CPT 77076 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 | 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 |
National average reimbursement for CPT 77076 by major payers:
$125.49
$113.83
$125.72
$156.15
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 77076 | $153.60 | 1508210279 - KEITH GARRISON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 77076 | $96.59 | 1508936592 - ALI ALAVI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Urology Physician (208800000X) |
United | 77076 | $47.75 | 1619910627 - BRADLEY WEISNER | 562107759 - UROLOGY SPECIALISTS OF THE CAROLINAS, PLLC | NC | Urology Physician (208800000X) |
United | 77076 | $136.96 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 77076 | $70.91 | 1952309171 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 77076 | $153.60 | 1861582447 - SHANNON BOFFELI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 77076 | $153.60 | 1326265893 - OMAR WANI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Cardiovascular Disease Physician (207RC0000X) |
United | 77076 | $39.99 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 77076 | $91.69 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 77076 | $153.60 | 1730611625 - DANIEL BRYAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 77076 | $68.93 | 1396492930 - TIFFANY WITEK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Family Nurse Practitioner (363LF0000X) |
United | 77076 | $91.69 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 77076 | $68.93 | 1235732702 - NORTHERN ARIZONA HEALTHCARE CORPORATION, NORTHERN ARIZONA HEALTHCARE CHILDREN'S HEALTH CENTER | 742410496 - (AZ) NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Multi-Specialty Clinic/Center (261QM1300X) |
United | 77076 | $96.59 | 1871577890 - THOMAS TAKASH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 77076 | $47.05 | 1619910627 - BRADLEY WEISNER | 562107759 - UROLOGY SPECIALISTS OF THE CAROLINAS, PLLC | NC | 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 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 |
|---|---|---|
| 76886-CPT | Low | Us Exam Infant Hips Static, Ultrasound Infant Hips Real Time With Imaging Documentation Limited Static Not Requiring Physician Or Other Qualified Health Care Professional Manipulation |
| 76977-CPT | Low | Ultrasound Of Bone Density, An Ultrasound (Sound-Wave) Test Using A Probe On The Surface Of The Body To Measure Bone Density Usually At The Ankle. This Is A Screening Test For Osteoporosis. |
| 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. |
| 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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