CPT 77789 Fee Schedule
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.
| 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 | Low |
National average reimbursement for CPT 77789 by major payers:

$155.68

$141.76

$145.92

$184.63
| 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 77789 | ||||||
United | 77789 | $78.50 | 1437139474 - MARIAN DIAMOND | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Family Nurse Practitioner (363LF0000X) |
United | 77789 | $304.97 | 1164947297 - LEAH LEONHARDT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77789 | $77.98 | 1174523161 - AMANDA NEWMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 77789 | $173.39 | 1396079810 - CHAD LANGE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 77789 | $163.75 | 1942619408 - MOHANAD SOLIMAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Pulmonary Disease Physician (207RP1001X) |
United | 77789 | $77.98 | 1730624990 - REBECCA HEISINGER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WY | Certified Registered Nurse Anesthetist (367500000X) |
United | 77789 | $30.62 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 77789 | $63.36 | 1447317110 - BAPTIST HEALTH CARE, INC., BAPTIST HOME HEALT CARE AND MEDICAL EQUIPMENT | 590657322 - BAPTIST HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 77789 | $77.98 | 1003268749 - ELIZABETH GILMORE | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MA | Certified Registered Nurse Anesthetist (367500000X) |
United | 77789 | $163.75 | 1962062455 - JUAN VARGAS | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Hospitalist Physician (208M00000X) |
United | 77789 | $85.26 | 1528090032 - NAEEM CHAVLA | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | WA | Urology Physician (208800000X) |
United | 77789 | $163.75 | 1356755433 - PETER LASATER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Orthopaedic Surgery Physician (207X00000X) |
United | 77789 | $173.39 | 1003127341 - JEREMY NIELSEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 77789 | $304.97 | 1881655843 - KEVIN SHORT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 77789 | $167.30 | 1366630675 - MARIA RAVANZO | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Physician Assistant (363A00000X) |
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 77789 vs. Other Radiation Oncology Treatment Codes
The CPT 77789 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 77789 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 |
| 77789-CPT | Low | Surface Application Of Radioelement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77789. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77789 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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