

70260 26 Radiology 0.5 0.5 $ 41.19 $ 41.19

70260 TC Radiology 0.84 0.84 $ 69.20 $ 69.20

70300 00 Radiology 0.4 0.4 $ 32.95 $ 32.95

70300 26 Radiology 0.16 0.16 $ 13.18 $ 13.18

70300 TC Radiology 0.24 0.24 $ 19.77 $ 19.77

70310 00 Radiology 1.06 1.06 $ 87.33 $ 87.33

70310 26 Radiology 0.22 0.22 $ 18.12 $ 18.12

70310 TC Radiology 0.84 0.84 $ 69.20 $ 69.20

70320 00 Radiology 1.53 1.53 $ 126.05 $ 126.05

70320 26 Radiology 0.35 0.35 $ 28.83 $ 28.83

70320 TC Radiology 1.18 1.18 $ 97.21 $ 97.21

70328 00 Radiology 0.89 0.89 $ 73.32 $ 73.32

70328 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

70328 TC Radiology 0.63 0.63 $ 51.90 $ 51.90

70330 00 Radiology 1.39 1.39 $ 114.51 $ 114.51

70330 26 Radiology 0.35 0.35 $ 28.83 $ 28.83

70330 TC Radiology 1.04 1.04 $ 85.68 $ 85.68

70332 00 Radiology 2.15 2.15 $ 177.13 $ 177.13

70332 26 Radiology 0.77 0.77 $ 63.44 $ 63.44

70332 TC Radiology 1.38 1.38 $ 113.69 $ 113.69

70336 00 Radiology 8.86 8.86 $ 729.93 $ 729.93

70336 26 Radiology 2.09 2.09 $ 172.18 $ 172.18

70336 TC Radiology 6.77 6.77 $ 595.67 $ 595.67

70350 00 Radiology 0.53 0.53 $ 43.66 $ 43.66

70350 26 Radiology 0.28 0.28 $ 23.07 $ 23.07

70350 TC Radiology 0.25 0.25 $ 21.14 $ 21.14

70355 00 Radiology 0.56 0.56 $ 46.50 $ 46.50

70355 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

70355 TC Radiology 0.25 0.25 $ 30.05 $ 30.05

Page 3: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

180

70360 00 Radiology 0.85 0.85 $ 70.03 $ 70.03

70360 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

70360 TC Radiology 0.61 0.61 $ 50.25 $ 50.25

70370 00 Radiology 2.27 2.27 $ 187.01 $ 187.01

70370 26 Radiology 0.42 0.42 $ 38.37 $ 38.37

70370 TC Radiology 1.85 1.85 $ 152.41 $ 152.41

70371 00 Radiology 2.77 2.77 $ 228.21 $ 228.21

70371 26 Radiology 1.21 1.21 $ 99.69 $ 99.69

70371 TC Radiology 1.56 1.56 $ 128.52 $ 128.52

70380 00 Radiology 0.95 0.95 $ 78.27 $ 78.27

70380 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

70380 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

70390 00 Radiology 2.9 2.9 $ 238.92 $ 238.92

70390 26 Radiology 0.54 0.54 $ 44.49 $ 44.49

70390 TC Radiology 2.36 2.36 $ 194.43 $ 194.43

70450 00 Radiology 3.26 3.26 $ 331.50 $ 331.50

70450 26 Radiology 1.21 1.21 $ 99.69 $ 99.69

70450 TC Radiology 2.05 2.05 $ 250.92 $ 250.92

70460 00 Radiology 4.61 4.61 $ 420.00 $ 420.00

70460 26 Radiology 1.62 1.62 $ 133.46 $ 133.46

70460 TC Radiology 2.99 2.99 $ 329.24 $ 329.24

70470 00 Radiology 5.39 5.39 $ 506.25 $ 506.25

70470 26 Radiology 1.81 1.81 $ 149.12 $ 149.12

70470 TC Radiology 3.58 3.58 $ 403.52 $ 403.52

70480 00 Radiology 6.55 6.55 $ 539.62 $ 539.62

70480 26 Radiology 1.82 1.82 $ 149.94 $ 149.94

70480 TC Radiology 4.73 4.73 $ 389.68 $ 389.68

70481 00 Radiology 7.76 7.76 $ 639.31 $ 639.31

70481 26 Radiology 1.97 1.97 $ 162.30 $ 162.30

70481 TC Radiology 5.79 5.79 $ 477.01 $ 477.01

70482 00 Radiology 8.45 8.45 $ 696.15 $ 696.15

70482 26 Radiology 2.06 2.06 $ 169.71 $ 169.71

70482 TC Radiology 6.39 6.39 $ 526.44 $ 526.44

70486 00 Radiology 3.92 3.92 $ 399.00 $ 399.00

70486 26 Radiology 1.22 1.22 $ 100.51 $ 100.51

70486 TC Radiology 2.7 2.7 $ 309.51 $ 309.51

70487 00 Radiology 4.71 4.71 $ 479.25 $ 479.25

70487 26 Radiology 1.6 1.6 $ 131.82 $ 131.82

70487 TC Radiology 3.11 3.11 $ 378.02 $ 378.02

70488 00 Radiology 5.74 5.74 $ 582.75 $ 582.75

70488 26 Radiology 1.81 1.81 $ 149.12 $ 149.12

Page 4: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

181

70488 TC Radiology 3.93 3.93 $ 473.51 $ 473.51

70490 00 Radiology 4.63 4.63 $ 400.50 $ 400.50

70490 26 Radiology 1.82 1.82 $ 149.94 $ 149.94

70490 TC Radiology 2.81 2.81 $ 299.90 $ 299.90

70491 00 Radiology 5.71 5.71 $ 476.25 $ 476.25

70491 26 Radiology 1.97 1.97 $ 162.30 $ 162.30

70491 TC Radiology 3.74 3.74 $ 369.43 $ 369.43

70492 00 Radiology 6.88 6.88 $ 576.00 $ 576.00

70492 26 Radiology 2.3 2.3 $ 189.48 $ 189.48

70492 TC Radiology 4.58 4.58 $ 461.45 $ 461.45

70496 00 Radiology 8.31 8.31 $ 832.50 $ 832.50

70496 26 Radiology 2.49 2.49 $ 205.14 $ 205.14

70496 TC Radiology 5.82 5.82 $ 657.00 $ 657.00

70498 00 Radiology 8.29 8.29 $ 834.75 $ 834.75

70498 26 Radiology 2.49 2.49 $ 205.14 $ 205.14

70498 TC Radiology 5.8 5.8 $ 702.75 $ 702.75

70540 00 Radiology 7.48 7.48 $ 794.25 $ 794.25

70540 26 Radiology 1.92 1.92 $ 158.18 $ 158.18

70540 TC Radiology 5.56 5.56 $ 659.99 $ 659.99

70542 00 Radiology 8.89 8.89 $ 837.83 $ 837.83

70542 26 Radiology 2.31 2.31 $ 190.31 $ 190.31

70542 TC Radiology 6.58 6.58 $ 685.84 $ 685.84

70543 00 Radiology 11.17 11.17 $ 1,395.00 $ 1,395.00

70543 26 Radiology 3.04 3.04 $ 250.45 $ 250.45

70543 TC Radiology 8.13 8.13 $ 1,203.06 $ 1,203.06

70544 00 Radiology 7.84 7.84 $ 798.75 $ 798.75

70544 26 Radiology 1.71 1.71 $ 140.88 $ 140.88

70544 TC Radiology 6.13 6.13 $ 672.69 $ 672.69

70545 00 Radiology 7.78 7.78 $ 829.58 $ 829.58

70545 26 Radiology 1.71 1.71 $ 146.78 $ 146.78

70545 TC Radiology 6.07 6.07 $ 682.80 $ 682.80

70546 00 Radiology 11.5 11.5 $ 1,531.50 $ 1,531.50

70546 26 Radiology 2.1 2.1 $ 188.76 $ 188.76

70546 TC Radiology 9.4 9.4 $ 1,342.74 $ 1,342.74

70547 00 Radiology 7.87 7.87 $ 797.25 $ 797.25

70547 26 Radiology 1.71 1.71 $ 140.88 $ 140.88

70547 TC Radiology 6.16 6.16 $ 671.19 $ 671.19

70548 00 Radiology 8.66 8.66 $ 841.50 $ 841.50

70548 26 Radiology 2.14 2.14 $ 176.30 $ 176.30

70548 TC Radiology 6.52 6.52 $ 694.73 $ 694.73

70549 00 Radiology 12.02 12.02 $ 1,321.50 $ 1,321.50

Page 5: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

182

70549 26 Radiology 2.56 2.56 $ 210.91 $ 210.91

70549 TC Radiology 9.46 9.46 $ 1,132.74 $ 1,132.74

70551 00 Radiology 6.38 6.38 $ 809.25 $ 809.25

70551 26 Radiology 2.11 2.11 $ 173.83 $ 173.83

70551 TC Radiology 4.27 4.27 $ 674.99 $ 674.99

70552 00 Radiology 8.86 8.86 $ 915.00 $ 915.00

70552 26 Radiology 2.54 2.54 $ 209.26 $ 209.26

70552 TC Radiology 6.32 6.32 $ 753.86 $ 753.86

70553 00 Radiology 10.45 10.45 $ 1,251.75 $ 1,251.75

70553 26 Radiology 3.25 3.25 $ 267.75 $ 267.75

70553 TC Radiology 7.2 7.2 $ 1,005.18 $ 1,005.18

70554 00 Radiology 12.4 12.4 $ 1,021.57 $ 1,021.57

70554 26 Radiology 3 3 $ 247.15 $ 247.15

70554 TC Radiology 9.4 9.4 $ 774.42 $ 774.42

70555 00 Radiology 21.06 21.06 $ 1,735.02 $ 1,735.02

70555 26 Radiology 3.58 3.58 $ 294.94 $ 294.94

70555 TC Radiology 17.48 17.48 $ 1,440.09 $ 1,440.09

70557 00 Radiology 40.36 40.36 $ 3,325.05 $ 3,325.05

70557 26 Radiology 4.44 4.44 $ 365.79 $ 365.79

70557 TC Radiology 35.92 35.92 $ 2,959.26 $ 2,959.26

70558 00 Radiology 44.45 44.45 $ 3,662.00 $ 3,662.00

70558 26 Radiology 4.89 4.89 $ 402.86 $ 402.86

70558 TC Radiology 39.56 39.56 $ 3,259.14 $ 3,259.14

70559 00 Radiology 42.45 42.45 $ 3,497.23 $ 3,497.23

70559 26 Radiology 4.67 4.67 $ 384.74 $ 384.74

70559 TC Radiology 37.78 37.78 $ 3,112.50 $ 3,112.50

71045 00 Radiology 0.7 0.7 $ 57.67 $ 57.67

71045 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

71045 TC Radiology 0.44 0.44 $ 36.25 $ 36.25

71046 00 Radiology 0.89 0.89 $ 73.32 $ 73.32

71046 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

71046 TC Radiology 0.58 0.58 $ 47.78 $ 47.78

71047 00 Radiology 1.12 1.12 $ 92.27 $ 92.27

71047 26 Radiology 0.4 0.4 $ 32.95 $ 32.95

71047 TC Radiology 0.72 0.72 $ 59.32 $ 59.32

71048 00 Radiology 1.21 1.21 $ 99.69 $ 99.69

71048 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

71048 TC Radiology 0.75 0.75 $ 61.79 $ 61.79

71100 00 Radiology 0.97 0.97 $ 79.91 $ 79.91

71100 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

71100 TC Radiology 0.65 0.65 $ 53.55 $ 53.55

Page 6: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

183

71101 00 Radiology 1.11 1.11 $ 91.45 $ 91.45

71101 26 Radiology 0.39 0.39 $ 32.13 $ 32.13

71101 TC Radiology 0.72 0.72 $ 59.32 $ 59.32

71110 00 Radiology 1.16 1.16 $ 95.57 $ 95.57

71110 26 Radiology 0.42 0.42 $ 34.60 $ 34.60

71110 TC Radiology 0.74 0.74 $ 60.96 $ 60.96

71111 00 Radiology 1.38 1.38 $ 113.69 $ 113.69

71111 26 Radiology 0.47 0.47 $ 38.72 $ 38.72

71111 TC Radiology 0.91 0.91 $ 74.97 $ 74.97

71120 00 Radiology 0.88 0.88 $ 72.50 $ 72.50

71120 26 Radiology 0.29 0.29 $ 23.89 $ 23.89

71120 TC Radiology 0.59 0.59 $ 48.61 $ 48.61

71130 00 Radiology 1.05 1.05 $ 86.50 $ 86.50

71130 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

71130 TC Radiology 0.74 0.74 $ 60.96 $ 60.96

71250 00 Radiology 4.47 4.47 $ 383.25 $ 383.25

71250 26 Radiology 1.66 1.66 $ 136.76 $ 136.76

71250 TC Radiology 2.81 2.81 $ 280.20 $ 280.20

71260 00 Radiology 5.53 5.53 $ 459.00 $ 459.00

71260 26 Radiology 1.77 1.77 $ 145.82 $ 145.82

71260 TC Radiology 3.76 3.76 $ 349.58 $ 349.58

71270 00 Radiology 6.56 6.56 $ 567.00 $ 567.00

71270 26 Radiology 1.97 1.97 $ 162.30 $ 162.30

71270 TC Radiology 4.59 4.59 $ 443.37 $ 443.37

71275 00 Radiology 8.5 8.5 $ 700.27 $ 700.27

71275 26 Radiology 2.59 2.59 $ 213.38 $ 213.38

71275 TC Radiology 5.91 5.91 $ 561.75 $ 561.75

71550 00 Radiology 11.41 11.41 $ 940.01 $ 940.01

71550 26 Radiology 2.07 2.07 $ 170.54 $ 170.54

71550 TC Radiology 9.34 9.34 $ 769.47 $ 769.47

71551 00 Radiology 12.63 12.63 $ 1,040.52 $ 1,040.52

71551 26 Radiology 2.46 2.46 $ 202.67 $ 202.67

71551 TC Radiology 10.17 10.17 $ 837.85 $ 837.85

71552 00 Radiology 15.95 15.95 $ 1,406.25 $ 1,406.25

71552 26 Radiology 3.21 3.21 $ 264.46 $ 264.46

71552 TC Radiology 12.74 12.74 $ 1,212.51 $ 1,212.51

71555 00 Radiology 11.03 11.03 $ 908.70 $ 908.70

71555 26 Radiology 2.54 2.54 $ 209.26 $ 209.26

71555 TC Radiology 8.49 8.49 $ 699.45 $ 699.45

72020 00 Radiology 0.65 0.65 $ 109.49 $ 109.49

72020 26 Radiology 0.22 0.22 $ 34.97 $ 34.97

Page 7: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

184

72020 TC Radiology 0.43 0.43 $ 74.52 $ 74.52

72040 00 Radiology 1.03 1.03 $ 84.86 $ 84.86

72040 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

72040 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

72050 00 Radiology 1.42 1.42 $ 116.99 $ 116.99

72050 26 Radiology 0.45 0.45 $ 37.07 $ 37.07

72050 TC Radiology 0.97 0.97 $ 79.91 $ 79.91

72052 00 Radiology 1.69 1.69 $ 139.23 $ 139.23

72052 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

72052 TC Radiology 1.17 1.17 $ 96.39 $ 96.39

72070 00 Radiology 0.96 0.96 $ 79.09 $ 79.09

72070 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

72070 TC Radiology 0.64 0.64 $ 52.73 $ 52.73

72072 00 Radiology 1.02 1.02 $ 84.03 $ 84.03

72072 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

72072 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

72074 00 Radiology 1.12 1.12 $ 92.27 $ 92.27

72074 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

72074 TC Radiology 0.81 0.81 $ 66.73 $ 66.73

72080 00 Radiology 0.95 0.95 $ 78.27 $ 78.27

72080 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

72080 TC Radiology 0.63 0.63 $ 51.90 $ 51.90

72081 00 Radiology 1.14 1.14 $ 93.92 $ 93.92

72081 26 Radiology 0.39 0.39 $ 32.13 $ 32.13

72081 TC Radiology 0.75 0.75 $ 61.79 $ 61.79

72082 00 Radiology 1.83 1.83 $ 150.76 $ 150.76

72082 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

72082 TC Radiology 1.37 1.37 $ 112.87 $ 112.87

72083 00 Radiology 2.16 2.16 $ 177.95 $ 177.95

72083 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

72083 TC Radiology 1.64 1.64 $ 135.11 $ 135.11

72084 00 Radiology 2.52 2.52 $ 207.61 $ 207.61

72084 26 Radiology 0.6 0.6 $ 49.43 $ 49.43

72084 TC Radiology 1.92 1.92 $ 158.18 $ 158.18

72100 00 Radiology 1.03 1.03 $ 84.86 $ 84.86

72100 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

72100 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

72110 00 Radiology 1.44 1.44 $ 118.63 $ 118.63

72110 26 Radiology 0.45 0.45 $ 37.07 $ 37.07

72110 TC Radiology 0.99 0.99 $ 81.56 $ 81.56

72114 00 Radiology 1.64 1.64 $ 135.11 $ 135.11

Page 8: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

185

72114 26 Radiology 0.47 0.47 $ 38.72 $ 38.72

72114 TC Radiology 1.17 1.17 $ 96.39 $ 96.39

