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See a sample rate comparisonCPT 77295 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 That Includes A 3-D Representation Of A Tumor Created From A Ct Scan Or Mri.
| 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 77295 |
| Medicaid Fee Schedule | View Medicaid rates for 77295 |
National average reimbursement for CPT 77295 by major payers:
$608.33
$746.87
$715.35
$829.09
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CPT 77295
5 of 25 sample ratesHigher to lower in this preview
Parish Hospital Service District For The Parish Of Orleans, New Orleans East Hospital
$2,239.54Published rateRolling Plains Memorial Hospital
The Nolan County Hospital District
$873.02Published rateTitus County Hospital District, Titus Regional Medical Center
$446.29Published rateBsa Hospital LLC
$265.61Published rateChristus Spohn Health System Corporation, Christus Spohn Hospital Kleberg
C H Wilkinson Physician Network
$189.35Published rate
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See a sample payer proposalCPT 77295 vs. Other Radiation Oncology Treatment Codes
The CPT 77295 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 77295 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 |
|---|---|---|
| 77295-CPT | Moderate | Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan That Includes A 3-D Representation Of A Tumor Created From A Ct Scan Or Mri. |
| 77295-CPT | Moderate | Radiation Treatment Simulation, Simulation Of A Radiation Treatment Plan That Includes A 3-D Representation Of A Tumor Created From A Ct Scan Or Mri. |
| 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. |
| 77307-CPT | Moderate | Telethx Isodose Plan Cplx, Teletherapy Isodose Plan Complex Multiple Treatment Areas Tangential Ports The Use Of Wedges Blocking Rotational Beam Or Special Beam Considerations Includes Basic Dosimetry Calculation S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77295 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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