CPT 77080 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 77080 |
National average reimbursement for CPT 77080 by major payers:
$51.28
$61.97
$68.87
$83.02
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 77080 | $19.32 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Single Specialty Group (193400000X) |
United | 77080 | $92.62 | 1215996632 - PARK PLACE SURGERY CENTER, LLC, PARK PLACE SURGICAL HOSPITAL | 721404092 - (LA) PARK PLACE SURGERY CENTER LLC | LA | General Acute Care Hospital (282N00000X) |
United | 77080 | $13.64 | 1598732380 - MICHAEL VOGELBAUM | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Neurological Surgery Physician (207T00000X) |
United | 77080 | $38.47 | 1023287604 - CINDY YEOH | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | NY | Anesthesiology Physician (207L00000X) |
United | 77080 | $38.45 | 1275632929 - RICARDO GONZALEZ | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Surgical Oncology Physician (2086X0206X) |
United | 77080 | $13.64 | 1336331008 - MAULIK BHALANI | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Interventional Pain Medicine Physician (208VP0014X) |
United | 77080 | $23.78 | 1053866707 - BRITTANY PTACHICK | 541958039 - HROA 401K PLAN | VA | Family Nurse Practitioner (363LF0000X) |
United | 77080 | $106.76 | 1629011234 - MERCY HEALTH, MERCY HEALTH - DEFIANCE HOSPITAL | 20701635 - (OH) MERCY HEALTH | OH | General Acute Care Hospital (282N00000X) |
United | 77080 | $19.32 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 77080 | $17.71 | 1912293002 - MARYVILLE IMAGING, LLC | 452588783 - (IL) MARYVILLE IMAGING LLC | IL | Radiology Clinic/Center (261QR0200X) |
United | 77080 | $119.26 | 1639618853 - CLHG-AVOYELLES LLC | 813465468 | LA | General Acute Care Hospital (282N00000X) |
United | 77080 | $53.95 | 1932218757 - SKAGIT RADIOLOGY INC P S | 911012441 - (WA) SKAGIT RADIOLOGY, INC., P.S. | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 77080 | $32.70 | 1477158293 - ELLA VIEIRA | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Nurse Practitioner (363L00000X) |
United | 77080 | $13.65 | 1235400284 - MINTALLAH HAIDER | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Hematology & Oncology Physician (207RH0003X) |
United | 77080 | $11.60 | 1871220855 - MACKENZIE EVANS | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Physician Assistant (363A00000X) |
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 77080 vs. Other Bone/Joint Studies Codes
The CPT 77080 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 77080 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 | Ct Scan For Bone Density, A Ct (Computed Tomography) Scan Is Used For A Bone Mineral Density Study. The Images Help To Evaluate The Calcium And Mineral Content In One Or More Segments Of Bone. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. |
| 77080-CPT | Low | Bone Density Study, A Bone Density Study Measures The Amounts Of Calcium And Other Minerals With Dual-Energy X-Ray Absorptiometry (Dexa). The Result Is An Assessment Of Bone Health. |
| 77084-CPT | Moderate | Mri Of Bone Marrow, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of Blood Vessels And Bone Marrow. A Contrast Agent May Be Introduced To Highlight An Area. Multiple Images May Be Taken. |
| 77085-CPT | Low | Dual-Energy X-Ray Absorptiomet, Dual-Energy X-Ray Absorptiometry (Dxa) Bone Density Study 1 Or More Sites Axial Skeleton (Eg Hips Pelvis Spine) Including Vertebral Fracture Assessment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77080. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77080 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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