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See a sample rate comparisonCPT 77525 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Radiation Oncology Treatment |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None XE - Separate encounter Q6 - Service furnished by a locum tenens physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77525 |
| Medicaid Fee Schedule | View Medicaid rates for 77525 |
National average reimbursement for CPT 77525 by major payers:
$1,307.40
$1,297.04
$2,399.87
$1,736.38
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CPT 77525
5 of 25 sample ratesHigher to lower in this preview
Evan Schmitz
Northern Arizona Healthcare Corporation
$1,867.22Published rateGurjeet Singh
Northern Arizona Healthcare Corporation
$1,867.22Published rateVernard Fennell
Northern Arizona Healthcare Corporation
$1,867.22Published rateDavid Van De Wyngaerde
Northern Arizona Healthcare Corporation
$1,442.05Published rateRestorative Health Rehabilitation Inc
$60.00Published rate
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See a sample payer proposalCPT 77525 vs. Other Radiation Oncology Treatment Codes
The CPT 77525 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 77525 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 |
|---|---|---|
| 77520-CPT | Moderate | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
| 77522-CPT | High | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
| 77523-CPT | High | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
| 77525-CPT | High | Shaped-Beam Radiation Therapy, Radiation Therapy Using Protons Is Directed At The Affected Site. Protons Can Be Shaped To Match Damaged Cells. This Enables Use Of A High Dose Without Damage To Nearby Healthy Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77525 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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