CPT 77021 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 • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 77021 by major payers:
$498.25
$524.71
$564.51
$658.17
| 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 77021 | ||||||
United | 77021 | $100.58 | 1699715029 - DIPEN PAREKH | 592579938 - UNIVERSITY OF MIAMI | FL | Urology Physician (208800000X) |
United | 77021 | $514.07 | 1245261031 - GAMAL MOSTAFA | 346004382 | FL | Surgery Physician (208600000X) |
United | 77021 | $281.05 | 1104282714 - SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC | 474097445 - (FL) SANCTUARY MEDICAL AESTHETIC CENTER OF BOCA RATON LLC | FL | Dermatology Physician (207N00000X) |
United | 77021 | $361.17 | 1881657732 - NAGESH KOHLI | 474819797 - (FL) OCALA INTENSIVIST GROUP LLC | FL | Pulmonary Disease Physician (207RP1001X) |
United | 77021 | $59.86 | 1841336310 - DANY OBEID | 273921462 - (FL) ADVANCED SLEEP AND RESPIRATORY INSTITUTE PA | FL | Pulmonary Disease Physician (207RP1001X) |
United | 77021 | $312.04 | 1619280534 - NIKALESH REDDY | 921174273 - (FL) MANATEE SPECIALTY PHYSICIAN ALLIANCE LLC | FL | Surgery Physician (208600000X) |
United | 77021 | $438.00 | 1629285358 - RAJEEV PURI | 461243081 | FL | Surgery Physician (208600000X) |
United | 77021 | $406.32 | 1629463567 - RIKIN PATEL | 593259553 - ORLANDO HEALTH MEDICAL GROUP INC | FL | Urology Physician (208800000X) |
United | 77021 | $320.83 | 1710140744 - ELIZABETH ARGUELLES | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Surgery Physician (208600000X) |
United | 77021 | $724.75 | 1649515297 - KATHRYN SHAW | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | FL | Surgery Physician (208600000X) |
United | 77021 | $1345.31 | 1306360474 - ALI MOUZANNAR | 134010372 - (NY) MSKCC SURGERY GROUP | FL | Urology Physician (208800000X) |
United | 77021 | $481.26 | 1598857864 - STEVEN HARRISON | 592485899 | FL | Urology Physician (208800000X) |
United | 77021 | $316.16 | 1649432006 - DANIEL ROZAS | 593155642 - (FL) TAMPA PULMONARY AND SLEEP SPECIALIST MDS LLP GEN PTR | FL | Pulmonary Disease Physician (207RP1001X) |
United | 77021 | $279.55 | 1538455191 - SUMIT ISHARWAL | 462620381 - (FL) BAPTIST MD ANDERSON CANCER PHYSICIANS INC | FL | Urology Physician (208800000X) |
United | 77021 | $1130.30 | 1356300479 - JOHN ISAACS | 591680273 - FLORIDA CLINICAL PRACTICE ASSOCIATION INC | FL | Otolaryngology Physician (207Y00000X) |
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 77021 vs. Other Radiologic Guidance Codes
The CPT 77021 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 77021 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 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) |
| 77012-CPT | Low | Computed Tomography Guidance For Needle Placement (Eg Biopsy Aspiration Injection Localization Device) Radiological Supervision And Interpretation |
| 77021-CPT | Moderate | Magnetic Resonance Imaging Guidance For Needle Needle Placement (Eg For Biopsy Needle Aspi- Ration Injection Or Placement Of Localization Device) Radiological Supervision And Interpre- Tation (Desc Rvsd 1/1/19) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77021 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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