CPT 77399 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-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 | High |
National average reimbursement for CPT 77399 by major payers:
$1,449.06
$54.44
$360.00
$1,351.52
| 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 77399 | ||||||
United | 77399 | $108.41 | 1124341672 - BANNER IRONWOOD MEDICAL CENTER | 900412842 | AZ | General Acute Care Hospital (282N00000X) |
United | 77399 | $83.00 | 1013514199 - KECK MEDICAL CENTER OF USC, KECK HOSPITAL OF USC | 851644866 - (CA) KECK MEDICAL CENTER OF USC | CA | General Acute Care Hospital (282N00000X) |
United | 77399 | $798.09 | 1205889458 - PRISMA HEALTH-MIDLANDS, PRISMA HEALTH BAPTIST HOSPITAL | 582296052 - (SC) PRISMA HEALTH-MIDLANDS | SC | General Acute Care Hospital (282N00000X) |
United | 77399 | $92.54 | 1356366314 - LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC, LEXINGTON MEDICAL CENTER | 852276567 - LEXINGTON HEALTH INC | SC | General Acute Care Hospital (282N00000X) |
United | 77399 | $276.95 | 1871137513 - CANYON ATLANTIC | 843385649 | TX | General Acute Care Hospital (282N00000X) |
United | 77399 | $83.00 | 1033168133 - PALO ALTO VAMC, LIVERMORE VAMC | 941179505 | CA | General Acute Care Hospital (282N00000X) |
United | 77399 | $108.41 | 1558759498 - BANNER | 901074558 | AZ | General Acute Care Hospital (282N00000X) |
United | 77399 | $94.22 | 1629009964 - MERCY HEALTH YOUNGSTOWN LLC, MERCY HEALTH ST JOSEPH WARREN HOSPITAL | 340505560 - HUMILITY OF MARY HEALTH PARTNERS | OH | General Acute Care Hospital (282N00000X) |
United | 77399 | $83.00 | 1639143381 - SIERRA VIEW LOCAL HEALTH CARE DISTRICT, SIERRA VIEW MEDICAL CENTER | 941397461 | CA | General Acute Care Hospital (282N00000X) |
United | 77399 | $83.00 | 1417957473 - ELADH, LP, EAST LOS ANGELES DOCTORS HOSPITAL | 760594559 - (CA) EAST L A DOCTORS HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 77399 | $171.24 | 1407805971 - SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER | 640468873 | MS | General Acute Care Hospital (282N00000X) |
United | 77399 | $96.09 | 1235239211 - MERCY HEALTH, MERCY HOSPITAL ANDERSON | 310537085 | OH | General Acute Care Hospital (282N00000X) |
United | 77399 | $92.30 | 1790868982 - MERCY HEALTH YOUNGSTOWN LLC, ST ELIZABETH BOARDMAN HOSPITAL | 340505560 - HUMILITY OF MARY HEALTH PARTNERS | OH | General Acute Care Hospital (282N00000X) |
United | 77399 | $113.55 | 1669564662 - SARAH BUSH LINCOLN HEALTH CENTER | 237098532 - SARAH BUSH LINCOLN HEALTH CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 77399 | $83.00 | 1962754077 - NORTH COUNTY RADIOLOGY OCEANSIDE, LLC | 800927609 | CA | Radiology Clinic/Center (261QR0200X) |
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 77399 vs. Other Radiation Oncology Treatment Codes
The CPT 77399 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 77399 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 |
|---|---|---|
| 77299-CPT | High | Unlisted Procedure,Therapeutic Radiology.Clinicical Treatment Planning |
| 77300-CPT | Low | Basic Radiation Dosimetry Calculation Central Axis Depth Dose Calculation Tdf Nsd Gap Calculation Off Axis Factor Tissue Inhomogeneity Factors Calculation Of Non-Ionizing Radiation Surface And Depth Dose As Required During Course Of Treatment Only When Prescribed By The Treating Physician |
| 77301-CPT | High | Intensity Modulated Radiotherapy Plan, Including Dose-Volume Histograms For Target And Critical Structure Partial Tolerance Specifications |
| 77399-CPT | High | Unlisted Procedure, Medical Radiation Physics, Dosimetry And Treatment Devices, And Special Services |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77399. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77399 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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