CPT 77407 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 |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XE - Separate encounter • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77407 |
National average reimbursement for CPT 77407 by major payers:
$239.19
$227.30
$196.81
$326.22
| 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 77407 | ||||||
United | 77407 | $352.79 | 1699103911 - PAUL MORE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 77407 | $352.79 | 1528170586 - LINDA LIU | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Surgery Physician (208600000X) |
United | 77407 | $352.79 | 1245664887 - SHERRY WALKA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 77407 | $352.79 | 1912986944 - JACQUELINE EUBANY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MT | Clinical Cardiac Electrophysiology Physician (207RC0001X) |
United | 77407 | $206.63 | 1093045072 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 77407 | $127.12 | 1386690014 - STEVEN SCHULTZ | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77407 | $352.79 | 1083061436 - BONNIE BARBEE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 77407 | $504.38 | 1396215059 - REBECA STANLEY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
United | 77407 | $352.79 | 1790449650 - JACQUELYN POVILAITIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 77407 | $246.30 | 1790449650 - JACQUELYN POVILAITIS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Physical Therapist (225100000X) |
United | 77407 | $352.79 | 1699739862 - JONATHAN WEISER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | NY | Family Medicine Physician (207Q00000X) |
United | 77407 | $352.79 | 1871585810 - PHILIP GLEASON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Urology Physician (208800000X) |
United | 77407 | $352.79 | 1669764924 - DAVID DELMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ID | Neurology Physician (2084N0400X) |
United | 77407 | $246.30 | 1154309730 - JUDITH HUTCHINSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77407 | $246.30 | 1497935183 - SANDRA FRANCIS-ROGERS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | SC | Hospitalist Physician (208M00000X) |
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 77407 vs. Other Radiation Oncology Treatment Codes
The CPT 77407 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 77407 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 77407. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77407 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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