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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Various Services - Category III Codes |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0076T |
| Medicaid Fee Schedule | View Medicaid rates for 0076T |
National average reimbursement for CPT 0076T by major payers:

$689.94

$1,599.58

$175.20

$5,391.74
Choose a payer to see a sample of rates for CPT 0076T.
Columbia Medical Center Of Denton Subsidiary Lp
Christus Good Shepherd Medical Center
Mid Coast Medical Center-Central
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 0076T vs. Other Various Services - Category III Codes Codes
The CPT 0076T code is part of the Category III Codes services used for Various Services - Category III Codes. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0076T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0076T-CPT | Moderate | S I Stent Chest Vert Art, Transcatheter Placement Of Extracranial Vertebral Artery Stent S Including Radiologic Supervision And Interpretation Open Or Percutaneous Each Additional Vessel List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0076T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0076T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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