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See a sample rate comparisonCPT 77412 Fee Schedule
Last Verified: September 2026
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.
Radiation Tx Delivery Lvl 3, Radiation Treatment Delivery; Level 3 Multiple Isocenters With Photon Therapy (Eg 2d 3d Or Imrt) Or A Single-Isocenter Photon Therapy (Eg 3d Or Imrt) With Active Motion Management Or Total Skin Electrons Or Mixed-Electron/Photon Field(S) Including Imaging Guidance When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments PN - Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77412 |
| Medicaid Fee Schedule | View Medicaid rates for 77412 |
National average reimbursement for CPT 77412 by major payers:
$294.96
$279.48
$252.92
$370.55
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CPT 77412
5 of 25 sample ratesHigher to lower in this preview
Texas Radiology Associates LLP
Texas Radiology Associates, LLP
$765.27Published rateSusan Boehnlein
Professional Radiology, Inc.
$507.05Published rateMarissa Liveris
Allergy & Asthma Of Dupage, S.C.
$359.27Published rateBaptist Hospitals Of Southeast Texas, Memorial Hermann Baptist Beaumont Hospital
Baptist Hospitals Of Southeast Texas
$210.72Published rateColumbia Medical Center Of Mckinney Subsidiary Lp, Medical City Mckinney
Columbia Medical Center Of Mckinney Subsidiary Lp
$191.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77412 vs. Other Radiation Oncology Treatment Codes
The CPT 77412 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 77412 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 T, Guidance For Localization Of Target Volume For Delivery Of Radiation Treatment Delivery Includes Intrafraction Tracking When Performed |
| 77402-CPT | Low | Radiology Treat Delivery, Radiation Treatment Delivery Greater Than Or Equal To 1 Mev; Simple (Eg Single-Electron Field Multiple-Electron Fields Or 2d Photons) Including Imaging Guidance When Performed |
| 77407-CPT | Moderate | Radiation Treatment Delivery, Radiation Treatment Delivery Two Separate Treatment Areas Three Or More Ports On A Single Treatment Area Use Of Multiple Blocks Up To 5 Mev |
| 77412-CPT | Moderate | Radiation Tx Delivery Lvl 3, Radiation Treatment Delivery; Level 3 Multiple Isocenters With Photon Therapy (Eg 2d 3d Or Imrt) Or A Single-Isocenter Photon Therapy (Eg 3d Or Imrt) With Active Motion Management Or Total Skin Electrons Or Mixed-Electron/Photon Field(S) Including Imaging Guidance When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77412 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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