CPT 77615 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Radiation Oncology Treatment |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 77615 |
National average reimbursement for CPT 77615 by major payers:
$1,229.97
$1,134.37
$1,187.15
$1,502.44
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 77615 | ||||||
United | 77615 | $2432.51 | 1407050693 - KIANNE HARDEE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77615 | $274.29 | 1164849154 - MOHAMMAD TOLIYAT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77615 | $1413.21 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 77615 | $274.29 | 1649276072 - KENNETH WHITE | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77615 | $115.63 | 1184042095 - EMILY COURTNEY | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
United | 77615 | $1255.32 | 1982953915 - LAURA HIGGINS | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 77615 | $1069.18 | 1508628306 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 77615 | $2432.51 | 1437508140 - UZOMA IGBOAGI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 77615 | $2432.51 | 1699204081 - KEVIN HOANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 77615 | $125.41 | 1669440921 - LOIS WISE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | FL | Anesthesiology Physician (207L00000X) |
United | 77615 | $1716.75 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 77615 | $2588.92 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 77615 | $1446.01 | 1619315967 - DAVID SILVESTRE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | PA | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 77615 | $274.29 | 1750591475 - ANGELA SCHILSKY | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77615 | $2706.81 | 1740349703 - RADIOLOGY ASSOCIATES OF NORTH TEXAS PA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Ultrasound Physician (2085U0001X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 77615 vs. Other Radiation Oncology Treatment Codes
The CPT 77615 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 77615 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 |
|---|---|---|
| 77435-CPT | Moderate | Stereotactic Body Radiation Therapy, Treatment Management, Per Treatment Course, To 1 Or More Lesions, Including Image Guidance, Entire Course Not To Exceed 5 Fractions |
| 77523-CPT | High | Proton Beam Delivery To One Or Two Treatment Areas, Two Or More Ports, Two Or More Custom Blocks |
| 77600-CPT | Moderate | Use Of Externally Generated Heat To Increase Temperature Of Cancer Cell, Heating To Depths 4.0 Cm Or Less |
| 77615-CPT | High | Use Of Interstitial Probe Generated Heat To Increase Temperature Of Cancer Cell, More Than 5 Probes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77615 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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