CPT 77402 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 • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 77402 by major payers:
$179.09
$163.10
$145.63
$208.48
| 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 77402 | ||||||
United | 77402 | $179.55 | 1699103911 - PAUL MORE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 77402 | $179.55 | 1922413285 - STEVEN NUANES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ME | Internal Medicine Physician (207R00000X) |
United | 77402 | $225.60 | 1891008884 - JOEL TERRIQUEZ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Infectious Disease Physician (207RI0200X) |
United | 77402 | $167.05 | 1952309171 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 77402 | $225.60 | 1316461296 - SONDRA WILLIAMS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physician Assistant (363A00000X) |
United | 77402 | $167.05 | 1821097627 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 77402 | $167.05 | 1972501252 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 77402 | $179.55 | 1881190403 - JEROME ROGICH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Emergency Medicine Physician (207P00000X) |
United | 77402 | $179.55 | 1780823906 - JAVEED KHAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MD | Surgery Physician (208600000X) |
United | 77402 | $167.05 | 1295728186 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 77402 | $225.60 | 1467914291 - DANIEL MERRILL | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Pediatrics Physician (208000000X) |
United | 77402 | $225.60 | 1952332470 - MARGARET KOBE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | OH | Infectious Disease Physician (207RI0200X) |
United | 77402 | $179.55 | 1649351222 - RAVINDRA GUDAVALLI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Pulmonary Disease Physician (207RP1001X) |
United | 77402 | $225.60 | 1043718950 - DANIEL HAINLEY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 77402 | $225.60 | 1326093683 - JOHN JESSEPH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | 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 77402 vs. Other Radiation Oncology Treatment Codes
The CPT 77402 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 77402 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 |
|---|---|---|
| 77387-CPT | Low | Guidance For Localization Of Target Volume For Delivery Of Radiation Treatment Includes Intrafraction Tracking When Performed (Desc Rvsd 1/1/19) |
| 77401-CPT | Low | Radiation Treatment Delivery Superficial And/Or Ortho Voltage Per Day (Desc Revised 01/01/15) |
| 77402-CPT | Low | Radiation Treatment Delivery >= 1 Mev; Simple (Desc Received 01/01/15) Locks Or No Blocks; Up To 5 Mev |
| 77407-CPT | Moderate | Radiation Treatment Delivery >= 1 Mev; Intermediate (Desc Revised 01/01/15) T Area Use Of Multiple Blocks; Up To 5 Mev |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77402 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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