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See a sample rate comparisonCPT 79200 Fee Schedule
Last Verified: September 2026
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.
Intracavitary Radioact.Colloid Ther
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component Q1 - Routine clinical service provided in a clinical research study |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 79200 |
| Medicaid Fee Schedule | View Medicaid rates for 79200 |
National average reimbursement for CPT 79200 by major payers:
$171.70
$177.05
$160.77
$208.77
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CPT 79200
5 of 25 sample ratesHigher to lower in this preview
Phyllis Moore
Radiology Associates Of North Texas, PA
$409.63Published rateRyan Goff
Radiology Associates Of North Texas, PA
$260.75Published rateJames Wolfe
Radiology Associates Of North Texas, PA
$148.88Published rateJason Labrie
Northern Arizona Healthcare Corporation
$121.79Published ratePaul Lanier
Northern Arizona Healthcare Corporation
$46.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 79200 vs. Other Nuclear Medicine Procedures Codes
The CPT 79200 code is part of the Radiology Procedures services used for Nuclear Medicine Procedures. 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 79200 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 |
|---|---|---|
| 79005-CPT | Low | Radiopharmaceutical Therapy, By Oral Administration |
| 79101-CPT | Low | Radiopharmaceutical Therapy, By Intravenous Administration |
| 79200-CPT | Low | Intracavitary Radioact.Colloid Ther |
| 79300-CPT | Moderate | Radiopharmaceu Therap By Intersti Radioactive Colloid Admin, Radiopharmaceutical Therapy By Interstitial Radioactive Colloid Admin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 79200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 79200 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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