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See a sample rate comparisonCPT 77290 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77290 |
| Medicaid Fee Schedule | View Medicaid rates for 77290 |
National average reimbursement for CPT 77290 by major payers:
$523.56
$583.80
$620.77
$686.51
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CPT 77290
5 of 25 sample ratesHigher to lower in this preview
Ralph Pickard
Advocate Health And Hospitals Corporation
$861.17Published rateAmalia Stefanou
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$540.60Published rateMikel Mineo
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$459.51Published rateRoman Gonta
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$114.19Published rateNatalie Horback
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$97.06Published rate
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See a sample payer proposalCPT 77290 vs. Other Radiation Oncology Treatment Codes
The CPT 77290 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 77290 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 77290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77290 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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