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See a sample rate comparisonHealthcare 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 |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77436 |
| Medicaid Fee Schedule | View Medicaid rates for 77436 |
National average reimbursement for CPT 77436 by major payers:

$111.76

$99.57

$1,145.28

$N/A
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Rate Benchmarking
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See a sample payer proposalCPT 77436 vs. Other Radiation Oncology Treatment Codes
The CPT 77436 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 77436 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 |
|---|---|---|
| 77436-CPT | Low | Radiation Therapy On The Skin, Radiation Therapy On The Surface Of The Skin. This Procedure Is Generally Used To Treat Skin Cancer And It Includes Planning And Simulation. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77436 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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