CPT 77081 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 | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 77081 by major payers:
$38.87
$36.04
$39.37
$55.58
| 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 77081 | ||||||
United | 77081 | $7.63 | 1134384415 - IMANI ROSARIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NJ | Urology Physician (208800000X) |
United | 77081 | $71.29 | 1720442890 - TONY ALIAS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77081 | $7.63 | 1710324181 - MANMEET BEDI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Anesthesiology Physician (207L00000X) |
United | 77081 | $32.40 | 1851818561 - AUBREY STUBLER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Speech-Language Pathologist (235Z00000X) |
United | 77081 | $32.40 | 1720272693 - ADAM JOHNSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77081 | $7.63 | 1518996792 - JOSEPH LACH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 77081 | $18.00 | 1801888433 - HARSH SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WI | Neurology Physician (2084N0400X) |
United | 77081 | $23.96 | 1679789549 - ANDREW OVERHISER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 77081 | $18.00 | 1659508570 - RAJEEV FERNANDO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Infectious Disease Physician (207RI0200X) |
United | 77081 | $50.40 | 1417908112 - CHRISTINE MCGREGOR | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 77081 | $50.40 | 1942737978 - KATHLEEN COLLINS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 77081 | $32.40 | 1386930667 - RIZWAN JAFRI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Gastroenterology Physician (207RG0100X) |
United | 77081 | $50.40 | 1396079810 - CHAD LANGE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 77081 | $18.00 | 1649471947 - EVAN SCHMITZ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Pulmonary Disease Physician (207RP1001X) |
United | 77081 | $27.96 | 1538576483 - RAKESH AHUJA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
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 77081 vs. Other Bone/Joint Studies Codes
The CPT 77081 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 77081 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 77081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77081 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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