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See a sample rate comparisonCPT 79999 Fee Schedule
Last Verified: September 2026
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.
Unlisted Radiopharmaceutical T, Unlisted Radiopharmaceutical Therapeutic Procedureunlisted Radiopharmaceutical Therapeutic Procedure
| 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 PS - PET tumor subsequent treatment strategy |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 79999 |
National average reimbursement for CPT 79999 by major payers:
$1,174.00
$94.93
$539.38
$521.49
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CPT 79999
5 of 25 sample ratesHigher to lower in this preview
Inspira Medical Centers, Inc.
Inspira Medical Centers Inc
$700.09Published rateBrandon Hma LLC, Merit Health Rankin
$474.79Published rateProhealth Waukesha Memorial Hospital, Inc.
Prohealth Waukesha Memorial Hospital Inc
$385.58Published rateSaint Lukes East Hospital, Saint Luke'S East Lee'S Summit Hospital
Saint Lukes East Hospital
$262.10Published rateDmc-Memphis, LLC, Delta Specialty Hospital
Dmc - Memphis, Inc.
$179.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 79999 vs. Other Nuclear Medicine Procedures Codes
The CPT 79999 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 79999 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 |
| 79403-CPT | Moderate | Radiopharmaceu Therap Radiolabeled Monoclonal Antbody By Intra, Radiopharmaceutical Therapy Radiolabeled Monoclonal Antibody By Intra |
| 79999-CPT | High | Unlisted Radiopharmaceutical T, Unlisted Radiopharmaceutical Therapeutic Procedureunlisted Radiopharmaceutical Therapeutic Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 79999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 79999 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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