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See a sample rate comparisonHealthcare 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 | 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77076 |
| Medicaid Fee Schedule | View Medicaid rates for 77076 |
National average reimbursement for CPT 77076 by major payers:

$125.49

$113.83

$125.72

$156.15
Choose a payer to see a sample of rates for CPT 77076.
Mercy Medical Center
Good Samaritan Hosptial Medical Center
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
St Francis Hospital
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Rate Benchmarking
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See a sample payer proposalCPT 77076 vs. Other Bone/Joint Studies Codes
The CPT 77076 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 77076 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 |
|---|---|---|
| 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. |
| 77074-CPT | Low | Bone Exam By X-Ray, A Bone Survey Takes X-Ray Images Of One Or More Bones And Can Include All Bones In The Body. The Images Are Studied For A Number Of Reasons Such As To Find Evidence Of Healed Breaks Or To Assess Damage From Disease. |
| 77075-CPT | Low | Bone Exam By X-Ray, A Bone Survey Takes X-Ray Images Of One Or More Bones And Can Include All Bones In The Body. The Images Are Studied For A Number Of Reasons Such As To Find Evidence Of Healed Breaks Or To Assess Damage From Disease. |
| 77076-CPT | Low | Infant Bone X-Ray Exam, A Bone Survey Takes X-Ray Images Of One Or More Bones And Can Include All Bones In The Body. The Images Are Studied For A Number Of Reasons Such As To Find Evidence Of Healed Breaks Or To Assess Damage From Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77076 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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