72120 00 Radiology 1.21 1.21 $ 99.69 $ 99.69

72120 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

72120 TC Radiology 0.89 0.89 $ 73.32 $ 73.32

72125 00 Radiology 5.18 5.18 $ 428.25 $ 428.25

72125 26 Radiology 1.52 1.52 $ 125.22 $ 125.22

72125 TC Radiology 3.66 3.66 $ 325.89 $ 325.89

72126 00 Radiology 6.4 6.4 $ 527.26 $ 527.26

72126 26 Radiology 1.74 1.74 $ 143.35 $ 143.35

72126 TC Radiology 4.66 4.66 $ 396.55 $ 396.55

72127 00 Radiology 7.58 7.58 $ 624.48 $ 624.48

72127 26 Radiology 1.8 1.8 $ 148.29 $ 148.29

72127 TC Radiology 5.78 5.78 $ 491.98 $ 491.98

72128 00 Radiology 5.08 5.08 $ 428.25 $ 428.25

72128 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

72128 TC Radiology 3.65 3.65 $ 325.89 $ 325.89

72129 00 Radiology 6.44 6.44 $ 530.56 $ 530.56

72129 26 Radiology 1.74 1.74 $ 143.35 $ 143.35

72129 TC Radiology 4.7 4.7 $ 396.55 $ 396.55

72130 00 Radiology 7.59 7.59 $ 625.30 $ 625.30

72130 26 Radiology 1.8 1.8 $ 148.29 $ 148.29

72130 TC Radiology 5.79 5.79 $ 492.73 $ 492.73

72131 00 Radiology 5.06 5.06 $ 427.50 $ 427.50

72131 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

72131 TC Radiology 3.63 3.63 $ 325.14 $ 325.14

72132 00 Radiology 6.41 6.41 $ 528.09 $ 528.09

72132 26 Radiology 1.74 1.74 $ 143.35 $ 143.35

72132 TC Radiology 4.67 4.67 $ 396.55 $ 396.55

72133 00 Radiology 7.56 7.56 $ 622.83 $ 622.83

72133 26 Radiology 1.81 1.81 $ 149.12 $ 149.12

72133 TC Radiology 5.75 5.75 $ 491.98 $ 491.98

72141 00 Radiology 6.22 6.22 $ 773.25 $ 773.25

72141 26 Radiology 2.12 2.12 $ 174.66 $ 174.66

72141 TC Radiology 4.1 4.1 $ 638.55 $ 638.55

72142 00 Radiology 9.03 9.03 $ 931.50 $ 931.50

72142 26 Radiology 2.55 2.55 $ 210.08 $ 210.08

72142 TC Radiology 6.48 6.48 $ 769.88 $ 769.88

72146 00 Radiology 6.23 6.23 $ 759.00 $ 759.00

72146 26 Radiology 2.12 2.12 $ 174.66 $ 174.66

72146 TC Radiology 4.11 4.11 $ 621.50 $ 621.50

Page 9: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

186

72147 00 Radiology 8.98 8.98 $ 868.50 $ 868.50

72147 26 Radiology 2.54 2.54 $ 209.26 $ 209.26

72147 TC Radiology 6.44 6.44 $ 706.88 $ 706.88

72148 00 Radiology 6.23 6.23 $ 754.50 $ 754.50

72148 26 Radiology 2.12 2.12 $ 174.66 $ 174.66

72148 TC Radiology 4.11 4.11 $ 617.44 $ 617.44

72149 00 Radiology 8.92 8.92 $ 902.25 $ 902.25

72149 26 Radiology 2.55 2.55 $ 210.08 $ 210.08

72149 TC Radiology 6.37 6.37 $ 741.11 $ 741.11

72156 00 Radiology 10.52 10.52 $ 1,259.25 $ 1,259.25

72156 26 Radiology 3.25 3.25 $ 267.75 $ 267.75

72156 TC Radiology 7.27 7.27 $ 1,010.54 $ 1,010.54

72157 00 Radiology 10.55 10.55 $ 1,230.00 $ 1,230.00

72157 26 Radiology 3.25 3.25 $ 267.75 $ 267.75

72157 TC Radiology 7.3 7.3 $ 981.29 $ 981.29

72158 00 Radiology 10.5 10.5 $ 1,244.25 $ 1,244.25

72158 26 Radiology 3.25 3.25 $ 267.75 $ 267.75

72158 TC Radiology 7.25 7.25 $ 997.68 $ 997.68

72159 00 Radiology 11.43 11.43 $ 941.66 $ 941.66

72159 26 Radiology 2.56 2.56 $ 210.91 $ 210.91

72159 TC Radiology 8.87 8.87 $ 730.75 $ 730.75

72170 00 Radiology 0.93 0.93 $ 76.62 $ 76.62

72170 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

72170 TC Radiology 0.68 0.68 $ 56.02 $ 56.02

72190 00 Radiology 1.12 1.12 $ 92.27 $ 92.27

72190 26 Radiology 0.31 0.31 $ 25.54 $ 25.54

72190 TC Radiology 0.81 0.81 $ 66.73 $ 66.73

72191 00 Radiology 8.85 8.85 $ 729.11 $ 729.11

72191 26 Radiology 2.56 2.56 $ 210.91 $ 210.91

72191 TC Radiology 6.29 6.29 $ 544.50 $ 544.50

72192 00 Radiology 4.1 4.1 $ 384.00 $ 384.00

72192 26 Radiology 1.55 1.55 $ 127.70 $ 127.70

72192 TC Radiology 2.55 2.55 $ 285.55 $ 285.55

72193 00 Radiology 6.59 6.59 $ 542.92 $ 542.92

72193 26 Radiology 1.66 1.66 $ 136.76 $ 136.76

72193 TC Radiology 4.93 4.93 $ 406.16 $ 406.16

72194 00 Radiology 7.48 7.48 $ 616.24 $ 616.24

72194 26 Radiology 1.73 1.73 $ 142.53 $ 142.53

72194 TC Radiology 5.75 5.75 $ 473.71 $ 473.71

72195 00 Radiology 7.62 7.62 $ 757.50 $ 757.50

72195 26 Radiology 2.08 2.08 $ 171.36 $ 171.36

Page 10: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

187

72195 TC Radiology 5.54 5.54 $ 628.74 $ 628.74

72196 00 Radiology 8.9 8.9 $ 862.50 $ 862.50

72196 26 Radiology 2.47 2.47 $ 203.49 $ 203.49

72196 TC Radiology 6.43 6.43 $ 707.09 $ 707.09

72197 00 Radiology 11.24 11.24 $ 1,403.25 $ 1,403.25

72197 26 Radiology 3.13 3.13 $ 257.86 $ 257.86

72197 TC Radiology 8.11 8.11 $ 1,209.51 $ 1,209.51

72198 00 Radiology 11.09 11.09 $ 913.65 $ 913.65

72198 26 Radiology 2.53 2.53 $ 208.43 $ 208.43

72198 TC Radiology 8.56 8.56 $ 705.21 $ 705.21

72200 00 Radiology 0.87 0.87 $ 71.67 $ 71.67

72200 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

72200 TC Radiology 0.62 0.62 $ 51.08 $ 51.08

72202 00 Radiology 0.98 0.98 $ 80.74 $ 80.74

72202 26 Radiology 0.27 0.27 $ 22.24 $ 22.24

72202 TC Radiology 0.71 0.71 $ 58.49 $ 58.49

72220 00 Radiology 0.86 0.86 $ 70.85 $ 70.85

72220 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

72220 TC Radiology 0.61 0.61 $ 50.25 $ 50.25

72240 00 Radiology 2.94 2.94 $ 256.50 $ 256.50

72240 26 Radiology 1.29 1.29 $ 106.28 $ 106.28

72240 TC Radiology 1.65 1.65 $ 166.50 $ 166.50

72255 00 Radiology 2.99 2.99 $ 246.33 $ 246.33

72255 26 Radiology 1.35 1.35 $ 111.22 $ 111.22

72255 TC Radiology 1.64 1.64 $ 157.50 $ 157.50

72265 00 Radiology 2.75 2.75 $ 226.56 $ 226.56

72265 26 Radiology 1.16 1.16 $ 95.57 $ 95.57

72265 TC Radiology 1.59 1.59 $ 147.00 $ 147.00

72270 00 Radiology 3.82 3.82 $ 357.00 $ 357.00

72270 26 Radiology 1.92 1.92 $ 158.18 $ 158.18

72270 TC Radiology 1.9 1.9 $ 235.50 $ 235.50

72275 00 Radiology 3.48 3.48 $ 286.70 $ 286.70

72275 26 Radiology 1.11 1.11 $ 91.45 $ 91.45

72275 TC Radiology 2.37 2.37 $ 195.25 $ 195.25

72285 00 Radiology 3.32 3.32 $ 465.00 $ 465.00

72285 26 Radiology 1.69 1.69 $ 139.23 $ 139.23

72285 TC Radiology 1.63 1.63 $ 346.24 $ 346.24

72295 00 Radiology 2.9 2.9 $ 434.25 $ 434.25

72295 26 Radiology 1.23 1.23 $ 113.30 $ 113.30

72295 TC Radiology 1.67 1.67 $ 320.96 $ 320.96

73000 00 Radiology 0.82 0.82 $ 67.56 $ 67.56

Page 11: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

188

73000 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73000 TC Radiology 0.58 0.58 $ 47.78 $ 47.78

73010 00 Radiology 0.9 0.9 $ 74.15 $ 74.15

73010 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

73010 TC Radiology 0.64 0.64 $ 52.73 $ 52.73

73020 00 Radiology 0.67 0.67 $ 55.20 $ 55.20

73020 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

73020 TC Radiology 0.44 0.44 $ 36.25 $ 36.25

73030 00 Radiology 0.85 0.85 $ 70.03 $ 70.03

73030 26 Radiology 0.27 0.27 $ 22.24 $ 22.24

73030 TC Radiology 0.58 0.58 $ 47.78 $ 47.78

73040 00 Radiology 3.12 3.12 $ 257.04 $ 257.04

73040 26 Radiology 0.78 0.78 $ 64.26 $ 64.26

73040 TC Radiology 2.34 2.34 $ 192.78 $ 192.78

73050 00 Radiology 1.05 1.05 $ 86.50 $ 86.50

73050 26 Radiology 0.3 0.3 $ 24.72 $ 24.72

73050 TC Radiology 0.75 0.75 $ 61.79 $ 61.79

73060 00 Radiology 0.85 0.85 $ 70.03 $ 70.03

73060 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73060 TC Radiology 0.61 0.61 $ 50.25 $ 50.25

73070 00 Radiology 0.76 0.76 $ 62.61 $ 62.61

73070 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

73070 TC Radiology 0.53 0.53 $ 43.66 $ 43.66

73080 00 Radiology 0.84 0.84 $ 69.20 $ 69.20

73080 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

73080 TC Radiology 0.59 0.59 $ 48.61 $ 48.61

73085 00 Radiology 2.99 2.99 $ 246.33 $ 246.33

73085 26 Radiology 0.82 0.82 $ 67.56 $ 67.56

73085 TC Radiology 2.17 2.17 $ 178.77 $ 178.77

73090 00 Radiology 0.79 0.79 $ 65.08 $ 65.08

73090 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73090 TC Radiology 0.55 0.55 $ 45.31 $ 45.31

73092 00 Radiology 0.81 0.81 $ 66.73 $ 66.73

73092 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

73092 TC Radiology 0.58 0.58 $ 47.78 $ 47.78

73100 00 Radiology 0.9 0.9 $ 74.15 $ 74.15

73100 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73100 TC Radiology 0.66 0.66 $ 54.37 $ 54.37

73110 00 Radiology 1.03 1.03 $ 84.86 $ 84.86

73110 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

73110 TC Radiology 0.78 0.78 $ 64.26 $ 64.26

Page 12: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

189

73115 00 Radiology 3.33 3.33 $ 274.34 $ 274.34

73115 26 Radiology 0.81 0.81 $ 66.73 $ 66.73

73115 TC Radiology 2.52 2.52 $ 207.61 $ 207.61

73120 00 Radiology 0.82 0.82 $ 67.56 $ 67.56

73120 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73120 TC Radiology 0.58 0.58 $ 47.78 $ 47.78

73130 00 Radiology 0.94 0.94 $ 77.44 $ 77.44

73130 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

73130 TC Radiology 0.69 0.69 $ 56.85 $ 56.85

73140 00 Radiology 0.95 0.95 $ 78.27 $ 78.27

73140 26 Radiology 0.2 0.2 $ 16.48 $ 16.48

73140 TC Radiology 0.75 0.75 $ 61.79 $ 61.79

73200 00 Radiology 5.05 5.05 $ 416.04 $ 416.04

73200 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

73200 TC Radiology 3.62 3.62 $ 298.23 $ 298.23

73201 00 Radiology 6.28 6.28 $ 517.38 $ 517.38

73201 26 Radiology 1.66 1.66 $ 136.76 $ 136.76

73201 TC Radiology 4.62 4.62 $ 380.62 $ 380.62

73202 00 Radiology 7.82 7.82 $ 644.25 $ 644.25

73202 26 Radiology 1.74 1.74 $ 143.35 $ 143.35

73202 TC Radiology 6.08 6.08 $ 500.90 $ 500.90

73206 00 Radiology 9.24 9.24 $ 761.24 $ 761.24

73206 26 Radiology 2.55 2.55 $ 210.08 $ 210.08

73206 TC Radiology 6.69 6.69 $ 551.15 $ 551.15

73218 00 Radiology 10.12 10.12 $ 833.73 $ 833.73

73218 26 Radiology 1.93 1.93 $ 159.00 $ 159.00

73218 TC Radiology 8.19 8.19 $ 674.73 $ 674.73

73219 00 Radiology 11.11 11.11 $ 915.29 $ 915.29

73219 26 Radiology 2.31 2.31 $ 190.31 $ 190.31

73219 TC Radiology 8.8 8.8 $ 724.99 $ 724.99

73220 00 Radiology 13.75 13.75 $ 1,144.50 $ 1,144.50

73220 26 Radiology 3.05 3.05 $ 251.27 $ 251.27

73220 TC Radiology 10.7 10.7 $ 952.44 $ 952.44

73221 00 Radiology 6.57 6.57 $ 759.75 $ 759.75

73221 26 Radiology 1.94 1.94 $ 159.83 $ 159.83

73221 TC Radiology 4.63 4.63 $ 627.37 $ 627.37

73222 00 Radiology 10.47 10.47 $ 862.57 $ 862.57

73222 26 Radiology 2.32 2.32 $ 191.13 $ 191.13

73222 TC Radiology 8.15 8.15 $ 679.16 $ 679.16

73223 00 Radiology 12.99 12.99 $ 1,392.00 $ 1,392.00

73223 26 Radiology 3.06 3.06 $ 252.10 $ 252.10

Page 13: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

190

73223 TC Radiology 9.93 9.93 $ 1,199.94 $ 1,199.94

73225 00 Radiology 10.95 10.95 $ 902.11 $ 902.11

73225 26 Radiology 2.41 2.41 $ 198.55 $ 198.55

73225 TC Radiology 8.54 8.54 $ 704.52 $ 704.52

73501 00 Radiology 0.87 0.87 $ 71.67 $ 71.67

73501 26 Radiology 0.27 0.27 $ 22.24 $ 22.24

73501 TC Radiology 0.6 0.6 $ 49.43 $ 49.43

73502 00 Radiology 1.21 1.21 $ 99.69 $ 99.69

73502 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

73502 TC Radiology 0.89 0.89 $ 73.32 $ 73.32

73503 00 Radiology 1.51 1.51 $ 124.40 $ 124.40

73503 26 Radiology 0.4 0.4 $ 32.95 $ 32.95

73503 TC Radiology 1.11 1.11 $ 91.45 $ 91.45

73521 00 Radiology 1.08 1.08 $ 88.98 $ 88.98

73521 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

73521 TC Radiology 0.76 0.76 $ 62.61 $ 62.61

73522 00 Radiology 1.41 1.41 $ 116.16 $ 116.16

73522 26 Radiology 0.43 0.43 $ 35.43 $ 35.43

73522 TC Radiology 0.98 0.98 $ 80.74 $ 80.74

73523 00 Radiology 1.65 1.65 $ 135.93 $ 135.93

73523 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

73523 TC Radiology 1.19 1.19 $ 98.04 $ 98.04

73525 00 Radiology 3.18 3.18 $ 261.98 $ 261.98

73525 26 Radiology 0.83 0.83 $ 68.38 $ 68.38

73525 TC Radiology 2.35 2.35 $ 193.60 $ 193.60

73551 00 Radiology 0.8 0.8 $ 65.91 $ 65.91

73551 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73551 TC Radiology 0.56 0.56 $ 46.14 $ 46.14

73552 00 Radiology 0.94 0.94 $ 77.44 $ 77.44

73552 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

73552 TC Radiology 0.68 0.68 $ 56.02 $ 56.02

73560 00 Radiology 0.91 0.91 $ 74.97 $ 74.97

73560 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73560 TC Radiology 0.67 0.67 $ 55.20 $ 55.20

