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See a sample rate comparisonCPT 77262 Fee Schedule
Last Verified: September 2026
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.
Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Intermediatetherapeutic Radiology Treatment Planning Intermediate
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None TC - Technical component 59 - Distinct Procedural Service 26 - Professional component 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77262 |
| Medicaid Fee Schedule | View Medicaid rates for 77262 |
National average reimbursement for CPT 77262 by major payers:
$156.44
$132.75
$133.67
$161.77
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CPT 77262
5 of 25 sample ratesHigher to lower in this preview
Radiology Associates Of North Texas
Radiology Associates Of North Texas, PA
$288.72Published rateJustin Sacks
Radiology Associates Of North Texas, PA
$288.72Published rateMarlou Heiland
Northern Arizona Healthcare Corporation
$177.60Published rateJamie Resnick
Northern Arizona Healthcare Corporation
$177.60Published rateAll Ways Homecare Inc
$40.00Published rate
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See a sample payer proposalCPT 77262 vs. Other Radiation Oncology Treatment Codes
The CPT 77262 code is part of the Radiology Procedures services used for Radiation Oncology Treatment. 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 77262 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 |
|---|---|---|
| 77261-CPT | Low | Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Simpletherapeutic Radiology Treatment Planning Simple |
| 77262-CPT | Low | Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Intermediatetherapeutic Radiology Treatment Planning Intermediate |
| 77263-CPT | Moderate | Therapeutic Radiology Treatmen, Therapeutic Radiology Treatment Planning Complextherapeutic Radiology Treatment Planning Complex |
| 77301-CPT | High | Radiation Treatment Plan, An Intensity-Modulated Radiation Therapy (Imrt) Plan Constructs A Precise 3-D Map Of A Tumor. Radiation Doses Are Targeted To The Mapped Area And Vary By The Tumor Thickness. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77262. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77262 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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