CPT 77073 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 77073 |
National average reimbursement for CPT 77073 by major payers:
$54.54
$48.33
$54.73
$70.23
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 77073 | $39.59 | 1255695870 - GREGORY MILIOS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77073 | $62.40 | 1902099146 - KALPESH PATEL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Nephrology Physician (207RN0300X) |
United | 77073 | $39.59 | 1013546340 - ZACHARY HINGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 77073 | $44.75 | 1639131923 - EUGENE MCGOUGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Certified Registered Nurse Anesthetist (367500000X) |
United | 77073 | $39.59 | 1487632535 - TAMMY PENHOLLOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77073 | $62.40 | 1962764704 - ANITA VINJIRAYER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Anesthesiology Physician (207L00000X) |
United | 77073 | $39.59 | 1740604982 - LAURA MACPHEE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 77073 | $22.80 | 1841585353 - KELLIE ARVISO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NM | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 77073 | $22.80 | 1386746949 - ELINA PALES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Neurology Physician (2084N0400X) |
United | 77073 | $14.06 | 1770682593 - PETER WEISS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Obstetrics & Gynecology Physician (207V00000X) |
United | 77073 | $44.75 | 1558023317 - COURTNEY ZAK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NM | Medical Physician Assistant (363AM0700X) |
United | 77073 | $62.40 | 1720624042 - COURTNEY UMPHRESS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 77073 | $14.06 | 1760706238 - STEPHENSON IKPE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | GA | Orthopaedic Surgery Physician (207X00000X) |
United | 77073 | $39.59 | 1851735856 - TIFFANY YNOSENCIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 77073 | $22.80 | 1871585810 - PHILIP GLEASON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Urology Physician (208800000X) |
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 77073 vs. Other Bone/Joint Studies Codes
The CPT 77073 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 77073 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 |
|---|---|---|
| 76885-CPT | Low | Us Exam Infant Hips Dynamic, Ultrasound Infant Hips Real Time With Imaging Documentation Dynamic Requiring Physician Or Other Qualified Health Care Professional Manipulation |
| 76999-CPT | High | Ultrasound Exam, Ultrasound Uses Sound Waves To Create A Video Image Of A Body Part. It Is Used As A Visual Guide During A Procedure As Well As To Assess Functions Such As Blood Flow In Real-Time. |
| 77072-CPT | Low | Bone Age Study, A Bone Age Study Evaluates Growth And Development By Comparing X-Rays Of A Childs Bones To Standard Images Grouped By Age. |
| 77073-CPT | Low | Bone Length Study, X-Ray Images Are Taken In Order To Accurately Measure The Length Of The Long Bones In The Legs And Arms. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77073 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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