73562 00 Radiology 1.05 1.05 $ 86.50 $ 86.50

73562 26 Radiology 0.27 0.27 $ 22.24 $ 22.24

73562 TC Radiology 0.78 0.78 $ 64.26 $ 64.26

73564 00 Radiology 1.17 1.17 $ 96.39 $ 96.39

73564 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

73564 TC Radiology 0.85 0.85 $ 70.03 $ 70.03

73565 00 Radiology 1.05 1.05 $ 86.50 $ 86.50

Page 14: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

191

73565 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

73565 TC Radiology 0.8 0.8 $ 65.91 $ 65.91

73580 00 Radiology 3.59 3.59 $ 295.76 $ 295.76

73580 26 Radiology 0.82 0.82 $ 67.56 $ 67.56

73580 TC Radiology 2.77 2.77 $ 228.21 $ 228.21

73590 00 Radiology 0.83 0.83 $ 68.38 $ 68.38

73590 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

73590 TC Radiology 0.6 0.6 $ 49.43 $ 49.43

73592 00 Radiology 0.81 0.81 $ 66.73 $ 66.73

73592 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

73592 TC Radiology 0.58 0.58 $ 47.78 $ 47.78

73600 00 Radiology 0.87 0.87 $ 71.67 $ 71.67

73600 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73600 TC Radiology 0.63 0.63 $ 51.90 $ 51.90

