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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 |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None UD 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77610 |
| Medicaid Fee Schedule | View Medicaid rates for 77610 |
National average reimbursement for CPT 77610 by major payers:

$823.13

$799.57

$833.36

$1,018.59
Choose a payer to see a sample of rates for CPT 77610.
Radiology Associates Of North Texas, PA
Merrimack Valley Pediatric Associates, Inc.
Radiology Associates Of North Texas, PA
Merrimack Valley Pediatric Associates, Inc.
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 77610 vs. Other Radiation Oncology Treatment Codes
The CPT 77610 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 77610 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 |
|---|---|---|
| 77600-CPT | Moderate | Cancer Treatment Using Heat, Hyperthermia Cancer Treatment Exposes The Body To A Heat Source To Raise The Body Temperature. Hyperthermia Is Most Often Used With Another Form Of Cancer Treatment. |
| 77605-CPT | High | Cancer Treatment Using Heat, Hyperthermia Cancer Treatment Exposes The Body To A Heat Source To Raise The Body Temperature. Hyperthermia Is Most Often Used With Another Form Of Cancer Treatment. |
| 77610-CPT | Moderate | Cancer Treatment Using Heat, Hyperthermia Cancer Treatment Exposes The Body To A Heat Source To Raise The Body Temperature. Hyperthermia Is Most Often Used With Another Form Of Cancer Treatment. |
| 77790-CPT | Low | Radioactive Material Handling, Supervision Handling And Loading Of Radioactive Materials Implanted For Radiation Therapy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77610 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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