CPT 77772 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 76 - Repeat procedure by same physician |
| Complexity Level | High |
National average reimbursement for CPT 77772 by major payers:
$1,064.10
$1,107.30
$1,101.72
$1,386.26
| 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 77772 | ||||||
United | 77772 | $1153.06 | 1770543373 - MARK BOCCHICCHIO | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | CA | Interventional Cardiology Physician (207RI0011X) |
United | 77772 | $290.88 | 1548260482 - MAIN LINE PATHOLOGY ASSOCIATES, PC | 232786651 - (PA) MAIN LINE PATHOLOGY ASSOCIATES, P.C | PA | Clinical Pathology/Laboratory Medicine Physician (207ZP0105X) |
United | 77772 | $472.79 | 1871585810 - PHILIP GLEASON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Urology Physician (208800000X) |
United | 77772 | $472.79 | 1467108308 - MADELINE SMITH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 77772 | $922.45 | 1548260482 - MAIN LINE PATHOLOGY ASSOCIATES, PC | 232786651 - (PA) MAIN LINE PATHOLOGY ASSOCIATES, P.C | PA | Clinical Pathology/Laboratory Medicine Physician (207ZP0105X) |
United | 77772 | $631.57 | 1548260482 - MAIN LINE PATHOLOGY ASSOCIATES, PC | 232786651 - (PA) MAIN LINE PATHOLOGY ASSOCIATES, P.C | PA | Clinical Pathology/Laboratory Medicine Physician (207ZP0105X) |
United | 77772 | $472.79 | 1649471947 - EVAN SCHMITZ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Pulmonary Disease Physician (207RP1001X) |
United | 77772 | $1072.81 | 1093788747 - ANDREW NICHOLES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MO | Emergency Medicine Physician (207P00000X) |
United | 77772 | $789.46 | 1528065919 - DAVID VAN DE WYNGAERDE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Orthopaedic Surgery Physician (207X00000X) |
United | 77772 | $1072.81 | 1750708483 - SUSAN HANNIFAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Certified Registered Nurse Anesthetist (367500000X) |
United | 77772 | $472.79 | 1710471750 - JESSICA FLETCHER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 77772 | $363.60 | 1205806940 - SRINIVAS BOLLIMPALLI | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ME | Anesthesiology Physician (207L00000X) |
United | 77772 | $1072.81 | 1558679233 - LEIGH MCGLINN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Critical Care Neonatal Nurse Practitioner (363LN0005X) |
United | 77772 | $1545.60 | 1639131923 - EUGENE MCGOUGH | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | VA | Certified Registered Nurse Anesthetist (367500000X) |
United | 77772 | $472.79 | 1053671677 - GREGORY SCHWEITZ | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
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 77772 vs. Other Radiation Oncology Treatment Codes
The CPT 77772 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 77772 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 |
|---|---|---|
| 77767-CPT | Moderate | Remote Afterloading High Dose Rate Radionuclide Skin Surface Brachytherapy Includes Basic Dosimetry When Performed; Lesion Diameter Up To 2.0 Cm Or 1 Channel |
| 77768-CPT | Moderate | Remote Afterloading High Dose Rate Radionuclide Skin Surface Brachytherapy Includes Basic Dosimetry When Performed; Lesion Diameter Over 2.0 Cm And 2 Or More Channels Or Multiple Lesions |
| 77770-CPT | Moderate | Remote Afterloading High Dose Rate Radionuclide Interstitial Or Intracavitary Brachytherapy Includes Basic Dosimetry When Performed; 1 Channel |
| 77772-CPT | High | Remote Afterloading High Dose Rate Radionuclide Interstitial Or Intracavitary Brachytherapy Includes Basic Dosimetry When Peformed; Over 12 Channels |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77772. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77772 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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