73610 00 Radiology 0.94 0.94 $ 77.44 $ 77.44

73610 26 Radiology 0.25 0.25 $ 20.60 $ 20.60

73610 TC Radiology 0.69 0.69 $ 56.85 $ 56.85

73615 00 Radiology 3.34 3.34 $ 275.17 $ 275.17

73615 26 Radiology 0.83 0.83 $ 68.38 $ 68.38

73615 TC Radiology 2.51 2.51 $ 206.79 $ 206.79

73620 00 Radiology 0.76 0.76 $ 62.61 $ 62.61

73620 26 Radiology 0.22 0.22 $ 18.12 $ 18.12

73620 TC Radiology 0.54 0.54 $ 44.49 $ 44.49

73630 00 Radiology 0.88 0.88 $ 72.50 $ 72.50

73630 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

73630 TC Radiology 0.64 0.64 $ 52.73 $ 52.73

73650 00 Radiology 0.76 0.76 $ 62.61 $ 62.61

73650 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

73650 TC Radiology 0.53 0.53 $ 43.66 $ 43.66

73660 00 Radiology 0.81 0.81 $ 66.73 $ 66.73

73660 26 Radiology 0.19 0.19 $ 15.65 $ 15.65

73660 TC Radiology 0.62 0.62 $ 51.08 $ 51.08

73700 00 Radiology 5.06 5.06 $ 416.87 $ 416.87

73700 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

73700 TC Radiology 3.63 3.63 $ 299.06 $ 299.06

73701 00 Radiology 6.36 6.36 $ 523.97 $ 523.97

73701 26 Radiology 1.66 1.66 $ 136.76 $ 136.76

73701 TC Radiology 4.7 4.7 $ 387.21 $ 387.21

73702 00 Radiology 7.7 7.7 $ 634.36 $ 634.36

73702 26 Radiology 1.73 1.73 $ 142.53 $ 142.53

73702 TC Radiology 5.97 5.97 $ 491.84 $ 491.84

Page 15: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

192

73706 00 Radiology 10.01 10.01 $ 824.67 $ 824.67

73706 26 Radiology 2.68 2.68 $ 220.79 $ 220.79

73706 TC Radiology 7.33 7.33 $ 603.88 $ 603.88

73718 00 Radiology 7.39 7.39 $ 750.00 $ 750.00

73718 26 Radiology 1.92 1.92 $ 158.18 $ 158.18

73718 TC Radiology 5.47 5.47 $ 623.40 $ 623.40

73719 00 Radiology 8.74 8.74 $ 838.13 $ 838.13

73719 26 Radiology 2.31 2.31 $ 190.31 $ 190.31

73719 TC Radiology 6.43 6.43 $ 686.02 $ 686.02

73720 00 Radiology 11.21 11.21 $ 1,143.75 $ 1,143.75

73720 26 Radiology 3.05 3.05 $ 251.27 $ 251.27

73720 TC Radiology 8.16 8.16 $ 951.81 $ 951.81

73721 00 Radiology 6.57 6.57 $ 742.50 $ 742.50

73721 26 Radiology 1.94 1.94 $ 159.83 $ 159.83

73721 TC Radiology 4.63 4.63 $ 610.12 $ 610.12

73722 00 Radiology 10.52 10.52 $ 866.69 $ 866.69

73722 26 Radiology 2.32 2.32 $ 191.13 $ 191.13

73722 TC Radiology 8.2 8.2 $ 680.51 $ 680.51

73723 00 Radiology 12.96 12.96 $ 1,333.50 $ 1,333.50

73723 26 Radiology 3.05 3.05 $ 251.27 $ 251.27

73723 TC Radiology 9.91 9.91 $ 1,141.56 $ 1,141.56

73725 00 Radiology 11.1 11.1 $ 914.47 $ 914.47

73725 26 Radiology 2.55 2.55 $ 210.08 $ 210.08

73725 TC Radiology 8.55 8.55 $ 704.39 $ 704.39

74018 00 Radiology 0.8 0.8 $ 65.91 $ 65.91

74018 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

74018 TC Radiology 0.54 0.54 $ 44.49 $ 44.49

74019 00 Radiology 0.98 0.98 $ 80.74 $ 80.74

74019 26 Radiology 0.33 0.33 $ 27.19 $ 27.19

74019 TC Radiology 0.65 0.65 $ 53.55 $ 53.55

74021 00 Radiology 1.13 1.13 $ 93.09 $ 93.09

74021 26 Radiology 0.39 0.39 $ 32.13 $ 32.13

74021 TC Radiology 0.74 0.74 $ 60.96 $ 60.96

74022 00 Radiology 1.31 1.31 $ 107.92 $ 107.92

74022 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

74022 TC Radiology 0.85 0.85 $ 70.03 $ 70.03

74150 00 Radiology 4.22 4.22 $ 379.50 $ 379.50

74150 26 Radiology 1.7 1.7 $ 140.05 $ 140.05

74150 TC Radiology 2.52 2.52 $ 278.51 $ 278.51

74160 00 Radiology 6.72 6.72 $ 553.63 $ 553.63

74160 26 Radiology 1.81 1.81 $ 149.12 $ 149.12

Page 16: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

193

74160 TC Radiology 4.91 4.91 $ 404.51 $ 404.51

74170 00 Radiology 7.62 7.62 $ 639.00 $ 639.00

74170 26 Radiology 1.99 1.99 $ 163.95 $ 163.95

74170 TC Radiology 5.63 5.63 $ 520.46 $ 520.46

74174 00 Radiology 11.16 11.16 $ 919.41 $ 919.41

74174 26 Radiology 3.1 3.1 $ 255.39 $ 255.39

74174 TC Radiology 8.06 8.06 $ 664.02 $ 664.02

74175 00 Radiology 8.87 8.87 $ 730.75 $ 730.75

74175 26 Radiology 2.57 2.57 $ 211.73 $ 211.73

74175 TC Radiology 6.3 6.3 $ 576.75 $ 576.75

74176 00 Radiology 5.65 5.65 $ 465.47 $ 465.47

74176 26 Radiology 2.48 2.48 $ 204.31 $ 204.31

74176 TC Radiology 3.17 3.17 $ 261.16 $ 261.16

74177 00 Radiology 8.99 8.99 $ 740.64 $ 740.64

74177 26 Radiology 2.6 2.6 $ 214.20 $ 214.20

74177 TC Radiology 6.39 6.39 $ 526.44 $ 526.44

74178 00 Radiology 10.15 10.15 $ 836.21 $ 836.21

74178 26 Radiology 2.85 2.85 $ 234.80 $ 234.80

74178 TC Radiology 7.3 7.3 $ 601.41 $ 601.41

74181 00 Radiology 6.88 6.88 $ 730.65 $ 730.65

74181 26 Radiology 2.08 2.08 $ 171.36 $ 171.36

74181 TC Radiology 4.8 4.8 $ 595.95 $ 595.95

74182 00 Radiology 10.11 10.11 $ 909.75 $ 909.75

74182 26 Radiology 2.47 2.47 $ 203.49 $ 203.49

74182 TC Radiology 7.64 7.64 $ 755.96 $ 755.96

74183 00 Radiology 11.25 11.25 $ 1,403.25 $ 1,403.25

74183 26 Radiology 3.13 3.13 $ 257.86 $ 257.86

74183 TC Radiology 8.12 8.12 $ 1,209.51 $ 1,209.51

74185 00 Radiology 11.13 11.13 $ 916.94 $ 916.94

74185 26 Radiology 2.54 2.54 $ 209.26 $ 209.26

74185 TC Radiology 8.59 8.59 $ 707.69 $ 707.69

74190 00 Radiology 1.65 1.65 $ 200.21 $ 200.21

74190 26 Radiology 0.66 0.66 $ 68.35 $ 68.35

74190 TC Radiology 0.99 0.99 $ 131.87 $ 131.87

74210 00 Radiology 2.49 2.49 $ 205.14 $ 205.14

74210 26 Radiology 0.84 0.84 $ 69.20 $ 69.20

74210 TC Radiology 1.65 1.65 $ 135.93 $ 135.93

74220 00 Radiology 2.73 2.73 $ 224.91 $ 224.91

74220 26 Radiology 0.96 0.96 $ 79.09 $ 79.09

74220 TC Radiology 1.77 1.77 $ 145.82 $ 145.82

74230 00 Radiology 3.59 3.59 $ 295.76 $ 295.76

Page 17: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

194

74230 26 Radiology 0.76 0.76 $ 62.61 $ 62.61

74230 TC Radiology 2.83 2.83 $ 233.15 $ 233.15

74235 00 Radiology 4.86 4.86 $ 400.39 $ 400.39

74235 26 Radiology 1.7 1.7 $ 140.05 $ 140.05

74235 TC Radiology 3.16 3.16 $ 260.34 $ 260.34

74240 00 Radiology 3.45 3.45 $ 284.23 $ 284.23

74240 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

74240 TC Radiology 2.46 2.46 $ 202.67 $ 202.67

74241 00 Radiology 3.59 3.59 $ 295.76 $ 295.76

74241 26 Radiology 0.98 0.98 $ 80.74 $ 80.74

74241 TC Radiology 2.61 2.61 $ 215.02 $ 215.02

74245 00 Radiology 5.24 5.24 $ 431.70 $ 431.70

74245 26 Radiology 1.29 1.29 $ 106.28 $ 106.28

74245 TC Radiology 3.95 3.95 $ 325.42 $ 325.42

74246 00 Radiology 3.84 3.84 $ 316.36 $ 316.36

74246 26 Radiology 0.98 0.98 $ 80.74 $ 80.74

74246 TC Radiology 2.86 2.86 $ 235.62 $ 235.62

74247 00 Radiology 4.32 4.32 $ 355.90 $ 355.90

74247 26 Radiology 0.98 0.98 $ 80.74 $ 80.74

74247 TC Radiology 3.34 3.34 $ 275.17 $ 275.17

74249 00 Radiology 5.62 5.62 $ 463.00 $ 463.00

74249 26 Radiology 1.29 1.29 $ 106.28 $ 106.28

74249 TC Radiology 4.33 4.33 $ 356.73 $ 356.73

74250 00 Radiology 3.18 3.18 $ 261.98 $ 261.98

74250 26 Radiology 0.67 0.67 $ 55.20 $ 55.20

74250 TC Radiology 2.51 2.51 $ 206.79 $ 206.79

74251 00 Radiology 12.16 12.16 $ 1,001.80 $ 1,001.80

74251 26 Radiology 0.98 0.98 $ 80.74 $ 80.74

74251 TC Radiology 11.18 11.18 $ 921.06 $ 921.06

74260 00 Radiology 9.92 9.92 $ 817.26 $ 817.26

74260 26 Radiology 0.72 0.72 $ 59.32 $ 59.32

74260 TC Radiology 9.2 9.2 $ 757.94 $ 757.94

74261 00 Radiology 13.58 13.58 $ 1,118.79 $ 1,118.79

74261 26 Radiology 3.42 3.42 $ 281.76 $ 281.76

74261 TC Radiology 10.16 10.16 $ 837.03 $ 837.03

74262 00 Radiology 15.25 15.25 $ 1,256.37 $ 1,256.37

74262 26 Radiology 3.56 3.56 $ 293.29 $ 293.29

74262 TC Radiology 11.69 11.69 $ 963.08 $ 963.08

74263 00 Radiology 21.3 21.3 $ 1,754.80 $ 1,754.80

74263 26 Radiology 3.22 3.22 $ 265.28 $ 265.28

74263 TC Radiology 18.08 18.08 $ 1,489.52 $ 1,489.52

Page 18: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

195

74270 00 Radiology 4.54 4.54 $ 374.03 $ 374.03

74270 26 Radiology 0.98 0.98 $ 80.74 $ 80.74

74270 TC Radiology 3.56 3.56 $ 293.29 $ 293.29

74280 00 Radiology 6.41 6.41 $ 528.09 $ 528.09

74280 26 Radiology 1.41 1.41 $ 116.16 $ 116.16

74280 TC Radiology 5 5 $ 411.92 $ 411.92

74283 00 Radiology 6.61 6.61 $ 544.56 $ 544.56

74283 26 Radiology 2.94 2.94 $ 242.21 $ 242.21

74283 TC Radiology 3.67 3.67 $ 302.35 $ 302.35

74290 00 Radiology 2.15 2.15 $ 177.13 $ 177.13

74290 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

74290 TC Radiology 1.69 1.69 $ 139.23 $ 139.23

74300 00 Radiology 1.49 1.49 $ 122.75 $ 122.75

74300 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

74300 TC Radiology 0.97 0.97 $ 79.91 $ 79.91

74301 00 Radiology 0.86 0.86 $ 70.85 $ 70.85

74301 26 Radiology 0.3 0.3 $ 24.72 $ 24.72

74301 TC Radiology 0.56 0.56 $ 46.14 $ 46.14

74328 00 Radiology 3.37 3.37 $ 277.64 $ 277.64

74328 26 Radiology 1.01 1.01 $ 83.21 $ 83.21

74328 TC Radiology 2.36 2.36 $ 194.43 $ 194.43

74329 00 Radiology 2.89 2.89 $ 238.09 $ 238.09

74329 26 Radiology 1.01 1.01 $ 83.21 $ 83.21

74329 TC Radiology 1.88 1.88 $ 154.88 $ 154.88

74330 00 Radiology 4.78 4.78 $ 393.80 $ 393.80

74330 26 Radiology 1.29 1.29 $ 106.28 $ 106.28

74330 TC Radiology 3.49 3.49 $ 287.52 $ 287.52

74340 00 Radiology 3.08 3.08 $ 253.75 $ 253.75

74340 26 Radiology 0.77 0.77 $ 64.05 $ 64.05

74340 TC Radiology 2.31 2.31 $ 190.31 $ 190.31

74355 00 Radiology 4 4 $ 329.54 $ 329.54

74355 26 Radiology 1.08 1.08 $ 88.98 $ 88.98

74355 TC Radiology 2.92 2.92 $ 240.56 $ 240.56

74360 00 Radiology 3.33 3.33 $ 274.34 $ 274.34

74360 26 Radiology 0.8 0.8 $ 65.91 $ 65.91

74360 TC Radiology 2.53 2.53 $ 208.43 $ 208.43

74363 00 Radiology 3.49 3.49 $ 387.99 $ 387.99

74363 26 Radiology 1.22 1.22 $ 205.79 $ 205.79

74363 TC Radiology 2.27 2.27 $ 187.01 $ 187.01

74400 00 Radiology 3.36 3.36 $ 276.81 $ 276.81

74400 26 Radiology 0.7 0.7 $ 57.67 $ 57.67

Page 19: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

196

74400 TC Radiology 2.66 2.66 $ 219.14 $ 219.14

74410 00 Radiology 3.41 3.41 $ 280.93 $ 280.93

74410 26 Radiology 0.69 0.69 $ 57.89 $ 57.89

74410 TC Radiology 2.72 2.72 $ 224.09 $ 224.09

74415 00 Radiology 4.07 4.07 $ 335.31 $ 335.31

74415 26 Radiology 0.7 0.7 $ 62.18 $ 62.18

74415 TC Radiology 3.37 3.37 $ 277.64 $ 277.64

74420 00 Radiology 2.02 2.02 $ 210.94 $ 210.94

74420 26 Radiology 0.73 0.73 $ 62.95 $ 62.95

74420 TC Radiology 1.29 1.29 $ 147.99 $ 147.99

74425 00 Radiology 1.85 1.85 $ 152.41 $ 152.41

74425 26 Radiology 0.5 0.5 $ 41.19 $ 41.19

74425 TC Radiology 1.35 1.35 $ 111.22 $ 111.22

74430 00 Radiology 1.11 1.11 $ 104.25 $ 104.25

74430 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

74430 TC Radiology 0.65 0.65 $ 77.35 $ 77.35

74440 00 Radiology 2.44 2.44 $ 201.02 $ 201.02

74440 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

74440 TC Radiology 1.92 1.92 $ 158.18 $ 158.18

74445 00 Radiology 2.75 2.75 $ 226.56 $ 226.56

74445 26 Radiology 1.57 1.57 $ 129.34 $ 129.34

74445 TC Radiology 1.18 1.18 $ 97.21 $ 97.21

74450 00 Radiology 2.04 2.04 $ 168.06 $ 168.06

74450 26 Radiology 0.47 0.47 $ 38.72 $ 38.72

74450 TC Radiology 1.57 1.57 $ 129.34 $ 129.34

74455 00 Radiology 2.55 2.55 $ 210.08 $ 210.08

74455 26 Radiology 0.47 0.47 $ 38.72 $ 38.72

74455 TC Radiology 2.08 2.08 $ 171.36 $ 171.36

74470 00 Radiology 2.08 2.08 $ 171.36 $ 171.36

74470 26 Radiology 0.75 0.75 $ 61.79 $ 61.79

74470 TC Radiology 1.33 1.33 $ 109.57 $ 109.57

74485 00 Radiology 3.02 3.02 $ 248.80 $ 248.80

74485 26 Radiology 1.14 1.14 $ 93.92 $ 93.92

74485 TC Radiology 1.88 1.88 $ 154.88 $ 154.88

74710 00 Radiology 1.08 1.08 $ 88.98 $ 88.98

74710 26 Radiology 0.49 0.49 $ 40.37 $ 40.37

74710 TC Radiology 0.59 0.59 $ 52.50 $ 52.50

74712 00 Radiology 13.56 13.56 $ 1,117.14 $ 1,117.14

74712 26 Radiology 4.27 4.27 $ 351.78 $ 351.78

74712 TC Radiology 9.29 9.29 $ 765.35 $ 765.35

74713 00 Radiology 6.6 6.6 $ 543.74 $ 543.74

Page 20: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

197

74713 26 Radiology 2.65 2.65 $ 218.32 $ 218.32

74713 TC Radiology 3.95 3.95 $ 325.42 $ 325.42

74740 00 Radiology 2.32 2.32 $ 191.13 $ 191.13

74740 26 Radiology 0.54 0.54 $ 44.49 $ 44.49

74740 TC Radiology 1.78 1.78 $ 146.64 $ 146.64

74742 00 Radiology 2.51 2.51 $ 206.79 $ 206.79

74742 26 Radiology 0.88 0.88 $ 72.50 $ 72.50

74742 TC Radiology 1.63 1.63 $ 134.29 $ 134.29

74775 00 Radiology 2.47 2.47 $ 203.49 $ 203.49

74775 26 Radiology 0.89 0.89 $ 73.32 $ 73.32

74775 TC Radiology 1.58 1.58 $ 130.17 $ 130.17

75557 00 Radiology 9.16 9.16 $ 829.50 $ 829.50

75557 26 Radiology 3.29 3.29 $ 271.05 $ 271.05

75557 TC Radiology 5.87 5.87 $ 655.50 $ 655.50

75559 00 Radiology 12.77 12.77 $ 1,206.00 $ 1,206.00

75559 26 Radiology 4.05 4.05 $ 333.66 $ 333.66

75559 TC Radiology 8.72 8.72 $ 984.00 $ 984.00

75561 00 Radiology 12.03 12.03 $ 1,116.75 $ 1,116.75

75561 26 Radiology 3.63 3.63 $ 299.06 $ 299.06

75561 TC Radiology 8.4 8.4 $ 924.75 $ 924.75

75563 00 Radiology 14.26 14.26 $ 1,383.75 $ 1,383.75

75563 26 Radiology 4.16 4.16 $ 342.72 $ 342.72

75563 TC Radiology 10.1 10.1 $ 1,154.25 $ 1,154.25

75565 00 Radiology 1.51 1.51 $ 124.40 $ 124.40

75565 26 Radiology 0.35 0.35 $ 28.83 $ 28.83

75565 TC Radiology 1.16 1.16 $ 95.57 $ 95.57

75571 00 Radiology 2.92 2.92 $ 483.38 $ 483.38

75571 26 Radiology 0.82 0.82 $ 82.34 $ 82.34

75571 TC Radiology 2.1 2.1 $ 401.03 $ 401.03

75572 00 Radiology 7.52 7.52 $ 657.38 $ 657.38

75572 26 Radiology 2.47 2.47 $ 203.49 $ 203.49

75572 TC Radiology 5.05 5.05 $ 534.20 $ 534.20

75573 00 Radiology 10.18 10.18 $ 838.68 $ 838.68

75573 26 Radiology 3.59 3.59 $ 295.76 $ 295.76

