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See a sample rate comparisonCPT 77285 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.
Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan. The Exercise Ensures That The Plan Correctly And Precisely Locates And Marks The Target Area.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77285 |
| Medicaid Fee Schedule | View Medicaid rates for 77285 |
National average reimbursement for CPT 77285 by major payers:
$488.04
$492.54
$496.61
$611.75
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CPT 77285
5 of 25 sample ratesHigher to lower in this preview
Michael Knapp
Radiology Associates Of North Texas, PA
$958.20Published rateNicole Rupe
Northern Arizona Healthcare Corporation
$528.01Published rateGregory Duhon
Northern Arizona Healthcare Corporation
$518.78Published rateMuhammad Khan
Northern Arizona Healthcare Corporation
$87.61Published rateKristin Whitley
Town Center Orthopaedic Associates, P.C.
$68.91Published rate
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See a sample payer proposalCPT 77285 vs. Other Radiation Oncology Treatment Codes
The CPT 77285 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 77285 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 |
|---|---|---|
| 77280-CPT | Moderate | Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan. The Exercise Ensures That The Plan Correctly And Precisely Locates And Marks The Target Area. |
| 77285-CPT | Moderate | Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan. The Exercise Ensures That The Plan Correctly And Precisely Locates And Marks The Target Area. |
| 77290-CPT | Moderate | Set Radiation Therapy Field, Obtaining Data Needed To Develop The Optimal Radiation Treatment 3 Or More Treatment Areas Or Any Number Of Treatment Areas Where Special Treatment Is Involved |
| 77293-CPT | Moderate | Radiation Treatment Simulation, Simulation Of Respiratory Motion Management. The Exercise Ensures That A High Radiation Dose Will Be Accurately Delivered To The Target While Limiting Exposure To Normal Tissue When Respiration Causes Tumor Motion. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77285 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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