CPT 77067 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 77067 |
National average reimbursement for CPT 77067 by major payers:
$148.78
$163.13
$165.94
$205.61
| 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 77067 | ||||||
United | 77067 | $43.27 | 1639145600 - SAMUEL ROTENBERG | 954135977 - (CA) ALL CARE MEDICAL GROUP INC | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 77067 | $328.55 | 1467626804 - MATTHEW CICHON | 133544120 - CAREMOUNT MEDICAL PC | NY | Surgical Physician Assistant (363AS0400X) |
United | 77067 | $490.85 | 1851470769 - JOHN NEWELL | 426004813 | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 77067 | $358.89 | 1700382694 - JONATHAN HESTER | 582030692 - EMORY UNIVERSITY | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 77067 | $344.81 | 1477814960 - SAAD YOUSUF | 133544120 - CAREMOUNT MEDICAL PC | NY | Hematology & Oncology Physician (207RH0003X) |
United | 77067 | $152.19 | 1407824782 - KAMI PHILLIPS | 42103581 - (MA) HENRY HEYWOOD MEMORIAL HOSPITAL | MA | Family Medicine Physician (207Q00000X) |
United | 77067 | $239.19 | 1083872212 - RUSH CHEWNING | 951691313 - RADY CHILDRENS HOSPITAL-SAN DIEGO | CA | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77067 | $79.40 | 1780658005 - BRANT CASFORD | 720276883 | LA | Diagnostic Radiology Physician (2085R0202X) |
United | 77067 | $131.97 | 1174840771 - DONATO PERRETTA | 133544120 - CAREMOUNT MEDICAL PC | NY | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 77067 | $176.36 | 1861463390 - MICHAEL KATZ | 273426141 - (TN) UT LE BONHEUR PEDIATRIC SPECIALISTS INC | UT | Pediatric Radiology Physician (2085P0229X) |
United | 77067 | $530.22 | 1063502870 - JIMMY KOO | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Internal Medicine Physician (207R00000X) |
United | 77067 | $53.32 | 1437121753 - LORI MCLAUGHLIN | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Pediatric Nurse Practitioner (363LP0200X) |
United | 77067 | $501.23 | 1710272224 - BO LI | 611729294 - (CA) REGENTS OF THE UNIVERSITY OF CALIFORNIA | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 77067 | $396.54 | 1326401514 - JAMES VOGLER | 391130597 - (WI) RADIOLOGY ASSOCIATES OF APPLETON SC | VA | Diagnostic Radiology Physician (2085R0202X) |
United | 77067 | $168.75 | 1700903531 - ZEV GENSLER | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Pediatrics Physician (208000000X) |
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 77067 vs. Other Breast, Mammography Codes
The CPT 77067 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 77067 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 |
|---|---|---|
| 76977-CPT | Low | Ultrasound Bone Density Measurement And Interpretation Peripheral Site(S) Any Method |
| 77049-CPT | Moderate | Magnetic Resonance Imaging, Breast, Without And With Contrast Material(S), Including Computer-Aided Detection (Cad Real-Time Lesion Detection, Characterization And Pharmacokinetic Analysis), When Performed; Bilateral |
| 77065-CPT | Low | Diagnostic Mammography, Including Computer-Aided Detection (Cad) When Performed; Unilateral |
| 77067-CPT | Low | Screening Mammography, Bilateral (2-View Study Of Each Breast), Including Computer-Aided Detection (Cad) When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77067. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77067 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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