CPT 98977 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 | • Medicine Services and Procedures • Non-Face-to-Face Nonphysician Services |
| Common Place of Service | • 11 - Office • None |
| Common Modifiers | • None • GP - Services delivered under an outpatient physical therapy plan of care • GW - Condition not related to the patient's terminal condition |
| Complexity Level | Low |
National average reimbursement for CPT 98977 by major payers:
$64.18
$70.44
$63.32
$95.52
| 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 98977 | ||||||
United | 98977 | $65.06 | 1619923844 - CRAIG PETERSON | 631220236 - (AL) EASTERN SHORE HEART CENTER | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $77.84 | 1164737490 - MOHAN EDUPUGANTI | 452867352 - INTEGRIS CARDIOVASCULAR PHYSICIANS LLC | MO | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $52.29 | 1861446866 - MONICA HUNTER | 631185612 - (AL) SOUTHVIEW MEDICAL GROUP, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $108.70 | 1992948046 - JACQUELINE GREEN | 260593928 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $58.09 | 1528599222 - THOMAS WOOL | 630691533 - (AL) MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $74.29 | 1982638383 - HENRY FLEMMING | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $59.84 | 1497966287 - JAMES TOWERY | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $66.23 | 1386809176 - FARAH AL KHITAN | 631102774 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $46.47 | 1598729105 - JEFFREY ANDERSON | 824122192 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $62.41 | 1053722413 - WILLIAM BLACK | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $59.84 | 1790057420 - BAMA HEART DOC, P.C., ALABAMA HEART AND VASCULAR MEDICINE | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $69.72 | 1851400485 - GEORGE HEMSTREET | 636000271 - (AL) THE DCH HEALTH CARE AUTHORITY | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $43.08 | 1912043795 - JOHN LEDOUX | 630889615 - (AL) CARDIOLOGY ASSOCIATES OF MOBILE, INC. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $63.90 | 1780648394 - WILLIAM HILL | 630837257 - (AL) CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $46.41 | 1851471122 - NASSER LAKKIS | 834257679 | AL | Interventional Cardiology Physician (207RI0011X) |
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 98977 vs. Other Non-Face-to-Face Nonphysician Services Codes
The CPT 98977 code is part of the Medicine Services and Procedures services used for Non-Face-to-Face Nonphysician Services. 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 98977 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 |
|---|---|---|
| 98970-CPT | Low | Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service, For An Established Patient, For Up To 7 Days, Cumulative Time During The 7 Days; 5-10 Minutes |
| 98971-CPT | Low | Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service For An Established Patient For Up To 7 Days Cumulative Time During The 7 Days; 11-20 Minutes |
| 98972-CPT | Low | Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service For An Established Patient For Up To 7 Days Cumulative Time During The 7 Days; 21 Or More Minutes |
| 98977-CPT | Low | Remote Therapeutic Monitoring (Eg, Respiratory System Status, Musculoskeletal System Status, Therapy Adherence, Therapy Response); Device(S) Supply With Scheduled (Eg, Daily) Recording(S) And/Or Programmed Alert(S) Transmission To Monitor Musculoskeletal System, Each 30 Days |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98977. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98977 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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