CPT 77012 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 77012 by major payers:
$176.47
$199.00
$227.53
$244.58
| 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 77012 | ||||||
United | 77012 | $234.60 | 1700390861 - DYMAN KWARCIAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IL | Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X) |
United | 77012 | $66.26 | 1528065919 - DAVID VAN DE WYNGAERDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Orthopaedic Surgery Physician (207X00000X) |
United | 77012 | $167.70 | 1538194360 - THEODORE GABIG | 112558775 - (NY) STONY BROOK INTERNISTS P C | NY | Hematology & Oncology Physician (207RH0003X) |
United | 77012 | $94.85 | 1972530996 - PATRICIA WRIGHT | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
United | 77012 | $57.18 | 1598084238 - SHYAMA MATHEWS | 264203938 - (NJ) PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC | NJ | Gynecology Physician (207VG0400X) |
United | 77012 | $185.67 | 1306502703 - RACHEL LABELLA | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopedic Physical Therapist (2251X0800X) |
United | 77012 | $40.18 | 1548394026 - WARREN LYONS | 112515717 | NY | General Practice Physician (208D00000X) |
United | 77012 | $149.18 | 1871856864 - JOSEPH DEBLASIO | 264203938 - (NJ) PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC | NJ | Internal Medicine Physician (207R00000X) |
United | 77012 | $185.67 | 1962614933 - JAMES REEVES | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | 77012 | $54.75 | 1548394026 - WARREN LYONS | 112515717 | NY | General Practice Physician (208D00000X) |
United | 77012 | $215.85 | 1871856864 - JOSEPH DEBLASIO | 264203938 - (NJ) PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC | NJ | Internal Medicine Physician (207R00000X) |
United | 77012 | $383.06 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 77012 | $48.59 | 1548394026 - WARREN LYONS | 112515717 | NY | General Practice Physician (208D00000X) |
United | 77012 | $149.18 | 1871856864 - JOSEPH DEBLASIO | 264203938 - (NJ) PRINCETON HEALTHCARE AFFILIATED PHYSICIANS PC | NJ | Internal Medicine Physician (207R00000X) |
United | 77012 | $79.55 | 1528170792 - IAN WALL | 112515717 | NY | Internal Medicine Physician (207R00000X) |
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 77012 vs. Other Radiologic Guidance Codes
The CPT 77012 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 77012 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 |
|---|---|---|
| 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) |
| 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) |
| 77011-CPT | Moderate | Computed Tomography Guidance For Sterotactic Localization |
| 77012-CPT | Low | Computed Tomography Guidance For Needle Placement (Eg Biopsy Aspiration Injection Localization Device) Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77012 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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