CPT 77002 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 • Radiologic Guidance |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 77002 by major payers:
$129.94
$111.30
$131.36
$162.87
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 77002 | ||||||
United | 77002 | $229.24 | 1679700306 - ANGELA LO | 540620889 - INOVA HEALTH CARE SERVICES | VA | Internal Medicine Physician (207R00000X) |
United | 77002 | $56.78 | 1669022661 - ALEXANDRA NELSON | 540620889 - INOVA HEALTH CARE SERVICES | VA | Family Nurse Practitioner (363LF0000X) |
United | 77002 | $142.91 | 1346402922 - ERIN MILLIGAN-MILBURN | 223537011 - ADVOCARE, LLC | NJ | Pediatrics Physician (208000000X) |
United | 77002 | $32.69 | 1346231859 - HILLARY RAYNES | 1346231859 - (NY) HILLARY RAYNES | NY | Neurology Physician (2084N0400X) |
United | 77002 | $140.22 | 1205873924 - DOUGLAS ROTH | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Plastic Surgery Physician (208200000X) |
United | 77002 | $75.37 | 1740269000 - GERALD KARETNICK | 223636986 - BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Family Medicine Physician (207Q00000X) |
United | 77002 | $362.61 | 1588719231 - ROBERT KALIMI | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
United | 77002 | $75.37 | 1740269000 - GERALD KARETNICK | 223636986 - BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Family Medicine Physician (207Q00000X) |
United | 77002 | $32.33 | 1740269000 - GERALD KARETNICK | 223636986 - BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Family Medicine Physician (207Q00000X) |
United | 77002 | $229.24 | 1982709978 - SANDA DIPAOLO | 540620889 - INOVA HEALTH CARE SERVICES | VA | Obstetrics & Gynecology Physician (207V00000X) |
United | 77002 | $71.63 | 1063874972 - MATTHEW REIFLER | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Family Medicine Physician (207Q00000X) |
United | 77002 | $180.46 | 1205873924 - DOUGLAS ROTH | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Plastic Surgery Physician (208200000X) |
United | 77002 | $362.61 | 1063874972 - MATTHEW REIFLER | 453023019 - NORTH SHORE-LIJ MEDICAL PC | NY | Family Medicine Physician (207Q00000X) |
United | 77002 | $75.37 | 1679839450 - ANDREW FISHMAN | 223636986 - BON SECOURS CHARITY HEALTH SYSTEM INC | NY | Urology Physician (208800000X) |
United | 77002 | $107.76 | 1447227202 - DEBORAH HOROWITZ | 223537011 - ADVOCARE, LLC | NJ | Pediatrics Physician (208000000X) |
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 77002 vs. Other Radiologic Guidance Codes
The CPT 77002 code is part of the Radiology Procedures services used for Radiologic Guidance. 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 77002 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 |
|---|---|---|
| 76936-CPT | Moderate | Ultrasound Guided Compression Repair Of Arterial Pseudoaneurysm Or Arteriovenous Fistulae (Includes Diagnostic Ultrasound Evaluation, Compression Of Lesion And Imaging) |
| 76937-CPT | Low | Ultrasound Guidance For Vascular Access Requiring Ultrasound Evaluation For Potential Access Sites Documentation Of Selected Vessel Patency Concurrent Realtime Ultrasound Visualization Of Vascular Needle Entry With Permenant Recording And Reporting (List Separately In Addition To Code For Primary Procedure) |
| 76942-CPT | Low | Ultrasonic Guidance For Needle Placement (Eg, Biopsy, Aspiration, Injection, Localization Device), Imaging Supervision And Interpretation |
| 77002-CPT | Low | Fluoroscopic Guidance For Needle Placement (Eg Biopsy Aspiration Injection Localization Device) (List Separately In Addition To Code For Primary Procedure). (Desc Revised 1/1/2017) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77002 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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