75573 TC Radiology 6.59 6.59 $ 611.25 $ 611.25

75574 00 Radiology 11.04 11.04 $ 909.53 $ 909.53

75574 26 Radiology 3.36 3.36 $ 276.81 $ 276.81

75574 TC Radiology 7.68 7.68 $ 684.00 $ 684.00

75600 00 Radiology 5.63 5.63 $ 463.83 $ 463.83

75600 26 Radiology 0.69 0.69 $ 56.85 $ 56.85

75600 TC Radiology 4.94 4.94 $ 406.98 $ 406.98

Page 21: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

198

75605 00 Radiology 3.78 3.78 $ 427.14 $ 427.14

75605 26 Radiology 1.58 1.58 $ 130.17 $ 130.17

75605 TC Radiology 2.2 2.2 $ 339.13 $ 339.13

75625 00 Radiology 3.73 3.73 $ 482.25 $ 482.25

75625 26 Radiology 1.58 1.58 $ 130.17 $ 130.17

75625 TC Radiology 2.15 2.15 $ 387.75 $ 387.75

75630 00 Radiology 4.68 4.68 $ 611.25 $ 611.25

75630 26 Radiology 2.49 2.49 $ 205.14 $ 205.14

75630 TC Radiology 2.19 2.19 $ 457.10 $ 457.10

75635 00 Radiology 12.45 12.45 $ 1,025.69 $ 1,025.69

75635 26 Radiology 3.37 3.37 $ 277.64 $ 277.64

75635 TC Radiology 9.08 9.08 $ 748.05 $ 748.05

75705 00 Radiology 7.13 7.13 $ 684.00 $ 684.00

75705 26 Radiology 3.32 3.32 $ 273.52 $ 273.52

75705 TC Radiology 3.81 3.81 $ 536.25 $ 536.25

75710 00 Radiology 4.73 4.73 $ 389.68 $ 389.68

75710 26 Radiology 2.45 2.45 $ 201.84 $ 201.84

75710 TC Radiology 2.28 2.28 $ 290.42 $ 290.42

75716 00 Radiology 5.04 5.04 $ 474.60 $ 474.60

75716 26 Radiology 2.73 2.73 $ 224.91 $ 224.91

75716 TC Radiology 2.31 2.31 $ 379.30 $ 379.30

75726 00 Radiology 4.08 4.08 $ 540.75 $ 540.75

75726 26 Radiology 1.56 1.56 $ 128.52 $ 128.52

75726 TC Radiology 2.52 2.52 $ 438.60 $ 438.60

75731 00 Radiology 4.73 4.73 $ 509.25 $ 509.25

75731 26 Radiology 1.63 1.63 $ 134.29 $ 134.29

75731 TC Radiology 3.1 3.1 $ 413.25 $ 413.25

75733 00 Radiology 5.09 5.09 $ 572.25 $ 572.25

75733 26 Radiology 1.81 1.81 $ 149.12 $ 149.12

75733 TC Radiology 3.28 3.28 $ 469.64 $ 469.64

75736 00 Radiology 4.38 4.38 $ 509.25 $ 509.25

75736 26 Radiology 1.56 1.56 $ 128.52 $ 128.52

75736 TC Radiology 2.82 2.82 $ 414.75 $ 414.75

75741 00 Radiology 4.13 4.13 $ 488.25 $ 488.25

75741 26 Radiology 1.8 1.8 $ 148.29 $ 148.29

75741 TC Radiology 2.33 2.33 $ 389.25 $ 389.25

75743 00 Radiology 4.64 4.64 $ 552.00 $ 552.00

75743 26 Radiology 2.28 2.28 $ 187.84 $ 187.84

75743 TC Radiology 2.36 2.36 $ 432.75 $ 432.75

75746 00 Radiology 4.16 4.16 $ 342.72 $ 342.72

75746 26 Radiology 1.58 1.58 $ 130.17 $ 130.17

Page 22: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

199

75746 TC Radiology 2.58 2.58 $ 241.88 $ 241.88

75756 00 Radiology 4.79 4.79 $ 430.11 $ 430.11

75756 26 Radiology 1.62 1.62 $ 133.46 $ 133.46

75756 TC Radiology 3.17 3.17 $ 341.79 $ 341.79

75774 00 Radiology 2.33 2.33 $ 335.19 $ 335.19

75774 26 Radiology 0.49 0.49 $ 46.41 $ 46.41

75774 TC Radiology 1.84 1.84 $ 288.78 $ 288.78

75801 00 Radiology 7.47 7.47 $ 615.41 $ 615.41

75801 26 Radiology 1.27 1.27 $ 104.63 $ 104.63

75801 TC Radiology 6.2 6.2 $ 510.79 $ 510.79

75803 00 Radiology 7.64 7.64 $ 629.42 $ 629.42

75803 26 Radiology 1.68 1.68 $ 138.41 $ 138.41

75803 TC Radiology 5.96 5.96 $ 491.01 $ 491.01

75805 00 Radiology 7.73 7.73 $ 636.83 $ 636.83

75805 26 Radiology 1.16 1.16 $ 95.57 $ 95.57

75805 TC Radiology 6.57 6.57 $ 541.27 $ 541.27

75807 00 Radiology 8 8 $ 659.08 $ 659.08

75807 26 Radiology 1.6 1.6 $ 131.82 $ 131.82

75807 TC Radiology 6.4 6.4 $ 527.26 $ 527.26

75809 00 Radiology 2.69 2.69 $ 221.62 $ 221.62

75809 26 Radiology 0.68 0.68 $ 56.02 $ 56.02

75809 TC Radiology 2.01 2.01 $ 165.59 $ 165.59

75810 00 Radiology 12.73 12.73 $ 1,048.76 $ 1,048.76

75810 26 Radiology 1.4 1.4 $ 115.34 $ 115.34

75810 TC Radiology 11.33 11.33 $ 933.42 $ 933.42

75820 00 Radiology 3.15 3.15 $ 259.51 $ 259.51

75820 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

75820 TC Radiology 2.16 2.16 $ 177.95 $ 177.95

75822 00 Radiology 3.68 3.68 $ 303.18 $ 303.18

75822 26 Radiology 1.47 1.47 $ 121.11 $ 121.11

75822 TC Radiology 2.21 2.21 $ 182.07 $ 182.07

75825 00 Radiology 3.68 3.68 $ 435.75 $ 435.75

75825 26 Radiology 1.58 1.58 $ 130.17 $ 130.17

75825 TC Radiology 2.1 2.1 $ 341.25 $ 341.25

75827 00 Radiology 3.82 3.82 $ 435.00 $ 435.00

75827 26 Radiology 1.6 1.6 $ 131.82 $ 131.82

75827 TC Radiology 2.22 2.22 $ 341.25 $ 341.25

75831 00 Radiology 3.84 3.84 $ 438.00 $ 438.00

75831 26 Radiology 1.56 1.56 $ 128.52 $ 128.52

75831 TC Radiology 2.28 2.28 $ 343.43 $ 343.43

75833 00 Radiology 4.55 4.55 $ 474.75 $ 474.75

Page 23: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

200

75833 26 Radiology 2.07 2.07 $ 170.54 $ 170.54

75833 TC Radiology 2.48 2.48 $ 369.00 $ 369.00

75840 00 Radiology 4.08 4.08 $ 438.00 $ 438.00

75840 26 Radiology 1.63 1.63 $ 134.29 $ 134.29

75840 TC Radiology 2.45 2.45 $ 342.95 $ 342.95

75842 00 Radiology 4.95 4.95 $ 474.75 $ 474.75

75842 26 Radiology 2.13 2.13 $ 175.48 $ 175.48

75842 TC Radiology 2.82 2.82 $ 368.25 $ 368.25

75860 00 Radiology 3.99 3.99 $ 444.00 $ 444.00

75860 26 Radiology 1.6 1.6 $ 131.82 $ 131.82

75860 TC Radiology 2.39 2.39 $ 349.50 $ 349.50

75870 00 Radiology 5.3 5.3 $ 441.00 $ 441.00

75870 26 Radiology 1.83 1.83 $ 150.76 $ 150.76

75870 TC Radiology 3.47 3.47 $ 346.50 $ 346.50

75872 00 Radiology 4.08 4.08 $ 444.94 $ 444.94

75872 26 Radiology 1.63 1.63 $ 134.29 $ 134.29

75872 TC Radiology 2.45 2.45 $ 352.78 $ 352.78

75880 00 Radiology 3.44 3.44 $ 283.40 $ 283.40

75880 26 Radiology 1 1 $ 82.38 $ 82.38

75880 TC Radiology 2.44 2.44 $ 231.92 $ 231.92

75885 00 Radiology 4.29 4.29 $ 471.00 $ 471.00

75885 26 Radiology 1.92 1.92 $ 158.18 $ 158.18

75885 TC Radiology 2.37 2.37 $ 366.75 $ 366.75

75887 00 Radiology 4.31 4.31 $ 471.75 $ 471.75

75887 26 Radiology 1.93 1.93 $ 159.00 $ 159.00

75887 TC Radiology 2.38 2.38 $ 367.50 $ 367.50

75889 00 Radiology 3.93 3.93 $ 438.00 $ 438.00

75889 26 Radiology 1.55 1.55 $ 127.70 $ 127.70

75889 TC Radiology 2.38 2.38 $ 343.50 $ 343.50

75891 00 Radiology 3.98 3.98 $ 438.00 $ 438.00

75891 26 Radiology 1.57 1.57 $ 129.34 $ 129.34

75891 TC Radiology 2.41 2.41 $ 343.50 $ 343.50

75893 00 Radiology 3.32 3.32 $ 573.75 $ 573.75

75893 26 Radiology 0.77 0.77 $ 118.82 $ 118.82

75893 TC Radiology 2.55 2.55 $ 454.93 $ 454.93

75894 00 Radiology 29.43 29.43 $ 2,424.58 $ 2,424.58

75894 26 Radiology 2.06 2.06 $ 169.71 $ 169.71

75894 TC Radiology 27.37 27.37 $ 2,254.87 $ 2,254.87

75898 00 Radiology 3.84 3.84 $ 316.36 $ 316.36

75898 26 Radiology 2.57 2.57 $ 211.73 $ 211.73

75898 TC Radiology 1.27 1.27 $ 104.63 $ 104.63

Page 24: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

201

75901 00 Radiology 5.62 5.62 $ 463.00 $ 463.00

75901 26 Radiology 0.67 0.67 $ 55.20 $ 55.20

75901 TC Radiology 4.95 4.95 $ 407.80 $ 407.80

75902 00 Radiology 2.22 2.22 $ 182.89 $ 182.89

75902 26 Radiology 0.54 0.54 $ 44.49 $ 44.49

75902 TC Radiology 1.68 1.68 $ 138.41 $ 138.41

75956 00 Radiology 9.82 9.82 $ 809.02 $ 809.02

75956 26 Radiology 9.82 9.82 $ 809.02 $ 809.02

75956 TC Radiology 0 0 $0.00 $0.00

75957 00 Radiology 8.43 8.43 $ 694.50 $ 694.50

75957 26 Radiology 8.43 8.43 $ 694.50 $ 694.50

75957 TC Radiology 0 0 $0.00 $0.00

75958 00 Radiology 5.6 5.6 $ 461.35 $ 461.35

75958 26 Radiology 5.6 5.6 $ 461.35 $ 461.35

75958 TC Radiology 0 0 $0.00 $0.00

75959 00 Radiology 4.88 4.88 $ 402.04 $ 402.04

75959 26 Radiology 4.88 4.88 $ 402.04 $ 402.04

75959 TC Radiology 0 0 $0.00 $0.00

75970 00 Radiology 12.56 12.56 $ 1,034.75 $ 1,034.75

75970 26 Radiology 1.13 1.13 $ 93.09 $ 93.09

75970 TC Radiology 11.43 11.43 $ 941.66 $ 941.66

75984 00 Radiology 2.89 2.89 $ 238.09 $ 238.09

75984 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

75984 TC Radiology 1.9 1.9 $ 156.53 $ 156.53

75989 00 Radiology 3.42 3.42 $ 281.76 $ 281.76

75989 26 Radiology 1.65 1.65 $ 175.26 $ 175.26

75989 TC Radiology 1.77 1.77 $ 145.82 $ 145.82

76000 00 Radiology 1.33 1.33 $ 123.00 $ 123.00

76000 26 Radiology 0.44 0.44 $ 36.25 $ 36.25

76000 TC Radiology 0.89 0.89 $ 100.98 $ 100.98

76010 00 Radiology 0.77 0.77 $ 63.44 $ 63.44

76010 26 Radiology 0.26 0.26 $ 21.42 $ 21.42

76010 TC Radiology 0.51 0.51 $ 42.02 $ 42.02

76080 00 Radiology 1.61 1.61 $ 132.64 $ 132.64

76080 26 Radiology 0.74 0.74 $ 60.96 $ 60.96

76080 TC Radiology 0.87 0.87 $ 71.67 $ 71.67

76098 00 Radiology 0.47 0.47 $ 38.72 $ 38.72

76098 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

76098 TC Radiology 0.24 0.24 $ 19.77 $ 19.77

76100 00 Radiology 2.67 2.67 $ 219.97 $ 219.97

76100 26 Radiology 0.89 0.89 $ 73.32 $ 73.32

Page 25: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

202

76100 TC Radiology 1.78 1.78 $ 146.64 $ 146.64

76101 00 Radiology 2.65 2.65 $ 219.00 $ 219.00

76101 26 Radiology 0.8 0.8 $ 65.91 $ 65.91

76101 TC Radiology 1.85 1.85 $ 170.18 $ 170.18

76102 00 Radiology 4.88 4.88 $ 402.04 $ 402.04

76102 26 Radiology 0.96 0.96 $ 79.09 $ 79.09

76102 TC Radiology 3.92 3.92 $ 322.95 $ 322.95

76120 00 Radiology 2.87 2.87 $ 236.44 $ 236.44

76120 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

76120 TC Radiology 2.35 2.35 $ 193.60 $ 193.60

76125 00 Radiology 1.29 1.29 $ 106.28 $ 106.28

76125 26 Radiology 0.4 0.4 $ 32.95 $ 32.95

76125 TC Radiology 0.89 0.89 $ 73.32 $ 73.32

76140 00 Radiology 0 0 $0.00 $0.00

76376 00 Radiology 0.65 0.65 $ 186.79 $ 186.79

76376 26 Radiology 0.28 0.28 $ 23.07 $ 23.07

76376 TC Radiology 0.37 0.37 $ 171.04 $ 171.04

76377 00 Radiology 2.01 2.01 $ 241.14 $ 241.14

76377 26 Radiology 1.13 1.13 $ 93.09 $ 93.09

76377 TC Radiology 0.88 0.88 $ 180.39 $ 180.39

76380 00 Radiology 4.07 4.07 $ 335.31 $ 335.31

76380 26 Radiology 1.38 1.38 $ 113.69 $ 113.69

76380 TC Radiology 2.69 2.69 $ 221.62 $ 221.62

76390 00 Radiology 12.31 12.31 $ 1,014.16 $ 1,014.16

76390 26 Radiology 1.98 1.98 $ 163.12 $ 163.12

76390 TC Radiology 10.33 10.33 $ 851.03 $ 851.03

76391 00 Radiology 6.66 6.66 $ 548.68 $ 548.68

76391 26 Radiology 1.58 1.58 $ 130.17 $ 130.17

76391 TC Radiology 5.08 5.08 $ 418.51 $ 418.51

76496 00 Radiology 1.78 1.78 $ 146.64 $ 146.64

76496 26 Radiology 0.62 0.62 $ 51.08 $ 51.08

76496 TC Radiology 1.16 1.16 $ 95.57 $ 95.57

76497 00 Radiology 2.96 2.96 $ 243.86 $ 243.86

76497 26 Radiology 0.59 0.59 $ 48.61 $ 48.61

76497 TC Radiology 2.37 2.37 $ 195.25 $ 195.25

76498 00 Radiology 2.58 2.58 $ 212.55 $ 212.55

76498 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

76498 TC Radiology 2.06 2.06 $ 169.71 $ 169.71

76499 00 Radiology - - BR BR

76499 26 Radiology - - BR BR

76499 TC Radiology - - BR BR

Page 26: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

203

76506 00 Radiology 3.26 3.26 $ 268.57 $ 268.57

76506 26 Radiology 0.91 0.91 $ 74.97 $ 74.97

76506 TC Radiology 2.35 2.35 $ 193.60 $ 193.60

76510 00 Radiology 3.15 3.15 $ 301.73 $ 301.73

76510 26 Radiology 1.65 1.65 $ 161.66 $ 161.66

76510 TC Radiology 1.5 1.5 $ 140.07 $ 140.07

76511 00 Radiology 1.93 1.93 $ 175.55 $ 175.55

76511 26 Radiology 1.03 1.03 $ 90.74 $ 90.74

76511 TC Radiology 0.9 0.9 $ 84.81 $ 84.81

76512 00 Radiology 1.73 1.73 $ 164.32 $ 164.32

76512 26 Radiology 0.99 0.99 $ 86.74 $ 86.74

76512 TC Radiology 0.74 0.74 $ 77.58 $ 77.58

76513 00 Radiology 2.78 2.78 $ 229.03 $ 229.03

76513 26 Radiology 1.02 1.02 $ 84.03 $ 84.03

76513 TC Radiology 1.76 1.76 $ 145.00 $ 145.00

76514 00 Radiology 0.36 0.36 $ 29.66 $ 29.66

76514 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

76514 TC Radiology 0.13 0.13 $ 10.71 $ 10.71

76516 00 Radiology 1.53 1.53 $ 136.66 $ 136.66

76516 26 Radiology 0.65 0.65 $ 54.93 $ 54.93

76516 TC Radiology 0.88 0.88 $ 81.73 $ 81.73

76519 00 Radiology 1.87 1.87 $ 154.06 $ 154.06

76519 26 Radiology 0.89 0.89 $ 73.32 $ 73.32

76519 TC Radiology 0.98 0.98 $ 91.26 $ 91.26

76529 00 Radiology 2.33 2.33 $ 191.96 $ 191.96

76529 26 Radiology 0.94 0.94 $ 77.44 $ 77.44

76529 TC Radiology 1.39 1.39 $ 114.51 $ 114.51

76536 00 Radiology 3.25 3.25 $ 267.75 $ 267.75

76536 26 Radiology 0.8 0.8 $ 65.91 $ 65.91

76536 TC Radiology 2.45 2.45 $ 201.84 $ 201.84

76604 00 Radiology 2.51 2.51 $ 206.79 $ 206.79

76604 26 Radiology 0.77 0.77 $ 63.44 $ 63.44

76604 TC Radiology 1.74 1.74 $ 143.35 $ 143.35

76641 00 Radiology 3.02 3.02 $ 248.80 $ 248.80

76641 26 Radiology 1.04 1.04 $ 85.68 $ 85.68

76641 TC Radiology 1.98 1.98 $ 163.12 $ 163.12

76642 00 Radiology 2.47 2.47 $ 203.49 $ 203.49

76642 26 Radiology 0.97 0.97 $ 79.91 $ 79.91

76642 TC Radiology 1.5 1.5 $ 123.58 $ 123.58

76700 00 Radiology 3.43 3.43 $ 282.58 $ 282.58

76700 26 Radiology 1.15 1.15 $ 94.74 $ 94.74

Page 27: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

204

76700 TC Radiology 2.28 2.28 $ 187.84 $ 187.84

76705 00 Radiology 2.56 2.56 $ 210.91 $ 210.91

76705 26 Radiology 0.83 0.83 $ 68.38 $ 68.38

76705 TC Radiology 1.73 1.73 $ 142.53 $ 142.53

76706 00 Radiology 3.2 3.2 $ 263.63 $ 263.63

76770 00 Radiology 3.18 3.18 $ 261.98 $ 261.98

76770 26 Radiology 1.05 1.05 $ 86.50 $ 86.50

76770 TC Radiology 2.13 2.13 $ 175.48 $ 175.48

76775 00 Radiology 1.65 1.65 $ 149.30 $ 149.30

76775 26 Radiology 0.82 0.82 $ 67.56 $ 67.56

76775 TC Radiology 0.83 0.83 $ 101.09 $ 101.09

76776 00 Radiology 4.38 4.38 $ 360.85 $ 360.85

76776 26 Radiology 1.08 1.08 $ 88.98 $ 88.98

76776 TC Radiology 3.3 3.3 $ 271.87 $ 271.87

76800 00 Radiology 4.04 4.04 $ 332.83 $ 332.83

