CPT 77090 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 • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 77090 by major payers:
$3.68
$2.82
$2.92
$13.05
| 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 77090 | ||||||
United | 77090 | $4.21 | 1598761363 - CHRISTOPHER GRANTHAM | 270444414 - (NJ) GARDEN STATE HEALTHCARE ASSOCIATES, LLC | AZ | Anesthesiology Physician (207L00000X) |
United | 77090 | $1.85 | 1205183415 - GRETHE MORTENSON | 861385436 | OR | Nurse Practitioner (363L00000X) |
United | 77090 | $4.80 | 1942627054 - DANIEL DEVINCENT | 310745303 - (OH) COLUMBUS RADIOLOGY CORP. | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77090 | $4.63 | 1366521734 - ANDREW PRICE | 901116753 | AZ | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77090 | $185.86 | 1508810573 - BAY AREA HEALTHCARE GROUP, LTD., CORPUS CHRISTI MEDICAL CENTER | 752387418 | TX | General Acute Care Hospital (282N00000X) |
United | 77090 | $82.61 | 1861994808 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE NORTHEAST CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 77090 | $2.60 | 1831114685 - BLAINE MITCHELL | 886000436 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77090 | $82.61 | 1700801909 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 77090 | $1.85 | 1417211921 - SEAN GAMBLE | 201291415 | AZ | Pediatric Anesthesiology Physician (207LP3000X) |
United | 77090 | $6.65 | 1861469132 - SHERVIN KARIMPOUR | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | FL | Radiation Oncology Physician (2085R0001X) |
United | 77090 | $2.60 | 1619932894 - PAUL FISHER | 842411303 | NY | Pediatric Radiology Physician (2085P0229X) |
United | 77090 | $4.03 | 1306813845 - SANTIAGO LARDIZABAL | 900730395 | AZ | Anesthesiology Physician (207L00000X) |
United | 77090 | $82.61 | 1457994188 - VHS HARLINGEN HOSPITAL COMPANY, LLC, VALLEY BAPTIST MICRO-HOSPITAL WESLACO | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 77090 | $1.92 | 1083617211 - MARIA CICCIA | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Radiation Oncology Physician (2085R0001X) |
United | 77090 | $14.96 | 1326133042 - EDWARD TANG | 943281663 | CA | Anesthesiology Physician (207L00000X) |
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 77090 vs. Other Bone/Joint Studies Codes
The CPT 77090 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 77090 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 |
| 77085-CPT | Low | Dual-Energy X-Ray Absorptiometry (Dxa), Bone Density Study, 1 Or More Sites; Axial Skeleton (Eg, Hips, Pelvis, Spine), Including Vertebral Fracture Assessment |
| 77089-CPT | Low | Trabecular Bone Score (Tbs), Structural Condition Of The Bone Microarchitecture; Using Dual X-Ray Absorptiometry (Dxa) Or Other Imaging Data On Gray-Scale Variogram, Calculation, With Interpretation And Report On Fracture-Risk |
| 77090-CPT | Low | Trabecular Bone Score (Tbs) Structural Condition Of The Bone Microarchitecture; Technical Prepara- Tion And Transmission Of Data For Analysis To Be Performed Elsewhere |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77090 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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