CPT 77317 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 | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 77317 by major payers:
$349.34
$326.60
$355.51
$450.09
| 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 77317 | ||||||
United | 77317 | $241.82 | 1467985986 - MOHAMMAD IBRAHIM | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77317 | $384.35 | 1912394495 - ENIOLA FAGBONGBE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77317 | $159.60 | 1821377607 - DANIEL CHOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Certified Registered Nurse Anesthetist (367500000X) |
United | 77317 | $254.88 | 1295477974 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 77317 | $241.82 | 1124229208 - CARL MILLER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77317 | $66.65 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 77317 | $124.95 | 1255449500 - EDWARD CAMPBELL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Anesthesiology Physician (207L00000X) |
United | 77317 | $250.19 | 1609919471 - JONATHAN MELLEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Gastroenterology Physician (207RG0100X) |
United | 77317 | $159.60 | 1548609431 - BIANCA ANDERSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Registered Dietitian (133V00000X) |
United | 77317 | $250.19 | 1801936513 - TRISHA HUTTON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 77317 | $159.60 | 1609372044 - SHANE ZACHARY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 77317 | $250.19 | 1750554747 - EMILY ANDRISEVIC | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Pediatric Orthopaedic Surgery Physician (207XP3100X) |
United | 77317 | $384.35 | 1356630800 - JACQUELYN SMITH | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | CO | Diagnostic Radiology Physician (2085R0202X) |
United | 77317 | $384.35 | 1003877069 - R. WALKER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77317 | $241.82 | 1760639256 - CASSY FELTS | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
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 77317 vs. Other Radiation Oncology Treatment Codes
The CPT 77317 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 77317 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 |
|---|---|---|
| 77306-CPT | Low | Teletherapy Isodose Plan; Simple (1 Or 2 Unmodified Ports Directed To A Single Area Of Interest), Includes Basic Dosimetry Calculation(S) |
| 77307-CPT | Moderate | Teletherapy Isodose Plan; Complex (Multiple Treatment Areas Tangential Ports The Use Of Wedges Blocking Rotational Beam Or Special Beamconsiderations) Includes Basic Dosimetry Calculation(S) |
| 77316-CPT | Moderate | Brachytherapy Isodose Plan; Simple (Calculation[S]Made From 1 To 4 Sources Or Remote Afterloading Brachytherapy 1 Channel) Includes Basic Dosimetry Calculation(S) |
| 77317-CPT | Moderate | Brachytherapy Isodose Plan; Intermediate (Calculation[S] Made From 5 To 10 Sources Or Remote Afterloading Brachytherapy 2-12 Channels) 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 77317. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77317 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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