CPT 77293 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 • 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 77293 |
National average reimbursement for CPT 77293 by major payers:
$482.33
$540.07
$546.37
$658.48
| 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 77293 | ||||||
United | 77293 | $384.82 | 1801232186 - MICHAEL RIVLIN | 363261413 - ALLINA HEALTH SYSTEM | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 77293 | $200.52 | 1417211921 - SEAN GAMBLE | 900730395 | AZ | Pediatric Anesthesiology Physician (207LP3000X) |
United | 77293 | $611.08 | 1518100213 - JOSEPH ZIKRIA | 592579938 - UNIVERSITY OF MIAMI | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77293 | $283.61 | 1437371036 - IGNACIO CASTELLON | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Radiation Oncology Physician (2085R0001X) |
United | 77293 | $373.41 | 1194728287 - LIONEL SAVADIER | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77293 | $1039.33 | 1558792242 - ROMAN PICADO | 251857035 | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 77293 | $200.52 | 1366521734 - ANDREW PRICE | 901116751 - BANNER | AZ | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77293 | $369.07 | 1639134430 - JAMES BURLESON | 752403687 - (TX) SCURRY COUNTY HOSPITAL DISTRICT | TX | Family Medicine Physician (207Q00000X) |
United | 77293 | $410.35 | 1568876977 - RASHPAL SANDHU | 161406947 - (NY) UNIVERSITY ORTHOPAEDIC SERVICES INC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | 77293 | $1404.45 | 1821380932 - SVETLANA YABLOK | 223970667 - (NY) NORTH SHORE-LIJ RADIOLOGY SERVICES P C | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77293 | $966.65 | 1780655795 - RALPH PICKARD | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Radiology Physician (2085P0229X) |
United | 77293 | $784.65 | 1780655795 - RALPH PICKARD | 273426141 - (TN) UT LE BONHEUR PEDIATRIC SPECIALISTS INC | CO | Pediatric Radiology Physician (2085P0229X) |
United | 77293 | $82.01 | 1649223645 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, ROUND ROCK MEDICAL CENTER | 743001674 - (TX) LONE STAR CIRCLE OF CARE | TX | General Acute Care Hospital (282N00000X) |
United | 77293 | $444.66 | 1205183415 - GRETHE MORTENSON | 861385436 | OR | Nurse Practitioner (363L00000X) |
United | 77293 | $457.10 | 1780655795 - RALPH PICKARD | 371363001 - (IL) RICHLAND MEMORIAL HOSPITAL INC | CO | Pediatric Radiology Physician (2085P0229X) |
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 77293 vs. Other Radiation Oncology Treatment Codes
The CPT 77293 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 77293 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 | Therap.X-Ray Simulat.Field Set . |
| 77285-CPT | Moderate | Therapeut Radio.Simulat-Aided Field Set; |
| 77290-CPT | Moderate | 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 | Respiratory Motion Management Simulation (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77293. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77293 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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