CPT 77401 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 • 15 - Mobile Unit |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 79 - Unrelated procedure - postop period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77401 |
National average reimbursement for CPT 77401 by major payers:
$51.70
$37.87
$46.92
$74.92
| 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 77401 | ||||||
United | 77401 | $54.00 | 1174523161 - AMANDA NEWMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 77401 | $31.12 | 1073562930 - ANAS ELKHEDER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CO | Internal Medicine Physician (207R00000X) |
United | 77401 | $31.12 | 1356755433 - PETER LASATER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MI | Orthopaedic Surgery Physician (207X00000X) |
United | 77401 | $54.00 | 1750357745 - SHERYL MCGRATH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 77401 | $31.12 | 1790449650 - JACQUELYN POVILAITIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 77401 | $31.12 | 1801888433 - HARSH SINGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Neurology Physician (2084N0400X) |
United | 77401 | $33.69 | 1871231233 - CONNOR MALDONADO | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physician Assistant (363A00000X) |
United | 77401 | $31.12 | 1881361780 - BRIANNE SNIDER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Occupational Therapist (225X00000X) |
United | 77401 | $54.00 | 1609950500 - MICHAEL REIDY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Pulmonary Disease Physician (207RP1001X) |
United | 77401 | $32.51 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 77401 | $32.85 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 77401 | $31.12 | 1285668624 - ARPANA GUPTA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | HI | Internal Medicine Physician (207R00000X) |
United | 77401 | $54.00 | 1487034039 - GREGORY DUHON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OH | Internal Medicine Physician (207R00000X) |
United | 77401 | $31.12 | 1528090032 - NAEEM CHAVLA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Urology Physician (208800000X) |
United | 77401 | $54.00 | 1427555168 - GREGORY CALDWELL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
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 77401 vs. Other Radiation Oncology Treatment Codes
The CPT 77401 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 77401 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 |
|---|---|---|
| 77336-CPT | Low | Continuing Medical Physics Consultation, Including Assessment Of Treatment Parameters, Quality Assurance Of Dose Delivery, And Review Of Patient Treatment Documentation In Support Of The Radiation Oncologist, Reported Per Week Of Therapy |
| 77387-CPT | Low | Guidance For Localization Of Target Volume For Delivery Of Radiation Treatment Includes Intrafraction Tracking When Performed (Desc Rvsd 1/1/19) |
| 77399-CPT | High | Unlisted Procedure, Medical Radiation Physics, Dosimetry And Treatment Devices, And Special Services |
| 77401-CPT | Low | Radiation Treatment Delivery Superficial And/Or Ortho Voltage Per Day (Desc Revised 01/01/15) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77401. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77401 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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