CPT 77072 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 • Bone/Joint Studies |
| 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 77072 |
National average reimbursement for CPT 77072 by major payers:

$32.75

$28.40

$32.70

$45.73
| 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 77072 | ||||||
United | 77072 | $15.88 | 1982678322 - ZOHREH KAZEMI-DUNN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Obstetrics & Gynecology Physician (207V00000X) |
United | 77072 | $9.73 | 1003100710 - KOLIN KNAPP | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Emergency Medicine Physician (207P00000X) |
United | 77072 | $38.99 | 1356370571 - DAVID KECKICH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Infectious Disease Physician (207RI0200X) |
United | 77072 | $16.20 | 1316434103 - KIRK RICHARDSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77072 | $15.88 | 1225052566 - CARRIE HEISINGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 77072 | $23.44 | 1396492930 - TIFFANY WITEK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Family Nurse Practitioner (363LF0000X) |
United | 77072 | $16.20 | 1336677566 - ANDREW WENGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospice and Palliative Medicine (Emergency Medicine) Physician (207PH0002X) |
United | 77072 | $16.20 | 1508210279 - KEITH GARRISON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 77072 | $16.20 | 1154309730 - JUDITH HUTCHINSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77072 | $22.79 | 1881361780 - BRIANNE SNIDER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Occupational Therapist (225X00000X) |
United | 77072 | $21.49 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 77072 | $38.99 | 1528090032 - NAEEM CHAVLA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Urology Physician (208800000X) |
United | 77072 | $13.69 | 1568451110 - RICHARD LLOYD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Internal Medicine Physician (207R00000X) |
United | 77072 | $9.73 | 1285071381 - BENJAMIN REESER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Medicine Physician (207Q00000X) |
United | 77072 | $15.88 | 1205013919 - PATRICK MARTIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
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 77072 vs. Other Bone/Joint Studies Codes
The CPT 77072 code is part of the Radiology Procedures services used for Bone/Joint Studies. 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 77072 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 |
|---|---|---|
| 76886-CPT | Low | Ultrasound Infant Hips Real Time With Imaging Documentation; Limited Static (Not Requiring Phy- Sician Or Other Qualified Health Care Professionalmanipulation) (Revised 1/1/2013) |
| 76999-CPT | High | Unlisted Ultrasound Procedure |
| 77071-CPT | Low | Manual Application Of Stress Performed By Physician Or Other Qualified Health Care Professional For Joint Radiography Including Contralateral Joint If Indicated (Rvsd 1/1/13) |
| 77072-CPT | Low | Bone Age Studies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77072. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77072 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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