CPT 77387 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 • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77387 |
National average reimbursement for CPT 77387 by major payers:
$130.34
$99.73
$114.85
$133.14
| 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 77387 | ||||||
United | 77387 | $59.47 | 1255449807 - BEAUMONT MRI INC, AMERICAN HEALTH IMAGING OF BEAUMONT | 412056531 - (TX) BEAUMONT MRI INC | TX | Radiology Clinic/Center (261QR0200X) |
United | 77387 | $178.69 | 1093701161 - DIANA MARIN | 264076297 - (NY) LAWRENCE MEDICAL ASSOCIATES PC | NY | Pediatric Radiology Physician (2085P0229X) |
United | 77387 | $106.19 | 1710177084 - GREGORY FORD | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OR | Anesthesiology Physician (207L00000X) |
United | 77387 | $106.19 | 1033389150 - BILLY BRAVO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Internal Medicine Physician (207R00000X) |
United | 77387 | $123.15 | 1033189444 - ELAINE ACCOMANDO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Medical Physician Assistant (363AM0700X) |
United | 77387 | $80.51 | 1205183415 - GRETHE MORTENSON | 861385436 | OR | Nurse Practitioner (363L00000X) |
United | 77387 | $123.15 | 1235732702 - NORTHERN ARIZONA HEALTHCARE CORPORATION, NORTHERN ARIZONA HEALTHCARE CHILDREN'S HEALTH CENTER | 742410496 - (AZ) NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Multi-Specialty Clinic/Center (261QM1300X) |
United | 77387 | $114.01 | 1518941251 - MARIA MATA | 232919472 - UPMC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77387 | $56.18 | 1477731073 - ST ELIZABETH SOUTHWOODS IMAGING LLC, SOUTHWOODS IMAGING CENTER | 261626482 - (OH) ST ELIZABETH SOUTHWOODS IMAGING LLC | OH | Radiology Clinic/Center (261QR0200X) |
United | 77387 | $106.19 | 1194748798 - JAMES JANIK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Anesthesiology Physician (207L00000X) |
United | 77387 | $85.95 | 1770573586 - MCALLEN HOSPITALS L P, SOUTH TEXAS HEALTH SYSTEM | 233069260 | TX | General Acute Care Hospital (282N00000X) |
United | 77387 | $165.96 | 1841480647 - VIVEK PATEL | 262157500 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 77387 | $211.75 | 1235629825 - ALYSSA NORMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Psychiatry Physician (2084P0800X) |
United | 77387 | $106.19 | 1487034039 - GREGORY DUHON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Internal Medicine Physician (207R00000X) |
United | 77387 | $106.19 | 1255458469 - JEANNINE PAQUETTE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgical Physician Assistant (363AS0400X) |
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 77387 vs. Other Radiation Oncology Treatment Codes
The CPT 77387 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 77387 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 | 3-Dimensional Radiotherapy Plan Including Dose-Volume Histograms (Revised 01/01/2014) |
| 77301-CPT | High | Intensity Modulated Radiotherapy Plan, Including Dose-Volume Histograms For Target And Critical Structure Partial Tolerance Specifications |
| 77385-CPT | Moderate | Intensity Modulated Radiation Treatment Delivery (Imrt), Includes Guidance And Tracking When Performed; Simple |
| 77387-CPT | Low | Guidance For Localization Of Target Volume For Delivery Of Radiation Treatment Includes Intrafraction Tracking When Performed (Desc Rvsd 1/1/19) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77387. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77387 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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