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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 | 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77011 |
| Medicaid Fee Schedule | View Medicaid rates for 77011 |
National average reimbursement for CPT 77011 by major payers:

$287.71

$371.08

$358.63

$417.64
Choose a payer to see a sample of rates for CPT 77011.
Northern Arizona Healthcare Corporation
Mercy Medical Center
St Francis Hospital
Northern Arizona Healthcare Corporation
Radiology Associates Of North Texas, PA
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Rate Benchmarking
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See a sample payer proposalCPT 77011 vs. Other Radiologic Guidance Codes
The CPT 77011 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 77011 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 |
|---|---|---|
| 76942-CPT | Low | Ultrasonic Guidance Proc, Ultrasonic Guidance For Needle Placement (E.G. Biopsy Aspiration Injection Localization Device) Imaging Supervision And Interpretation |
| 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 77011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77011 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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