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See a sample rate comparisonCPT 77469 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 Treatment Management, Management Of A Radiation Treatment Given During Surgery.
| 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 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77469 |
| Medicaid Fee Schedule | View Medicaid rates for 77469 |
National average reimbursement for CPT 77469 by major payers:
$441.09
$388.87
$384.06
$488.20
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CPT 77469
5 of 25 sample ratesHigher to lower in this preview
Cassy Felts
Radiology Associates Of North Texas, PA
$821.07Published rateSabra Dixon
Radiology Associates Of North Texas, PA
$821.07Published rateThomas Takash
Northern Arizona Healthcare Corporation
$524.40Published rateErin Kelly
Town Center Orthopaedic Associates, P.C.
$380.61Published rateHealth Imaging Partners LLC
$327.95Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 77469 vs. Other Radiation Oncology Treatment Codes
The CPT 77469 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 77469 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. |
| 77469-CPT | Moderate | Radiation Treatment Management, Management Of A Radiation Treatment Given During Surgery. |
| 77470-CPT | Low | Special Treatment Procedure (E, Special Treatment Procedure (Eg Total Body Irradiationhemibody Irradiation Per Oral Vaginal Coneirradiation) Special Treatment Procedure (Eg To Tal Body Irradiation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77469. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77469 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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