76800 26 Radiology 1.68 1.68 $ 138.41 $ 138.41

76800 TC Radiology 2.36 2.36 $ 194.43 $ 194.43

76801 00 Radiology 3.46 3.46 $ 285.05 $ 285.05

76801 26 Radiology 1.42 1.42 $ 116.99 $ 116.99

76801 TC Radiology 2.04 2.04 $ 168.06 $ 168.06

76802 00 Radiology 1.81 1.81 $ 149.12 $ 149.12

76802 26 Radiology 1.2 1.2 $ 98.86 $ 98.86

76802 TC Radiology 0.61 0.61 $ 51.02 $ 51.02

76805 00 Radiology 3.97 3.97 $ 327.07 $ 327.07

76805 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

76805 TC Radiology 2.54 2.54 $ 209.26 $ 209.26

76810 00 Radiology 2.63 2.63 $ 220.31 $ 220.31

76810 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

76810 TC Radiology 1.2 1.2 $ 114.44 $ 114.44

76811 00 Radiology 5.12 5.12 $ 421.81 $ 421.81

76811 26 Radiology 2.77 2.77 $ 228.21 $ 228.21

76811 TC Radiology 2.35 2.35 $ 193.60 $ 193.60

76812 00 Radiology 5.72 5.72 $ 471.24 $ 471.24

76812 26 Radiology 2.62 2.62 $ 215.85 $ 215.85

76812 TC Radiology 3.1 3.1 $ 255.39 $ 255.39

76813 00 Radiology 3.45 3.45 $ 284.23 $ 284.23

76813 26 Radiology 1.73 1.73 $ 142.53 $ 142.53

76813 TC Radiology 1.72 1.72 $ 141.70 $ 141.70

76814 00 Radiology 2.27 2.27 $ 187.01 $ 187.01

76814 26 Radiology 1.46 1.46 $ 120.28 $ 120.28

76814 TC Radiology 0.81 0.81 $ 66.73 $ 66.73

Page 28: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

205

76815 00 Radiology 2.38 2.38 $ 196.08 $ 196.08

76815 26 Radiology 0.93 0.93 $ 76.62 $ 76.62

76815 TC Radiology 1.45 1.45 $ 119.46 $ 119.46

76816 00 Radiology 3.23 3.23 $ 266.10 $ 266.10

76816 26 Radiology 1.24 1.24 $ 102.16 $ 102.16

76816 TC Radiology 1.99 1.99 $ 163.95 $ 163.95

76817 00 Radiology 2.73 2.73 $ 224.91 $ 224.91

76817 26 Radiology 1.08 1.08 $ 88.98 $ 88.98

76817 TC Radiology 1.65 1.65 $ 135.93 $ 135.93

76818 00 Radiology 3.44 3.44 $ 283.40 $ 283.40

76818 26 Radiology 1.54 1.54 $ 126.87 $ 126.87

76818 TC Radiology 1.9 1.9 $ 156.53 $ 156.53

76819 00 Radiology 2.52 2.52 $ 207.61 $ 207.61

76819 26 Radiology 1.12 1.12 $ 92.27 $ 92.27

76819 TC Radiology 1.4 1.4 $ 115.34 $ 115.34

76820 00 Radiology 1.35 1.35 $ 114.07 $ 114.07

76820 26 Radiology 0.73 0.73 $ 60.14 $ 60.14

76820 TC Radiology 0.62 0.62 $ 75.82 $ 75.82

76821 00 Radiology 2.61 2.61 $ 215.02 $ 215.02

76821 26 Radiology 1.03 1.03 $ 84.86 $ 84.86

76821 TC Radiology 1.58 1.58 $ 130.17 $ 130.17

76825 00 Radiology 7.79 7.79 $ 641.78 $ 641.78

76825 26 Radiology 2.38 2.38 $ 196.08 $ 196.08

76825 TC Radiology 5.41 5.41 $ 445.70 $ 445.70

76826 00 Radiology 4.62 4.62 $ 380.62 $ 380.62

76826 26 Radiology 1.17 1.17 $ 96.39 $ 96.39

76826 TC Radiology 3.45 3.45 $ 284.23 $ 284.23

76827 00 Radiology 2.11 2.11 $ 173.83 $ 173.83

76827 26 Radiology 0.82 0.82 $ 67.56 $ 67.56

76827 TC Radiology 1.29 1.29 $ 106.28 $ 106.28

76828 00 Radiology 1.51 1.51 $ 124.40 $ 124.40

76828 26 Radiology 0.81 0.81 $ 66.73 $ 66.73

76828 TC Radiology 0.7 0.7 $ 57.67 $ 57.67

76830 00 Radiology 3.44 3.44 $ 283.40 $ 283.40

76830 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

76830 TC Radiology 2.45 2.45 $ 201.84 $ 201.84

76831 00 Radiology 3.35 3.35 $ 275.99 $ 275.99

76831 26 Radiology 1.04 1.04 $ 85.68 $ 85.68

76831 TC Radiology 2.31 2.31 $ 190.31 $ 190.31

76856 00 Radiology 3.09 3.09 $ 254.57 $ 254.57

76856 26 Radiology 0.98 0.98 $ 80.74 $ 80.74

Page 29: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

206

76856 TC Radiology 2.11 2.11 $ 173.83 $ 173.83

76857 00 Radiology 1.38 1.38 $ 130.97 $ 130.97

76857 26 Radiology 0.71 0.71 $ 58.49 $ 58.49

76857 TC Radiology 0.67 0.67 $ 98.48 $ 98.48

76870 00 Radiology 2.97 2.97 $ 244.68 $ 244.68

76870 26 Radiology 0.91 0.91 $ 74.97 $ 74.97

76870 TC Radiology 2.06 2.06 $ 169.71 $ 169.71

76872 00 Radiology 3.62 3.62 $ 298.23 $ 298.23

76872 26 Radiology 0.95 0.95 $ 95.25 $ 95.25

76872 TC Radiology 2.67 2.67 $ 219.97 $ 219.97

76873 00 Radiology 4.91 4.91 $ 404.51 $ 404.51

76873 26 Radiology 2.22 2.22 $ 182.89 $ 182.89

76873 TC Radiology 2.69 2.69 $ 221.62 $ 221.62

76881 00 Radiology 2.51 2.51 $ 206.79 $ 206.79

76881 26 Radiology 0.9 0.9 $ 74.15 $ 74.15

76881 TC Radiology 1.61 1.61 $ 152.86 $ 152.86

76882 00 Radiology 1.62 1.62 $ 133.46 $ 133.46

76882 26 Radiology 0.7 0.7 $ 57.67 $ 57.67

76882 TC Radiology 0.92 0.92 $ 75.79 $ 75.79

76885 00 Radiology 4.05 4.05 $ 333.66 $ 333.66

76885 26 Radiology 1.06 1.06 $ 91.41 $ 91.41

76885 TC Radiology 2.99 2.99 $ 246.33 $ 246.33

76886 00 Radiology 2.97 2.97 $ 244.68 $ 244.68

76886 26 Radiology 0.89 0.89 $ 73.32 $ 73.32

76886 TC Radiology 2.08 2.08 $ 171.36 $ 171.36

76930 00 Radiology 2.54 2.54 $ 209.26 $ 209.26

76930 26 Radiology 0.94 0.94 $ 77.44 $ 77.44

76930 TC Radiology 1.6 1.6 $ 131.82 $ 131.82

76932 00 Radiology 2.54 2.54 $ 209.26 $ 209.26

76932 26 Radiology 0.94 0.94 $ 77.44 $ 77.44

76932 TC Radiology 1.6 1.6 $ 131.82 $ 131.82

76936 00 Radiology 7.6 7.6 $ 626.12 $ 626.12

76936 26 Radiology 2.77 2.77 $ 228.21 $ 228.21

76936 TC Radiology 4.83 4.83 $ 397.92 $ 397.92

76937 00 Radiology 0.96 0.96 $ 79.09 $ 79.09

76937 26 Radiology 0.41 0.41 $ 33.78 $ 33.78

76937 TC Radiology 0.55 0.55 $ 45.31 $ 45.31

76940 00 Radiology 4.73 4.73 $ 389.68 $ 389.68

76940 26 Radiology 2.93 2.93 $ 241.39 $ 241.39

76940 TC Radiology 1.8 1.8 $ 148.29 $ 148.29

76941 00 Radiology 3.65 3.65 $ 300.70 $ 300.70

Page 30: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

207

76941 26 Radiology 1.97 1.97 $ 162.30 $ 162.30

76941 TC Radiology 1.68 1.68 $ 145.04 $ 145.04

76942 00 Radiology 1.61 1.61 $ 192.81 $ 192.81

76942 26 Radiology 0.91 0.91 $ 74.97 $ 74.97

76942 TC Radiology 0.7 0.7 $ 152.34 $ 152.34

76945 00 Radiology 2.75 2.75 $ 226.56 $ 226.56

76945 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

76945 TC Radiology 1.76 1.76 $ 145.00 $ 145.00

76946 00 Radiology 0.92 0.92 $ 96.67 $ 96.67

76946 26 Radiology 0.55 0.55 $ 45.31 $ 45.31

76946 TC Radiology 0.37 0.37 $ 55.40 $ 55.40

76948 00 Radiology 2.12 2.12 $ 174.66 $ 174.66

76948 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

76948 TC Radiology 1.13 1.13 $ 93.09 $ 93.09

76965 00 Radiology 2.62 2.62 $ 384.75 $ 384.75

76965 26 Radiology 1.92 1.92 $ 167.25 $ 167.25

76965 TC Radiology 0.7 0.7 $ 217.50 $ 217.50

76970 00 Radiology 2.54 2.54 $ 209.26 $ 209.26

76970 26 Radiology 0.55 0.55 $ 45.31 $ 45.31

76970 TC Radiology 1.99 1.99 $ 163.95 $ 163.95

76975 00 Radiology 2.93 2.93 $ 241.39 $ 241.39

76975 26 Radiology 1.2 1.2 $ 98.86 $ 98.86

76975 TC Radiology 1.73 1.73 $ 142.53 $ 142.53

76977 00 Radiology 0.21 0.21 $ 56.00 $ 56.00

76977 26 Radiology 0.08 0.08 $ 34.86 $ 34.86

76977 TC Radiology 0.13 0.13 $ 21.14 $ 21.14

76978 00 Radiology 9.18 9.18 $ 756.29 $ 756.29

76978 26 Radiology 2.3 2.3 $ 189.48 $ 189.48

76978 TC Radiology 6.88 6.88 $ 566.81 $ 566.81

76979 00 Radiology 6.23 6.23 $ 513.26 $ 513.26

76979 26 Radiology 1.21 1.21 $ 99.69 $ 99.69

76979 TC Radiology 5.02 5.02 $ 413.57 $ 413.57

76981 00 Radiology 3.04 3.04 $ 250.45 $ 250.45

76981 26 Radiology 0.85 0.85 $ 70.03 $ 70.03

76981 TC Radiology 2.19 2.19 $ 180.42 $ 180.42

76982 00 Radiology 2.72 2.72 $ 224.09 $ 224.09

76982 26 Radiology 0.85 0.85 $ 70.03 $ 70.03

76982 TC Radiology 1.87 1.87 $ 154.06 $ 154.06

76983 00 Radiology 1.67 1.67 $ 137.58 $ 137.58

76983 26 Radiology 0.72 0.72 $ 59.32 $ 59.32

76983 TC Radiology 0.95 0.95 $ 78.27 $ 78.27

Page 31: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

208

76998 00 Radiology 1.81 1.81 $ 206.25 $ 206.25

76998 26 Radiology 1.81 1.81 $ 149.12 $ 149.12

76998 TC Radiology 0 0 $0.00 $0.00

76999 00 Radiology - - BR BR

76999 26 Radiology - - BR BR

76999 TC Radiology - - BR BR

77001 00 Radiology 2.55 2.55 $ 210.08 $ 210.08

77001 26 Radiology 0.53 0.53 $ 43.66 $ 43.66

77001 TC Radiology 2.02 2.02 $ 166.42 $ 166.42

77002 00 Radiology 2.86 2.86 $ 235.62 $ 235.62

77002 26 Radiology 0.79 0.79 $ 65.08 $ 65.08

77002 TC Radiology 2.07 2.07 $ 170.54 $ 170.54

77003 00 Radiology 2.77 2.77 $ 228.21 $ 228.21

77003 26 Radiology 0.86 0.86 $ 70.85 $ 70.85

77003 TC Radiology 1.91 1.91 $ 157.35 $ 157.35

77011 00 Radiology 6.47 6.47 $ 862.50 $ 862.50

77011 26 Radiology 1.79 1.79 $ 147.47 $ 147.47

77011 TC Radiology 4.68 4.68 $ 768.89 $ 768.89

77012 00 Radiology 4.27 4.27 $ 462.00 $ 462.00

77012 26 Radiology 2.1 2.1 $ 173.01 $ 173.01

77012 TC Radiology 2.17 2.17 $ 369.83 $ 369.83

77013 00 Radiology 15.17 15.17 $ 1,249.78 $ 1,249.78

77013 26 Radiology 5.46 5.46 $ 449.82 $ 449.82

77013 TC Radiology 9.71 9.71 $ 799.96 $ 799.96

77014 00 Radiology 3.41 3.41 $ 280.93 $ 280.93

77014 26 Radiology 1.27 1.27 $ 104.63 $ 104.63

77014 TC Radiology 2.14 2.14 $ 190.53 $ 190.53

77021 00 Radiology 13.44 13.44 $ 1,107.25 $ 1,107.25

77021 26 Radiology 2.08 2.08 $ 171.36 $ 171.36

77021 TC Radiology 11.36 11.36 $ 935.89 $ 935.89

77022 00 Radiology 19.84 19.84 $ 1,634.51 $ 1,634.51

77022 26 Radiology 6.15 6.15 $ 506.67 $ 506.67

77022 TC Radiology 13.69 13.69 $ 1,127.85 $ 1,127.85

77046 00 Radiology 7.02 7.02 $ 578.34 $ 578.34

77046 26 Radiology 2.06 2.06 $ 169.71 $ 169.71

77046 TC Radiology 4.96 4.96 $ 408.63 $ 408.63

77047 00 Radiology 7.21 7.21 $ 593.99 $ 593.99

77047 26 Radiology 2.28 2.28 $ 187.84 $ 187.84

77047 TC Radiology 4.93 4.93 $ 406.16 $ 406.16

77048 00 Radiology 11.15 11.15 $ 918.59 $ 918.59

77048 26 Radiology 2.98 2.98 $ 245.51 $ 245.51

Page 32: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

209

77048 TC Radiology 8.17 8.17 $ 673.08 $ 673.08

77049 00 Radiology 11.39 11.39 $ 938.36 $ 938.36

77049 26 Radiology 3.26 3.26 $ 268.57 $ 268.57

77049 TC Radiology 8.13 8.13 $ 669.79 $ 669.79

77053 00 Radiology 1.62 1.62 $ 136.55 $ 136.55

77053 26 Radiology 0.51 0.51 $ 42.02 $ 42.02

77053 TC Radiology 1.11 1.11 $ 104.30 $ 104.30

77054 00 Radiology 2.12 2.12 $ 193.35 $ 193.35

77054 26 Radiology 0.65 0.65 $ 53.55 $ 53.55

77054 TC Radiology 1.47 1.47 $ 152.85 $ 152.85

77061 00 Radiology 3.77 3.77 $ 310.59 $ 310.59

77061 26 Radiology 1.16 1.16 $ 95.57 $ 95.57

77061 TC Radiology 2.61 2.61 $ 215.02 $ 215.02

77062 00 Radiology 4.77 4.77 $ 392.98 $ 392.98

77062 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

77062 TC Radiology 3.34 3.34 $ 275.17 $ 275.17

77063 00 Radiology 1.55 1.55 $ 127.70 $ 127.70

77063 26 Radiology 0.85 0.85 $ 70.03 $ 70.03

77063 TC Radiology 0.7 0.7 $ 57.67 $ 57.67

77065 00 Radiology 3.77 3.77 $ 310.59 $ 310.59

77065 26 Radiology 1.16 1.16 $ 95.57 $ 95.57

77065 TC Radiology 2.61 2.61 $ 215.02 $ 215.02

77066 00 Radiology 4.77 4.77 $ 392.98 $ 392.98

77066 26 Radiology 1.43 1.43 $ 117.81 $ 117.81

77066 TC Radiology 3.34 3.34 $ 275.17 $ 275.17

77067 00 Radiology 3.84 3.84 $ 316.36 $ 316.36

77067 26 Radiology 1.08 1.08 $ 88.98 $ 88.98

77067 TC Radiology 2.76 2.76 $ 227.38 $ 227.38

77071 00 Radiology 1.43 1.43 $ 117.81 $ 117.81

77072 00 Radiology 0.68 0.68 $ 56.02 $ 56.02

77072 26 Radiology 0.27 0.27 $ 22.24 $ 22.24

77072 TC Radiology 0.41 0.41 $ 33.78 $ 33.78

77073 00 Radiology 1.06 1.06 $ 87.33 $ 87.33

77073 26 Radiology 0.41 0.41 $ 33.78 $ 33.78

77073 TC Radiology 0.65 0.65 $ 53.55 $ 53.55

77074 00 Radiology 1.91 1.91 $ 157.35 $ 157.35

77074 26 Radiology 0.65 0.65 $ 53.55 $ 53.55

77074 TC Radiology 1.26 1.26 $ 103.80 $ 103.80

77075 00 Radiology 2.6 2.6 $ 214.20 $ 214.20

77075 26 Radiology 0.77 0.77 $ 63.44 $ 63.44

77075 TC Radiology 1.83 1.83 $ 150.76 $ 150.76

Page 33: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

210

77076 00 Radiology 2.85 2.85 $ 234.80 $ 234.80

77076 26 Radiology 1 1 $ 82.38 $ 82.38

77076 TC Radiology 1.85 1.85 $ 152.41 $ 152.41

77077 00 Radiology 1.09 1.09 $ 89.80 $ 89.80

77077 26 Radiology 0.46 0.46 $ 37.90 $ 37.90

77077 TC Radiology 0.63 0.63 $ 51.90 $ 51.90

77078 00 Radiology 3.24 3.24 $ 266.93 $ 266.93

77078 26 Radiology 0.35 0.35 $ 28.83 $ 28.83

77078 TC Radiology 2.89 2.89 $ 238.09 $ 238.09

77080 00 Radiology 1.13 1.13 $ 141.66 $ 141.66

77080 26 Radiology 0.28 0.28 $ 23.07 $ 23.07

77080 TC Radiology 0.85 0.85 $ 124.41 $ 124.41

77081 00 Radiology 0.94 0.94 $ 77.44 $ 77.44

77081 26 Radiology 0.29 0.29 $ 23.89 $ 23.89

77081 TC Radiology 0.65 0.65 $ 54.21 $ 54.21

77084 00 Radiology 10.72 10.72 $ 883.16 $ 883.16

77084 26 Radiology 2.29 2.29 $ 188.66 $ 188.66

77084 TC Radiology 8.43 8.43 $ 694.50 $ 694.50

77085 00 Radiology 1.54 1.54 $ 134.84 $ 134.84

77085 26 Radiology 0.43 0.43 $ 35.43 $ 35.43

77085 TC Radiology 1.11 1.11 $ 91.45 $ 91.45

77086 00 Radiology 0.99 0.99 $ 81.56 $ 81.56

77086 26 Radiology 0.24 0.24 $ 19.77 $ 19.77

77086 TC Radiology 0.75 0.75 $ 61.79 $ 61.79

77261 00 Radiology 2.03 2.03 $ 167.24 $ 167.24

77262 00 Radiology 3.06 3.06 $ 252.10 $ 252.10

77263 00 Radiology 4.78 4.78 $ 393.80 $ 393.80

77280 00 Radiology 7.84 7.84 $ 645.90 $ 645.90

77280 26 Radiology 1.06 1.06 $ 87.33 $ 87.33

77280 TC Radiology 6.78 6.78 $ 558.57 $ 558.57

77285 00 Radiology 12.97 12.97 $ 1,068.53 $ 1,068.53

77285 26 Radiology 1.61 1.61 $ 132.64 $ 132.64

77285 TC Radiology 11.36 11.36 $ 935.89 $ 935.89

77290 00 Radiology 14.43 14.43 $ 1,188.81 $ 1,188.81

77290 26 Radiology 2.33 2.33 $ 191.96 $ 191.96

77290 TC Radiology 12.1 12.1 $ 996.86 $ 996.86

77293 00 Radiology 13.06 13.06 $ 1,075.95 $ 1,075.95

77293 26 Radiology 2.99 2.99 $ 246.33 $ 246.33

77293 TC Radiology 10.07 10.07 $ 829.61 $ 829.61

