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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 Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 79445 |
| Medicaid Fee Schedule | View Medicaid rates for 79445 |
National average reimbursement for CPT 79445 by major payers:

$277.25

$253.85

$221.54

$284.94
Choose a payer to see a sample of rates for CPT 79445.
Hospital Service District 2 Of The Parish Of Tangipahoa State Of La
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
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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 79445 vs. Other Nuclear Medicine Procedures Codes
The CPT 79445 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 79445 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 |
| 79440-CPT | Low | Intra-Articulr Radionuclide Therapy |
| 79445-CPT | Moderate | Radiopharmaceu Therap By Intra-Arterial Particulate Administrat, Radiopharmaceutical Therapy By Intra-Arterial Particulate Administrat |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 79445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 79445 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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