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See a sample rate comparisonHealthcare 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 |
| Medicare Fee Schedule | View Medicare rates for 77399 |
National average reimbursement for CPT 77399 by major payers:

$1,449.06

$54.44

$360.00

$2,015.06
Choose a payer to see a sample of rates for CPT 77399.
Prisma Health-Midlands
Central Iowa Hospital Corporation
Mosaic Medical Center - Maryville
Keck Medical Center Of Usc
St Joseph Hospital Of Orange
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 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 Proc Therape Radiology Clinical Treatmn Plan, Unlisted Procedure Therapeutic Radiology Clinical Treatment Planning |
| 77300-CPT | Low | Radiation Therapy Dose Plan, 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 | 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. |
| 77399-CPT | High | Unlisted Px Med Radj Physics, 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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