77295 00 Radiology 13.94 13.94 $ 1,672.50 $ 1,672.50

77295 26 Radiology 6.4 6.4 $ 527.26 $ 527.26

Page 34: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

211

77295 TC Radiology 7.54 7.54 $ 1,233.00 $ 1,233.00

77299 00 Radiology - - BR BR

77299 26 Radiology - - BR BR

77299 TC Radiology - - BR BR

77300 00 Radiology 1.89 1.89 $ 155.71 $ 155.71

77300 26 Radiology 0.93 0.93 $ 76.62 $ 76.62

77300 TC Radiology 0.96 0.96 $ 79.09 $ 79.09

77301 00 Radiology 55.05 55.05 $ 4,535.28 $ 4,535.28

77301 26 Radiology 11.92 11.92 $ 982.03 $ 982.03

77301 TC Radiology 43.13 43.13 $ 3,553.26 $ 3,553.26

77306 00 Radiology 4.25 4.25 $ 350.14 $ 350.14

77306 26 Radiology 2.09 2.09 $ 172.18 $ 172.18

77306 TC Radiology 2.16 2.16 $ 177.95 $ 177.95

77307 00 Radiology 8.22 8.22 $ 677.20 $ 677.20

77307 26 Radiology 4.32 4.32 $ 355.90 $ 355.90

77307 TC Radiology 3.9 3.9 $ 321.30 $ 321.30

77316 00 Radiology 5.78 5.78 $ 476.18 $ 476.18

77316 26 Radiology 2.1 2.1 $ 173.01 $ 173.01

77316 TC Radiology 3.68 3.68 $ 303.18 $ 303.18

77317 00 Radiology 7.57 7.57 $ 623.65 $ 623.65

77317 26 Radiology 2.73 2.73 $ 224.91 $ 224.91

77317 TC Radiology 4.84 4.84 $ 398.74 $ 398.74

77318 00 Radiology 10.88 10.88 $ 896.35 $ 896.35

77318 26 Radiology 4.32 4.32 $ 355.90 $ 355.90

77318 TC Radiology 6.56 6.56 $ 540.44 $ 540.44

77321 00 Radiology 2.66 2.66 $ 261.75 $ 261.75

77321 26 Radiology 1.42 1.42 $ 116.99 $ 116.99

77321 TC Radiology 1.24 1.24 $ 177.47 $ 177.47

77331 00 Radiology 1.84 1.84 $ 151.59 $ 151.59

77331 26 Radiology 1.3 1.3 $ 107.10 $ 107.10

77331 TC Radiology 0.54 0.54 $ 44.49 $ 44.49

77332 00 Radiology 1.49 1.49 $ 144.38 $ 144.38

77332 26 Radiology 0.68 0.68 $ 60.14 $ 60.14

77332 TC Radiology 0.81 0.81 $ 84.24 $ 84.24

77333 00 Radiology 3.1 3.1 $ 255.39 $ 255.39

77333 26 Radiology 1.12 1.12 $ 92.27 $ 92.27

77333 TC Radiology 1.98 1.98 $ 163.12 $ 163.12

77334 00 Radiology 3.64 3.64 $ 299.88 $ 299.88

77334 26 Radiology 1.72 1.72 $ 141.70 $ 141.70

77334 TC Radiology 1.92 1.92 $ 161.32 $ 161.32

77336 00 Radiology 2.26 2.26 $ 186.19 $ 186.19

Page 35: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

212

77338 00 Radiology 14.16 14.16 $ 1,166.57 $ 1,166.57

77338 26 Radiology 6.4 6.4 $ 600.53 $ 600.53

77338 TC Radiology 7.76 7.76 $ 639.31 $ 639.31

77370 00 Radiology 3.52 3.52 $ 289.99 $ 289.99

77371 00 Radiology 34.27 34.27 $ 2,823.33 $ 2,823.33

77372 00 Radiology 30.24 30.24 $ 2,491.32 $ 2,491.32

77373 00 Radiology 36.61 36.61 $ 3,016.11 $ 3,016.11

77385 00 Radiology 10.03 10.03 $ 885.06 $ 885.06

77386 00 Radiology 10.06 10.06 $ 1,263.54 $ 1,263.54

77387 00 Radiology 2.25 2.25 $ 198.08 $ 198.08

77399 00 Radiology - - BR BR

77399 26 Radiology - - BR BR

77399 TC Radiology - - BR BR

77401 00 Radiology 0.7 0.7 $ 85.07 $ 85.07

77402 00 Radiology 4.05 4.05 $ 333.66 $ 333.66

77407 00 Radiology 5.57 5.57 $ 458.88 $ 458.88

77412 00 Radiology 7.45 7.45 $ 613.77 $ 613.77

77417 00 Radiology 0.32 0.32 $ 26.36 $ 26.36

77423 00 Radiology 2.71 2.71 $ 398.53 $ 398.53

77424 00 Radiology 0 0 $0.00 $0.00

77425 00 Radiology 0 0 $0.00 $0.00

77427 00 Radiology 5.37 5.37 $ 442.41 $ 442.41

77431 00 Radiology 2.96 2.96 $ 243.86 $ 243.86

77432 00 Radiology 12.05 12.05 $ 992.74 $ 992.74

77435 00 Radiology 18.17 18.17 $ 1,496.93 $ 1,496.93

77469 00 Radiology 9 9 $ 741.46 $ 741.46

77470 00 Radiology 3.75 3.75 $ 621.00 $ 621.00

77470 26 Radiology 3.03 3.03 $ 249.63 $ 249.63

77470 TC Radiology 0.72 0.72 $ 477.93 $ 477.93

77499 00 Radiology - - BR BR

77499 26 Radiology - - BR BR

77499 TC Radiology - - BR BR

77520 00 Radiology 24.83 24.83 $ 2,045.61 $ 2,045.61

77522 00 Radiology 24.81 24.81 $ 2,043.97 $ 2,043.97

77523 00 Radiology 28.75 28.75 $ 2,368.56 $ 2,368.56

77525 00 Radiology 31.96 31.96 $ 2,633.02 $ 2,633.02

77600 00 Radiology 12.76 12.76 $ 1,051.23 $ 1,051.23

77600 26 Radiology 2.02 2.02 $ 166.42 $ 166.42

77600 TC Radiology 10.74 10.74 $ 884.81 $ 884.81

77605 00 Radiology 22.05 22.05 $ 1,816.58 $ 1,816.58

77605 26 Radiology 2.92 2.92 $ 240.56 $ 240.56

Page 36: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

213

77605 TC Radiology 19.13 19.13 $ 1,576.02 $ 1,576.02

77610 00 Radiology 19.6 19.6 $ 1,614.74 $ 1,614.74

77610 26 Radiology 1.94 1.94 $ 159.83 $ 159.83

77610 TC Radiology 17.66 17.66 $ 1,454.92 $ 1,454.92

77615 00 Radiology 30.09 30.09 $ 2,478.96 $ 2,478.96

77615 26 Radiology 2.73 2.73 $ 224.91 $ 224.91

77615 TC Radiology 27.36 27.36 $ 2,254.05 $ 2,254.05

77620 00 Radiology 14.67 14.67 $ 1,208.58 $ 1,208.58

77620 26 Radiology 2.46 2.46 $ 202.67 $ 202.67

77620 TC Radiology 12.21 12.21 $ 1,005.92 $ 1,005.92

77750 00 Radiology 10.79 10.79 $ 888.93 $ 888.93

77750 26 Radiology 7.45 7.45 $ 613.77 $ 613.77

77750 TC Radiology 3.34 3.34 $ 275.17 $ 275.17

77761 00 Radiology 11.33 11.33 $ 933.42 $ 933.42

77761 26 Radiology 5.75 5.75 $ 473.71 $ 473.71

77761 TC Radiology 5.58 5.58 $ 459.71 $ 459.71

77762 00 Radiology 15 15 $ 1,235.77 $ 1,235.77

77762 26 Radiology 8.61 8.61 $ 709.33 $ 709.33

77762 TC Radiology 6.39 6.39 $ 526.44 $ 526.44

77763 00 Radiology 21.36 21.36 $ 1,759.74 $ 1,759.74

77763 26 Radiology 12.96 12.96 $ 1,067.71 $ 1,067.71

77763 TC Radiology 8.4 8.4 $ 692.03 $ 692.03

77767 00 Radiology 6.6 6.6 $ 543.74 $ 543.74

77767 26 Radiology 1.57 1.57 $ 129.34 $ 129.34

77767 TC Radiology 5.03 5.03 $ 414.40 $ 414.40

77768 00 Radiology 10.14 10.14 $ 835.38 $ 835.38

77768 26 Radiology 2.1 2.1 $ 173.01 $ 173.01

77768 TC Radiology 8.04 8.04 $ 662.37 $ 662.37

77770 00 Radiology 9.36 9.36 $ 771.12 $ 771.12

77770 26 Radiology 2.9 2.9 $ 238.92 $ 238.92

77770 TC Radiology 6.46 6.46 $ 532.21 $ 532.21

77771 00 Radiology 17.08 17.08 $ 1,407.13 $ 1,407.13

77771 26 Radiology 5.68 5.68 $ 467.95 $ 467.95

77771 TC Radiology 11.4 11.4 $ 939.19 $ 939.19

77772 00 Radiology 25.88 25.88 $ 2,132.12 $ 2,132.12

77772 26 Radiology 8.04 8.04 $ 662.37 $ 662.37

77772 TC Radiology 17.84 17.84 $ 1,469.74 $ 1,469.74

77778 00 Radiology 24.07 24.07 $ 1,983.00 $ 1,983.00

77778 26 Radiology 13.07 13.07 $ 1,076.77 $ 1,076.77

77778 TC Radiology 11 11 $ 906.23 $ 906.23

77789 00 Radiology 3.49 3.49 $ 287.52 $ 287.52

Page 37: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

214

77789 26 Radiology 1.71 1.71 $ 140.88 $ 140.88

77789 TC Radiology 1.78 1.78 $ 146.64 $ 146.64

77790 00 Radiology 0.43 0.43 $ 142.73 $ 142.73

77799 00 Radiology - - BR BR

77799 26 Radiology - - BR BR

77799 TC Radiology - - BR BR

78012 00 Radiology 2.34 2.34 $ 192.78 $ 192.78

78012 26 Radiology 0.27 0.27 $ 22.24 $ 22.24

78012 TC Radiology 2.07 2.07 $ 170.54 $ 170.54

78013 00 Radiology 5.54 5.54 $ 456.41 $ 456.41

78013 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

78013 TC Radiology 5.02 5.02 $ 413.57 $ 413.57

78014 00 Radiology 6.95 6.95 $ 572.57 $ 572.57

78014 26 Radiology 0.7 0.7 $ 57.67 $ 57.67

78014 TC Radiology 6.25 6.25 $ 514.90 $ 514.90

78015 00 Radiology 6.47 6.47 $ 533.03 $ 533.03

78015 26 Radiology 0.95 0.95 $ 78.27 $ 78.27

78015 TC Radiology 5.52 5.52 $ 454.76 $ 454.76

78016 00 Radiology 8.12 8.12 $ 668.96 $ 668.96

78016 26 Radiology 0.97 0.97 $ 82.51 $ 82.51

78016 TC Radiology 7.15 7.15 $ 589.05 $ 589.05

78018 00 Radiology 9.03 9.03 $ 743.93 $ 743.93

78018 26 Radiology 1.17 1.17 $ 113.48 $ 113.48

78018 TC Radiology 7.86 7.86 $ 647.54 $ 647.54

78020 00 Radiology 2.41 2.41 $ 198.55 $ 198.55

78020 26 Radiology 0.79 0.79 $ 65.08 $ 65.08

78020 TC Radiology 1.62 1.62 $ 133.46 $ 133.46

78070 00 Radiology 8.61 8.61 $ 709.33 $ 709.33

78070 26 Radiology 1.11 1.11 $ 91.45 $ 91.45

78070 TC Radiology 7.5 7.5 $ 617.89 $ 617.89

78071 00 Radiology 10.27 10.27 $ 846.09 $ 846.09

78071 26 Radiology 1.67 1.67 $ 137.58 $ 137.58

78071 TC Radiology 8.6 8.6 $ 708.51 $ 708.51

78072 00 Radiology 11.21 11.21 $ 923.53 $ 923.53

78072 26 Radiology 2.19 2.19 $ 180.42 $ 180.42

78072 TC Radiology 9.02 9.02 $ 743.11 $ 743.11

78075 00 Radiology 13 13 $ 1,071.00 $ 1,071.00

78075 26 Radiology 1.06 1.06 $ 103.72 $ 103.72

78075 TC Radiology 11.94 11.94 $ 983.67 $ 983.67

78099 00 Radiology - - BR BR

78099 26 Radiology - - BR BR

Page 38: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

215

78099 TC Radiology - - BR BR

78102 00 Radiology 4.89 4.89 $ 402.86 $ 402.86

78102 26 Radiology 0.75 0.75 $ 61.79 $ 61.79

78102 TC Radiology 4.14 4.14 $ 341.07 $ 341.07

78103 00 Radiology 6.27 6.27 $ 516.55 $ 516.55

78103 26 Radiology 1 1 $ 82.38 $ 82.38

78103 TC Radiology 5.27 5.27 $ 434.17 $ 434.17

78104 00 Radiology 7.15 7.15 $ 589.05 $ 589.05

78104 26 Radiology 1.1 1.1 $ 90.62 $ 90.62

78104 TC Radiology 6.05 6.05 $ 498.43 $ 498.43

78110 00 Radiology 1.99 1.99 $ 163.95 $ 163.95

78110 26 Radiology 0.23 0.23 $ 18.95 $ 18.95

78110 TC Radiology 1.76 1.76 $ 145.00 $ 145.00

78111 00 Radiology 2.11 2.11 $ 173.83 $ 173.83

78111 26 Radiology 0.27 0.27 $ 36.74 $ 36.74

78111 TC Radiology 1.84 1.84 $ 151.59 $ 151.59

78120 00 Radiology 2.04 2.04 $ 168.06 $ 168.06

78120 26 Radiology 0.28 0.28 $ 28.13 $ 28.13

78120 TC Radiology 1.76 1.76 $ 145.00 $ 145.00

78121 00 Radiology 2.23 2.23 $ 187.87 $ 187.87

78121 26 Radiology 0.39 0.39 $ 43.71 $ 43.71

78121 TC Radiology 1.84 1.84 $ 151.59 $ 151.59

78122 00 Radiology 2.73 2.73 $ 229.68 $ 229.68

78122 26 Radiology 0.6 0.6 $ 53.86 $ 53.86

78122 TC Radiology 2.13 2.13 $ 175.82 $ 175.82

78130 00 Radiology 3.56 3.56 $ 293.29 $ 293.29

78130 26 Radiology 0.72 0.72 $ 59.32 $ 59.32

78130 TC Radiology 2.84 2.84 $ 233.97 $ 233.97

78135 00 Radiology 8.02 8.02 $ 660.73 $ 660.73

78135 26 Radiology 0.76 0.76 $ 70.79 $ 70.79

78135 TC Radiology 7.26 7.26 $ 598.11 $ 598.11

78140 00 Radiology 3.14 3.14 $ 258.69 $ 258.69

78140 26 Radiology 0.72 0.72 $ 63.03 $ 63.03

78140 TC Radiology 2.42 2.42 $ 199.37 $ 199.37

78185 00 Radiology 4.87 4.87 $ 401.21 $ 401.21

78185 26 Radiology 0.48 0.48 $ 40.92 $ 40.92

78185 TC Radiology 4.39 4.39 $ 361.67 $ 361.67

78191 00 Radiology 3.56 3.56 $ 366.75 $ 366.75

78191 26 Radiology 0.72 0.72 $ 82.69 $ 82.69

78191 TC Radiology 2.84 2.84 $ 284.06 $ 284.06

78195 00 Radiology 10.27 10.27 $ 846.09 $ 846.09

Page 39: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

216

78195 26 Radiology 1.67 1.67 $ 137.58 $ 137.58

78195 TC Radiology 8.6 8.6 $ 708.51 $ 708.51

78199 00 Radiology - - BR BR

78199 26 Radiology - - BR BR

78199 TC Radiology - - BR BR

78201 00 Radiology 5.49 5.49 $ 452.29 $ 452.29

78201 26 Radiology 0.6 0.6 $ 49.43 $ 49.43

78201 TC Radiology 4.89 4.89 $ 402.86 $ 402.86

78202 00 Radiology 5.82 5.82 $ 479.48 $ 479.48

78202 26 Radiology 0.67 0.67 $ 55.20 $ 55.20

78202 TC Radiology 5.15 5.15 $ 424.28 $ 424.28

78205 00 Radiology 6.08 6.08 $ 500.90 $ 500.90

78205 26 Radiology 0.95 0.95 $ 86.26 $ 86.26

78205 TC Radiology 5.13 5.13 $ 422.63 $ 422.63

78206 00 Radiology 9.78 9.78 $ 805.72 $ 805.72

78206 26 Radiology 1.32 1.32 $ 108.75 $ 108.75

78206 TC Radiology 8.46 8.46 $ 696.98 $ 696.98

78215 00 Radiology 5.61 5.61 $ 462.18 $ 462.18

78215 26 Radiology 0.69 0.69 $ 56.85 $ 56.85

78215 TC Radiology 4.92 4.92 $ 405.33 $ 405.33

78216 00 Radiology 3.68 3.68 $ 303.18 $ 303.18

78216 26 Radiology 0.78 0.78 $ 64.26 $ 64.26

78216 TC Radiology 2.9 2.9 $ 238.92 $ 238.92

78226 00 Radiology 9.52 9.52 $ 784.30 $ 784.30

78226 26 Radiology 1.04 1.04 $ 132.52 $ 132.52

78226 TC Radiology 8.48 8.48 $ 698.62 $ 698.62

78227 00 Radiology 12.87 12.87 $ 1,060.29 $ 1,060.29

78227 26 Radiology 1.27 1.27 $ 199.70 $ 199.70

78227 TC Radiology 11.6 11.6 $ 955.66 $ 955.66

78230 00 Radiology 5.03 5.03 $ 414.40 $ 414.40

78230 26 Radiology 0.65 0.65 $ 53.55 $ 53.55

78230 TC Radiology 4.38 4.38 $ 360.85 $ 360.85

78231 00 Radiology 2.98 2.98 $ 245.51 $ 245.51

78231 26 Radiology 0.62 0.62 $ 55.40 $ 55.40

78231 TC Radiology 2.36 2.36 $ 194.43 $ 194.43

78232 00 Radiology 2.92 2.92 $ 240.56 $ 240.56

78232 26 Radiology 0.56 0.56 $ 46.14 $ 46.14

78232 TC Radiology 2.36 2.36 $ 194.43 $ 194.43

78258 00 Radiology 6.31 6.31 $ 519.85 $ 519.85

78258 26 Radiology 1.02 1.02 $ 84.03 $ 84.03

78258 TC Radiology 5.29 5.29 $ 435.82 $ 435.82

Page 40: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

217

78261 00 Radiology 5.83 5.83 $ 480.30 $ 480.30

78261 26 Radiology 0.82 0.82 $ 72.60 $ 72.60

78261 TC Radiology 5.01 5.01 $ 412.75 $ 412.75

78262 00 Radiology 6.95 6.95 $ 572.57 $ 572.57

78262 26 Radiology 0.94 0.94 $ 77.44 $ 77.44

78262 TC Radiology 6.01 6.01 $ 495.13 $ 495.13

78264 00 Radiology 9.65 9.65 $ 795.01 $ 795.01

78264 26 Radiology 1.1 1.1 $ 90.62 $ 90.62

78264 TC Radiology 8.55 8.55 $ 704.39 $ 704.39

78265 00 Radiology 11.45 11.45 $ 943.31 $ 943.31

78265 26 Radiology 1.37 1.37 $ 112.87 $ 112.87

78265 TC Radiology 10.08 10.08 $ 830.44 $ 830.44

78266 00 Radiology 13.58 13.58 $ 1,118.79 $ 1,118.79

78266 26 Radiology 1.51 1.51 $ 124.40 $ 124.40

78266 TC Radiology 12.07 12.07 $ 994.38 $ 994.38

78267 00 Radiology 0.31 0.31 $ 25.54 $ 25.54

78268 00 Radiology 2.62 2.62 $ 215.85 $ 215.85

78278 00 Radiology 10.06 10.06 $ 828.79 $ 828.79

78278 26 Radiology 1.39 1.39 $ 114.51 $ 114.51

78278 TC Radiology 8.67 8.67 $ 714.28 $ 714.28

78282 00 Radiology 1.84 1.84 $ 155.84 $ 155.84

78282 26 Radiology 0.46 0.46 $ 48.57 $ 48.57

