CPT 77078 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 • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 77078 by major payers:
$124.30
$145.10
$144.03
$186.59
| 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 77078 | ||||||
United | 77078 | $234.74 | 1225049000 - ROBERT JOHNSTON | 841156388 - (CO) DIVERSIFIED RADIOLOGY OF COLORADO, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $89.37 | 1780655548 - VASEEM IQBAL | 161583997 - (NY) BRAIN & SPINE MEDICAL SERVICES, PLLC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $19.87 | 1508863549 - LISA LANGMO | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $131.99 | 1457538498 - BENJAMIN SACKS | 840597929 - RADIOLOGY IMAGING ASSOCIATES, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $326.45 | 1932394335 - NICOLE RESTAURI | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $131.99 | 1366858177 - JESSICA COX | 840597929 - RADIOLOGY IMAGING ASSOCIATES, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $149.00 | 1255306726 - COLORADO IMAGING ASSOCIATES PC | 840592164 - (CO) COLORADO IMAGING ASSOCIATES, P.C. | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $148.22 | 1932605870 - MATTHEW SCHMIDT | 840597929 - RADIOLOGY IMAGING ASSOCIATES, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $296.64 | 1255505368 - BRETT YOUNG | 680637976 - (OR) BEND MEMORIAL CLINIC, PC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $127.01 | 1639152655 - LAWRENCE BUB | 941603784 - ENLOE MEDICAL CENTER | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $413.30 | 1972506186 - RODNEY HUTSON | 473109067 - SPECIALISTS IN MEDICAL IMAGING, S.C. | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $191.61 | 1538192612 - DARREN CUTTER | 475021191 - (CO) ORTHOPEDIC CENTERS OF COLORADO, LLC | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $113.94 | 1992896765 - PAUL YATES | 412007905 - VIRTUAL RADIOLOGIC CORPORATION | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $12.73 | 1942284278 - MICHELE KEYS | 383316559 - IHA HEALTH SERVICES CORPORATION | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77078 | $182.39 | 1275875973 - JAMES HAUG | 362177139 - UNIVERSITY OF CHICAGO | CO | Diagnostic Radiology Physician (2085R0202X) |
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 77078 vs. Other Bone/Joint Studies Codes
The CPT 77078 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 77078 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 |
|---|---|---|
| 77078-CPT | Low | Computed Tomography Bone Mineral Density Study 1 Or More Sites Axial Skeleton |
| 77080-CPT | Low | Dual-Energy X-Ray Absorptiometry (Dxa), Bone Densi Ty Study, 1 Or More Sites; Axial Skeleton (Eg, Hip S, Pelvis, Spine) |
| 77081-CPT | Low | Dual-Energy X-Ray Absorptiometry (Dxa), Bone Density Study, 1 Or More Sites; Appendicular Skeleton (Peripheral) (Eg, Radius, Wrist, Heel) |
| 77084-CPT | Moderate | Magnetic Resonance Imaging Bone Marrow Blood Supply |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77078. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77078 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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