CPT 77063 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 | Low |
| Medicare Fee Schedule | View Medicare rates for 77063 |
National average reimbursement for CPT 77063 by major payers:
$63.49
$66.15
$66.93
$88.36
| 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 77063 | ||||||
United | 77063 | $120.83 | 1992737712 - MARK BURNSTEIN | 273143717 | MI | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $44.36 | 1235370800 - SHADEN MOHAMMAD | 250815795 - GUTHRIE MEDICAL GROUP PC | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $156.46 | 1508945007 - HELEN LAU | 943281657 | CA | Pediatric Nurse Practitioner (363LP0200X) |
United | 77063 | $79.26 | 1518319458 - MUHAMMAD UMER AFZAAL | 471157530 - UT REGIONAL ONE PHYSICIANS INC | TN | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $25.15 | 1073595435 - ROBERT KARL | 262597357 - (SC) FAMILY PHYSICIANS OF SPARTANBURG | NV | Family Medicine Physician (207Q00000X) |
United | 77063 | $33.75 | 1992033559 - APRYL MENSAH | 752727769 - (TX) SOUTH EAST TEXAS CANCER CENTER | TX | Radiation Oncology Physician (2085R0001X) |
United | 77063 | $288.70 | 1467497008 - VALERIE FLAHERMAN | 943281660 | CA | Pediatrics Physician (208000000X) |
United | 77063 | $30.79 | 1598718157 - MAYTE GIERBOLINI | 363637465 - (IL) HOOPESTON COMMUNITY MEMORIAL HOSPITAL | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $46.33 | 1124101035 - ROBERT KAPLAN | 1124101035 | NV | Family Medicine Physician (207Q00000X) |
United | 77063 | $20.80 | 1225525165 - EDUARDO PASCUAL VAN SANT | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $110.12 | 1427184175 - PRANAV PATEL | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Cardiovascular Disease Physician (207RC0000X) |
United | 77063 | $55.22 | 1689616294 - KARTIK BOORGU | 620864298 - (TN) JACKSON RADIOLOGY ASSOCIATES, P.A. | TN | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $23.34 | 1487645438 - MUSSARAT CHAUDHRY | 113399032 - (NY) JAY LERMAN M D P C | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $41.04 | 1932556008 - KIMBERLEE HASHIBA | 880820406 - (HI) QUEENS UNIVERSITY MEDICAL GROUP | MA | Diagnostic Radiology Physician (2085R0202X) |
United | 77063 | $47.00 | 1164451753 - DANIEL LEE | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | CA | 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 77063 vs. Other Breast, Mammography Codes
The CPT 77063 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 77063 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) |
| 77054-CPT | Low | Mammary Ductogram Or Galactogram Multiple Ducts Radiological Supervision And Interpretation |
| 77061-CPT | Low | Diagnostic Digital Breast Tomosynthesis; Unilateral (Desc Rvsd 1/1/19) |
| 77063-CPT | Low | Screening Digital Breast Tomosynthesis, Bilateral (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77063. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77063 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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