78282 TC Radiology 1.38 1.38 $ 113.69 $ 113.69

78290 00 Radiology 9.53 9.53 $ 785.13 $ 785.13

78290 26 Radiology 0.95 0.95 $ 78.27 $ 78.27

78290 TC Radiology 8.58 8.58 $ 706.86 $ 706.86

78291 00 Radiology 7.39 7.39 $ 608.82 $ 608.82

78291 26 Radiology 1.21 1.21 $ 99.69 $ 99.69

78291 TC Radiology 6.18 6.18 $ 509.14 $ 509.14

78299 00 Radiology - - BR BR

78299 26 Radiology - - BR BR

78299 TC Radiology - - BR BR

78300 00 Radiology 6.63 6.63 $ 546.21 $ 546.21

78300 26 Radiology 0.88 0.88 $ 72.50 $ 72.50

78300 TC Radiology 5.75 5.75 $ 473.71 $ 473.71

78305 00 Radiology 8.08 8.08 $ 665.67 $ 665.67

78305 26 Radiology 1.17 1.17 $ 96.39 $ 96.39

78305 TC Radiology 6.91 6.91 $ 569.28 $ 569.28

78306 00 Radiology 8.71 8.71 $ 717.57 $ 717.57

78306 26 Radiology 1.2 1.2 $ 98.86 $ 98.86

78306 TC Radiology 7.51 7.51 $ 618.71 $ 618.71

Page 41: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

218

78315 00 Radiology 9.98 9.98 $ 822.20 $ 822.20

78315 26 Radiology 1.42 1.42 $ 116.99 $ 116.99

78315 TC Radiology 8.56 8.56 $ 705.21 $ 705.21

78320 00 Radiology 6.59 6.59 $ 542.92 $ 542.92

78320 26 Radiology 1.44 1.44 $ 118.63 $ 118.63

78320 TC Radiology 5.15 5.15 $ 424.28 $ 424.28

78350 00 Radiology 0.93 0.93 $ 76.62 $ 76.62

78350 26 Radiology 0.32 0.32 $ 26.36 $ 26.36

78350 TC Radiology 0.61 0.61 $ 50.25 $ 50.25

78351 00 Radiology 0.44 0.44 $ 93.00 $ 93.00

78399 00 Radiology - - BR BR

78399 26 Radiology - - BR BR

78399 TC Radiology - - BR BR

78414 00 Radiology 2.1 2.1 $ 345.19 $ 345.19

78414 26 Radiology 0.63 0.63 $ 66.24 $ 66.24

78414 TC Radiology 1.47 1.47 $ 278.95 $ 278.95

78428 00 Radiology 5.29 5.29 $ 435.82 $ 435.82

78428 26 Radiology 1.07 1.07 $ 88.15 $ 88.15

78428 TC Radiology 4.22 4.22 $ 347.66 $ 347.66

78445 00 Radiology 5.38 5.38 $ 443.23 $ 443.23

78445 26 Radiology 0.71 0.71 $ 58.49 $ 58.49

78445 TC Radiology 4.67 4.67 $ 384.74 $ 384.74

78451 00 Radiology 9.77 9.77 $ 804.90 $ 804.90

78451 26 Radiology 1.91 1.91 $ 157.35 $ 157.35

78451 TC Radiology 7.86 7.86 $ 647.54 $ 647.54

78452 00 Radiology 13.6 13.6 $ 1,120.43 $ 1,120.43

78452 26 Radiology 2.24 2.24 $ 184.54 $ 184.54

78452 TC Radiology 11.36 11.36 $ 935.89 $ 935.89

78453 00 Radiology 8.78 8.78 $ 723.34 $ 723.34

78453 26 Radiology 1.41 1.41 $ 116.16 $ 116.16

78453 TC Radiology 7.37 7.37 $ 607.18 $ 607.18

78454 00 Radiology 12.56 12.56 $ 1,034.75 $ 1,034.75

78454 26 Radiology 1.89 1.89 $ 155.71 $ 155.71

78454 TC Radiology 10.67 10.67 $ 879.05 $ 879.05

78456 00 Radiology 8.93 8.93 $ 735.70 $ 735.70

78456 26 Radiology 1.38 1.38 $ 113.69 $ 113.69

78456 TC Radiology 7.55 7.55 $ 622.00 $ 622.00

78457 00 Radiology 5.52 5.52 $ 454.76 $ 454.76

78457 26 Radiology 1.11 1.11 $ 91.45 $ 91.45

78457 TC Radiology 4.41 4.41 $ 363.32 $ 363.32

78458 00 Radiology 5.92 5.92 $ 487.72 $ 487.72

Page 42: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

219

78458 26 Radiology 1.28 1.28 $ 105.45 $ 105.45

78458 TC Radiology 4.64 4.64 $ 382.27 $ 382.27

78459 00 Radiology 11.82 11.82 $ 2,899.58 $ 2,899.58

78459 26 Radiology 2.01 2.01 $ 165.59 $ 165.59

78459 TC Radiology 9.81 9.81 $ 2,761.50 $ 2,761.50

78466 00 Radiology 5.67 5.67 $ 467.12 $ 467.12

78466 26 Radiology 0.99 0.99 $ 81.56 $ 81.56

78466 TC Radiology 4.68 4.68 $ 385.56 $ 385.56

78468 00 Radiology 5.88 5.88 $ 484.42 $ 484.42

78468 26 Radiology 1.12 1.12 $ 92.27 $ 92.27

78468 TC Radiology 4.76 4.76 $ 392.15 $ 392.15

78469 00 Radiology 6.5 6.5 $ 535.50 $ 535.50

78469 26 Radiology 1.29 1.29 $ 106.28 $ 106.28

78469 TC Radiology 5.21 5.21 $ 429.22 $ 429.22

78472 00 Radiology 6.59 6.59 $ 542.92 $ 542.92

78472 26 Radiology 1.37 1.37 $ 112.87 $ 112.87

78472 TC Radiology 5.22 5.22 $ 430.05 $ 430.05

78473 00 Radiology 8.32 8.32 $ 685.44 $ 685.44

78473 26 Radiology 2.02 2.02 $ 166.42 $ 166.42

78473 TC Radiology 6.3 6.3 $ 519.02 $ 519.02

78481 00 Radiology 5.06 5.06 $ 416.87 $ 416.87

78481 26 Radiology 1.37 1.37 $ 112.87 $ 112.87

78481 TC Radiology 3.69 3.69 $ 304.00 $ 304.00

78483 00 Radiology 6.83 6.83 $ 562.69 $ 562.69

78483 26 Radiology 2.01 2.01 $ 165.59 $ 165.59

78483 TC Radiology 4.82 4.82 $ 397.09 $ 397.09

78491 00 Radiology 12.63 12.63 $ 2,899.58 $ 2,899.58

78491 26 Radiology 2.02 2.02 $ 166.42 $ 166.42

78491 TC Radiology 10.61 10.61 $ 2,761.50 $ 2,761.50

78492 00 Radiology 15.94 15.94 $ 2,899.58 $ 2,899.58

78492 26 Radiology 2.55 2.55 $ 210.08 $ 210.08

78492 TC Radiology 13.39 13.39 $ 2,756.33 $ 2,756.33

78494 00 Radiology 6.51 6.51 $ 536.32 $ 536.32

78494 26 Radiology 1.65 1.65 $ 135.93 $ 135.93

78494 TC Radiology 4.86 4.86 $ 400.39 $ 400.39

78496 00 Radiology 1.25 1.25 $ 189.00 $ 189.00

78496 26 Radiology 0.69 0.69 $ 56.85 $ 56.85

78496 TC Radiology 0.56 0.56 $ 151.50 $ 151.50

78499 00 Radiology - - BR BR

78499 26 Radiology - - BR BR

78499 TC Radiology - - BR BR

Page 43: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

220

78579 00 Radiology 5.36 5.36 $ 441.58 $ 441.58

78579 26 Radiology 0.68 0.68 $ 61.61 $ 61.61

78579 TC Radiology 4.68 4.68 $ 385.56 $ 385.56

78580 00 Radiology 6.87 6.87 $ 565.98 $ 565.98

78580 26 Radiology 1.04 1.04 $ 85.68 $ 85.68

78580 TC Radiology 5.83 5.83 $ 480.30 $ 480.30

78582 00 Radiology 9.64 9.64 $ 794.19 $ 794.19

78582 26 Radiology 1.5 1.5 $ 166.34 $ 166.34

78582 TC Radiology 8.14 8.14 $ 670.61 $ 670.61

78597 00 Radiology 5.79 5.79 $ 477.01 $ 477.01

78597 26 Radiology 1.01 1.01 $ 83.21 $ 83.21

78597 TC Radiology 4.78 4.78 $ 393.80 $ 393.80

78598 00 Radiology 8.8 8.8 $ 724.99 $ 724.99

78598 26 Radiology 1.17 1.17 $ 96.65 $ 96.65

78598 TC Radiology 7.63 7.63 $ 628.60 $ 628.60

78599 00 Radiology 0 0 $0.00 $0.00

78599 26 Radiology 0 0 $0.00 $0.00

78599 TC Radiology 0 0 $0.00 $0.00

78600 00 Radiology 5.32 5.32 $ 438.29 $ 438.29

78600 26 Radiology 0.63 0.63 $ 51.90 $ 51.90

78600 TC Radiology 4.69 4.69 $ 386.38 $ 386.38

78601 00 Radiology 6.25 6.25 $ 514.90 $ 514.90

78601 26 Radiology 0.72 0.72 $ 59.32 $ 59.32

78601 TC Radiology 5.53 5.53 $ 455.59 $ 455.59

78605 00 Radiology 5.74 5.74 $ 472.89 $ 472.89

78605 26 Radiology 0.76 0.76 $ 62.61 $ 62.61

78605 TC Radiology 4.98 4.98 $ 410.28 $ 410.28

78606 00 Radiology 9.5 9.5 $ 782.66 $ 782.66

78606 26 Radiology 0.89 0.89 $ 73.32 $ 73.32

78606 TC Radiology 8.61 8.61 $ 709.33 $ 709.33

78607 00 Radiology 9.99 9.99 $ 823.02 $ 823.02

78607 26 Radiology 1.68 1.68 $ 138.41 $ 138.41

78607 TC Radiology 8.31 8.31 $ 684.62 $ 684.62

78608 00 Radiology 17 17 $ 2,899.58 $ 2,899.58

78608 26 Radiology 2.04 2.04 $ 168.06 $ 168.06

78608 TC Radiology 14.96 14.96 $ 2,761.50 $ 2,761.50

78609 00 Radiology 2.12 2.12 $ 2,707.31 $ 2,707.31

78609 26 Radiology 2.12 2.12 $ 174.66 $ 174.66

78609 TC Radiology 0 0 $0.00 $0.00

78610 00 Radiology 5.04 5.04 $ 415.22 $ 415.22

78610 26 Radiology 0.43 0.43 $ 35.43 $ 35.43

Page 44: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

221

78610 TC Radiology 4.61 4.61 $ 379.79 $ 379.79

78630 00 Radiology 9.74 9.74 $ 802.43 $ 802.43

78630 26 Radiology 0.96 0.96 $ 79.09 $ 79.09

78630 TC Radiology 8.78 8.78 $ 723.34 $ 723.34

78635 00 Radiology 9.77 9.77 $ 804.90 $ 804.90

78635 26 Radiology 0.88 0.88 $ 72.50 $ 72.50

78635 TC Radiology 8.89 8.89 $ 732.40 $ 732.40

78645 00 Radiology 9.37 9.37 $ 771.95 $ 771.95

78645 26 Radiology 0.79 0.79 $ 65.08 $ 65.08

78645 TC Radiology 8.58 8.58 $ 706.86 $ 706.86

78647 00 Radiology 10.03 10.03 $ 826.32 $ 826.32

78647 26 Radiology 1.28 1.28 $ 105.45 $ 105.45

78647 TC Radiology 8.75 8.75 $ 720.87 $ 720.87

78650 00 Radiology 7.89 7.89 $ 650.02 $ 650.02

78650 26 Radiology 0.72 0.72 $ 66.97 $ 66.97

78650 TC Radiology 7.17 7.17 $ 590.70 $ 590.70

78660 00 Radiology 5.26 5.26 $ 433.34 $ 433.34

78660 26 Radiology 0.75 0.75 $ 61.79 $ 61.79

78660 TC Radiology 4.51 4.51 $ 371.56 $ 371.56

78699 00 Radiology 0 0 $0.00 $0.00

78699 26 Radiology 0 0 $0.00 $0.00

78699 TC Radiology 0 0 $0.00 $0.00

78700 00 Radiology 4.92 4.92 $ 405.33 $ 405.33

78700 26 Radiology 0.62 0.62 $ 58.60 $ 58.60

78700 TC Radiology 4.3 4.3 $ 354.25 $ 354.25

78701 00 Radiology 6.26 6.26 $ 515.73 $ 515.73

78701 26 Radiology 0.69 0.69 $ 67.50 $ 67.50

78701 TC Radiology 5.57 5.57 $ 458.88 $ 458.88

78707 00 Radiology 6.69 6.69 $ 551.15 $ 551.15

78707 26 Radiology 1.32 1.32 $ 108.75 $ 108.75

78707 TC Radiology 5.37 5.37 $ 442.41 $ 442.41

78708 00 Radiology 5.09 5.09 $ 419.34 $ 419.34

78708 26 Radiology 1.68 1.68 $ 138.41 $ 138.41

78708 TC Radiology 3.41 3.41 $ 280.93 $ 280.93

78709 00 Radiology 10.6 10.6 $ 873.28 $ 873.28

78709 26 Radiology 1.94 1.94 $ 159.83 $ 159.83

78709 TC Radiology 8.66 8.66 $ 713.45 $ 713.45

78710 00 Radiology 5.11 5.11 $ 420.99 $ 420.99

78710 26 Radiology 0.78 0.78 $ 93.81 $ 93.81

78710 TC Radiology 4.33 4.33 $ 356.73 $ 356.73

78725 00 Radiology 3.11 3.11 $ 256.22 $ 256.22

Page 45: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

222

78725 26 Radiology 0.52 0.52 $ 42.84 $ 42.84

78725 TC Radiology 2.59 2.59 $ 213.38 $ 213.38

78730 00 Radiology 2.22 2.22 $ 182.89 $ 182.89

78730 26 Radiology 0.23 0.23 $ 38.36 $ 38.36

78730 TC Radiology 1.99 1.99 $ 163.95 $ 163.95

78740 00 Radiology 6.29 6.29 $ 518.20 $ 518.20

78740 26 Radiology 0.78 0.78 $ 64.26 $ 64.26

78740 TC Radiology 5.51 5.51 $ 453.94 $ 453.94

78761 00 Radiology 6.08 6.08 $ 500.90 $ 500.90

78761 26 Radiology 1.01 1.01 $ 83.21 $ 83.21

78761 TC Radiology 5.07 5.07 $ 417.69 $ 417.69

78799 00 Radiology 0 0 $0.00 $0.00

78799 26 Radiology 0 0 $0.00 $0.00

78799 TC Radiology 0 0 $0.00 $0.00

78800 00 Radiology 5.61 5.61 $ 462.18 $ 462.18

78800 26 Radiology 0.96 0.96 $ 79.09 $ 79.09

78800 TC Radiology 4.65 4.65 $ 383.09 $ 383.09

78801 00 Radiology 7.42 7.42 $ 611.29 $ 611.29

78801 26 Radiology 1.12 1.12 $ 92.27 $ 92.27

78801 TC Radiology 6.3 6.3 $ 519.02 $ 519.02

78802 00 Radiology 9.29 9.29 $ 765.35 $ 765.35

78802 26 Radiology 1.18 1.18 $ 97.21 $ 97.21

78802 TC Radiology 8.11 8.11 $ 668.14 $ 668.14

78803 00 Radiology 9.81 9.81 $ 808.19 $ 808.19

78803 26 Radiology 1.48 1.48 $ 121.93 $ 121.93

78803 TC Radiology 8.33 8.33 $ 686.27 $ 686.27

78804 00 Radiology 16.38 16.38 $ 1,349.46 $ 1,349.46

78804 26 Radiology 1.48 1.48 $ 121.93 $ 121.93

78804 TC Radiology 14.9 14.9 $ 1,227.53 $ 1,227.53

78805 00 Radiology 5.3 5.3 $ 436.64 $ 436.64

78805 26 Radiology 1.02 1.02 $ 84.03 $ 84.03

78805 TC Radiology 4.28 4.28 $ 352.61 $ 352.61

78806 00 Radiology 9.59 9.59 $ 790.07 $ 790.07

78806 26 Radiology 1.19 1.19 $ 103.05 $ 103.05

78806 TC Radiology 8.4 8.4 $ 692.03 $ 692.03

78807 00 Radiology 9.81 9.81 $ 808.19 $ 808.19

78807 26 Radiology 1.48 1.48 $ 121.93 $ 121.93

78807 TC Radiology 8.33 8.33 $ 686.27 $ 686.27

78808 00 Radiology 1.12 1.12 $ 92.27 $ 92.27

78811 00 Radiology 17.83 17.83 $ 3,607.36 $ 3,607.36

78811 26 Radiology 2.14 2.14 $ 176.30 $ 176.30

Page 46: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

223

78811 TC Radiology 15.69 15.69 $ 3,490.14 $ 3,490.14

78812 00 Radiology 21.92 21.92 $ 3,626.72 $ 3,626.72

78812 26 Radiology 2.63 2.63 $ 216.67 $ 216.67

78812 TC Radiology 19.29 19.29 $ 3,482.72 $ 3,482.72

78813 00 Radiology 22.67 22.67 $ 3,630.23 $ 3,630.23

78813 26 Radiology 2.72 2.72 $ 224.09 $ 224.09

78813 TC Radiology 19.95 19.95 $ 3,481.73 $ 3,481.73

78814 00 Radiology 25.17 25.17 $ 3,640.79 $ 3,640.79

78814 26 Radiology 3.02 3.02 $ 248.80 $ 248.80

78814 TC Radiology 22.15 22.15 $ 3,477.41 $ 3,477.41

78815 00 Radiology 28.17 28.17 $ 3,654.87 $ 3,654.87

78815 26 Radiology 3.38 3.38 $ 278.46 $ 278.46

78815 TC Radiology 24.79 24.79 $ 3,474.12 $ 3,474.12

78816 00 Radiology 28.5 28.5 $ 3,656.63 $ 3,656.63

78816 26 Radiology 3.42 3.42 $ 281.76 $ 281.76

78816 TC Radiology 25.08 25.08 $ 3,472.13 $ 3,472.13

78999 00 Radiology - - BR BR

78999 26 Radiology - - BR BR

78999 TC Radiology - - BR BR

79005 00 Radiology 3.91 3.91 $ 322.12 $ 322.12

79005 26 Radiology 2.5 2.5 $ 205.96 $ 205.96

79005 TC Radiology 1.41 1.41 $ 116.16 $ 116.16

79101 00 Radiology 4.18 4.18 $ 344.37 $ 344.37

79101 26 Radiology 2.78 2.78 $ 229.03 $ 229.03

79101 TC Radiology 1.4 1.4 $ 117.75 $ 117.75

79200 00 Radiology 3.83 3.83 $ 315.53 $ 315.53

79200 26 Radiology 2.36 2.36 $ 194.43 $ 194.43

79200 TC Radiology 1.47 1.47 $ 121.11 $ 121.11

79300 00 Radiology 3.18 3.18 $ 448.75 $ 448.75

79300 26 Radiology 1.91 1.91 $ 286.85 $ 286.85

79300 TC Radiology 1.27 1.27 $ 161.90 $ 161.90

79403 00 Radiology 5.44 5.44 $ 448.17 $ 448.17

79403 26 Radiology 3.11 3.11 $ 256.22 $ 256.22

79403 TC Radiology 2.33 2.33 $ 191.96 $ 191.96

79440 00 Radiology 3.45 3.45 $ 284.23 $ 284.23

79440 26 Radiology 2.36 2.36 $ 194.43 $ 194.43

79440 TC Radiology 1.09 1.09 $ 122.93 $ 122.93

79445 00 Radiology 5.93 5.93 $ 488.54 $ 488.54

79445 26 Radiology 3.26 3.26 $ 268.57 $ 268.57

79445 TC Radiology 2.67 2.67 $ 219.97 $ 219.97

79999 00 Radiology - - BR BR

Page 47: ARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES … Fee Schedule Radiology Codes.pdfARIZONA PHYSICIANS' FEE SCHEDULE RADIOLOGY CODES 2019-2020 Surgery/Radiology Conversion Factor:

ARIZONA PHYSICIANS' FEE SCHEDULE

RADIOLOGY CODES 2019-2020

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2018 American Medical Association.

All rights reserved.

224

79999 26 Radiology - - BR BR

79999 TC Radiology - - BR BR