CPT 76977 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Ultrasound Procedures |
| Common Place of Service | 11 - Office 99 - Other POS |
| Common Modifiers | None 26 - Professional component XE - Separate encounter |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76977 |
National average reimbursement for CPT 76977 by major payers:
$11.56
$13.53
$11.51
$14.75
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 76977 | $7.55 | 1023438009 - MOLLY MCINTOSH | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Home Health Agency (251E00000X) |
United | 76977 | $10.82 | 1740284181 - CARSON JOHNSON | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 76977 | $15.21 | 1548590524 - HEALTH IMAGING PARTNERS LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 76977 | $4.80 | 1871583062 - STEPHANIE EVANS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 76977 | $24.01 | 1073928271 - SETH GREENBAUM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MA | Anesthesiology Physician (207L00000X) |
United | 76977 | $4.80 | 1225204381 - JENNIFER CORTES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 76977 | $2.89 | 1821377607 - DANIEL CHOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ID | Certified Registered Nurse Anesthetist (367500000X) |
United | 76977 | $24.01 | 1598983793 - CHARLES SCHMIER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NE | Emergency Medical Services (Emergency Medicine) Physician (207PE0004X) |
United | 76977 | $2.89 | 1245303940 - KELLY KAUFMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 76977 | $24.57 | 1689095325 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 76977 | $4.80 | 1679781231 - JENNIFER BURKE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 76977 | $17.93 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 76977 | $9.01 | 1013915149 - BAYCARE HOME CARE, INC., DBA SARASOTA MEMORIAL HOME CARE | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 76977 | $7.21 | 1497174593 - HEIDI UNDERWOOD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ND | Certified Registered Nurse Anesthetist (367500000X) |
United | 76977 | $2.89 | 1497935183 - SANDRA FRANCIS-ROGERS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | UT | Hospitalist Physician (208M00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 76977 vs. Other Diagnostic Ultrasound Procedures Codes
The CPT 76977 code is part of the Radiology Procedures services used for Diagnostic Ultrasound Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 76977 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 |
|---|---|---|
| 76977-CPT | Low | Ultrasound Of Bone Density, An Ultrasound (Sound-Wave) Test Using A Probe On The Surface Of The Body To Measure Bone Density Usually At The Ankle. This Is A Screening Test For Osteoporosis. |
| 77067-CPT | Low | Mammogram, Routine Screening Mammogram (Low-Dose Breast X-Ray) Of Both Breasts. Includes Computer-Assisted Interpretation Of The Images To Improve The Accuracy Of The Diagnosis. |
| 77071-CPT | Low | Manual Application Of Stress P, Manual Application Of Stress Performed By Physician Or Other Qualified Health Care Professional For Joint Radiography Including Contralateral Joint If Indicated |
| 77072-CPT | Low | Bone Age Study, A Bone Age Study Evaluates Growth And Development By Comparing X-Rays Of A Childs Bones To Standard Images Grouped By Age. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76977. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76977 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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