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See a sample rate comparisonCPT 77431 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 Therapy Management W, Radiation Therapy Management With Complete Course Of Therapyconsisting Radiation Therapy Managementwith Complete Course Of Therapy
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77431 |
| Medicaid Fee Schedule | View Medicaid rates for 77431 |
National average reimbursement for CPT 77431 by major payers:
$148.15
$132.34
$133.14
$154.89
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CPT 77431
5 of 25 sample ratesHigher to lower in this preview
David Erwin
Radiology Associates Of North Texas, PA
$259.85Published rateEmma Kroloff
Northern Arizona Healthcare Corporation
$160.19Published rateNauman Farooq
Northern Arizona Healthcare Corporation
$136.24Published rateChristopher Raio
St Francis Hospital
$125.62Published rateMichael Jacobson
Hroa 401k Plan
$85.46Published rate
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See a sample payer proposalCPT 77431 vs. Other Radiation Oncology Treatment Codes
The CPT 77431 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 77431 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 |
|---|---|---|
| 77431-CPT | Low | Radiation Therapy Management W, Radiation Therapy Management With Complete Course Of Therapyconsisting Radiation Therapy Managementwith Complete Course Of Therapy |
| 77432-CPT | Moderate | Radiation Treatment Management, Physician Review And Management Of All Aspects Of Stereotactic Radiation Therapy From Dose Calculation And Delivery To Care Supervision. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions. |
| 77435-CPT | Moderate | Radiation Treatment Management, Physician Review And Management Of All Aspects Of Stereotactic Radiation Therapy From Dose Calculation And Delivery To Care Supervision. Stereotactic Imaging Is Used To Precisely Map The Target Location In Three Dimensions. |
| 77469-CPT | Moderate | Radiation Treatment Management, Management Of A Radiation Treatment Given During Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77431. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77431 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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