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See a sample rate comparisonCPT 77003 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Fluoroscopic Guidance And Localization Of Needle Or Catheter Tip For Spine Or Paraspinous Diagnostic Or Therapeutic Injection Procedures (Epidural Or Subarachnoid) (List Separately In Addition To Code For Primary Procedure) (Desc Revised 1/1/2017)
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiologic Guidance |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77003 |
| Medicaid Fee Schedule | View Medicaid rates for 77003 |
National average reimbursement for CPT 77003 by major payers:
$121.09
$103.59
$117.67
$147.38
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CPT 77003
5 of 25 sample ratesHigher to lower in this preview
Arthur Pallotta
Orlin & Cohen Orthopedic Associates, LLP
$500.00Published rateJohn Rothrock
Inova Health Care Services
$213.18Published rateWilliam Mcclintock
Inova Health Care Services
$154.10Published rateEstrella Roffe
Maimonides Medical Center-
$107.04Published rateSteven Esses
Maimonides Medical Center
$41.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77003 vs. Other Radiologic Guidance Codes
The CPT 77003 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 77003 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 |
|---|---|---|
| 77002-CPT | Low | X-Ray-Guided Needle Placement, Fluoroscopic Guidance Is Used To Place A Needle In A Precise Location. Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 77003-CPT | Low | Fluoroscopic Guidance And Localization Of Needle Or Catheter Tip For Spine Or Paraspinous Diagnostic Or Therapeutic Injection Procedures (Epidural Or Subarachnoid) (List Separately In Addition To Code For Primary Procedure) (Desc Revised 1/1/2017) |
| 77011-CPT | Moderate | Ct-Guided Imaging, A Ct (Computed Tomography) Scan Creates Images From Multiple Locations Around An Area. These Images Are Assembled Into A Stereotactic Image A 3-D Map That Uses Two Or More Points To Precisely Locate A Point In-Between. |
| 77012-CPT | Low | Ct-Guided Needle Placement, A Ct (Computed Tomography) Scan Is Used To Guide The Placement Of A Needle For A Biopsy. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77003. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77003 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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