CPT 77318 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 77318 by major payers:
$507.10
$469.00
$503.40
$638.46
| 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 77318 | ||||||
United | 77318 | $133.44 | 1043795347 - BRIAN HONEKAMP | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Nurse Practitioner (363L00000X) |
United | 77318 | $252.60 | 1861544744 - SUSANN CLINTON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 77318 | $381.66 | 1205412186 - CELIA GARZA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 77318 | $154.08 | 1093045072 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 77318 | $521.51 | 1861782740 - RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77318 | $381.66 | 1720082274 - DAVID DONALDSON | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77318 | $521.51 | 1851450969 - RADIOLOGY ASSOCIATES OF NORTH TEXAS PA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77318 | $154.08 | 1699530857 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 77318 | $521.51 | 1487828596 - CHARLES CRUM | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77318 | $903.16 | 1063613735 - BRADLEY HAMMETT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77318 | $521.95 | 1093977639 - MUZAMMIL MUSHTAQ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Interventional Cardiology Physician (207RI0011X) |
United | 77318 | $903.16 | 1639123870 - MITA MAJMUNDAR | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77318 | $325.70 | 1124152368 - SCOTT LONGFELLOW | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Anesthesiology Physician (207L00000X) |
United | 77318 | $196.24 | 1528065919 - DAVID VAN DE WYNGAERDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NC | Orthopaedic Surgery Physician (207X00000X) |
United | 77318 | $196.24 | 1598912289 - SUSAN BEAUPRE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Critical Care Neonatal Nurse Practitioner (363LN0005X) |
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 77318 vs. Other Radiation Oncology Treatment Codes
The CPT 77318 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 77318 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) |
| 77318-CPT | Moderate | Brachytherapy Isodose Plan; Complex (Calculation[S] Made From Over 10 Sources, Or Remote Afterloading Brachytherapy, Over 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 77318. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77318 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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