CPT 77062 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 • Breast, Mammography |
| 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 77062 |
National average reimbursement for CPT 77062 by major payers:
$215.32
$183.07
$162.70
$191.76
| 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 77062 | ||||||
United | 77062 | $225.46 | 1386721033 - JOHN BUTTARI | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 77062 | $58.73 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 77062 | $538.32 | 1780047498 - SEUNG YUP LEE | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $94.86 | 1609852359 - BRIAN WIEGEL | 351158723 - (IN) NORTHWEST RADIOLOGY NETWORK, P.C. | IN | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $717.65 | 1982803532 - EMAD YACOUB | 30219309 - UNIVERSITY OF VERMONT MEDICAL CENTER INC | IL | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $57.68 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 77062 | $396.04 | 1003166612 - MATTHEW LILLEY | 931261079 - THE ORTHOPEDIC AND NEUROSURGICAL CENTER OF THE CASCADES | OR | Orthopaedic Surgery Physician (207X00000X) |
United | 77062 | $225.46 | 1477983385 - ASMITA AMBARDEKAR | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 77062 | $39.27 | 1396492930 - TIFFANY WITEK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 77062 | $429.45 | 1528030525 - EUGENE CHUNG | 426004813 | NE | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $58.70 | 1023489119 - CAMILLE EUNICE ABELARDO | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 77062 | $393.72 | 1972982874 - RUPINDER PENNA | 910369070 - (WA) THE POLYCLINIC, PLLC | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $63.13 | 1972619633 - ALEXANDRA JENNINGS | 431109990 - (MO) DIAGNOSTIC IMAGING ASSOCIATES, LTD. | MO | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $188.97 | 1578539557 - ABBAS CHAMSUDDIN | 251215890 - (PA) LUCIEN DIAGNOSTIC IMAGING, INC. | LA | Diagnostic Radiology Physician (2085R0202X) |
United | 77062 | $260.63 | 1720494396 - JOSEPH DEBARTOLO | 462494918 - (IL) INTEGRATED IMAGING CONSULTANTS, LLC | IL | Diagnostic Radiology Physician (2085R0202X) |
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 77062 vs. Other Breast, Mammography Codes
The CPT 77062 code is part of the Radiology Procedures services used for Breast, Mammography. 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 77062 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 |
|---|---|---|
| 76940-CPT | Moderate | Ultrasound Guidance For And Monitoring Of Parenchymal Tissue Ablation |
| 77053-CPT | Low | Mammary Ductogram Or Galactogram Single Duct Radiological Supervision And Interpretation |
| 77061-CPT | Low | Diagnostic Digital Breast Tomosynthesis; Unilateral (Desc Rvsd 1/1/19) |
| 77062-CPT | Moderate | Diagnostic Digital Breast Tomosynthesis; Bilateral (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 77062. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77062 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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