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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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77790 |
| Medicaid Fee Schedule | View Medicaid rates for 77790 |
National average reimbursement for CPT 77790 by major payers:

$39.91

$49.91

$40.89

$51.46
Choose a payer to see a sample of rates for CPT 77790.
Northern Arizona Healthcare Corporation
Northern Arizona Healthcare Corporation
Baycare Home Care Inc
Radiology Associates Of North Texas, PA
Sunrise Home Health Care Inc
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 77790 vs. Other Radiation Oncology Treatment Codes
The CPT 77790 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 77790 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 |
|---|---|---|
| 77750-CPT | Moderate | Infus Or Nstillation Of Radioelement Solution (Inclu 3-Month Fo, Infusion Or Instillation Of Radioelement Solution (Includes 3-Month Fo |
| 77761-CPT | Moderate | Intracavitary Radioelement Application;S |
| 77762-CPT | Moderate | Intracav.Radioelement Applic;Interm |
| 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 77790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77790 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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