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 | $47.27 | 1427069632 - EDWARD HOSPITAL | 363297173 - (IL) EDWARD HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 98977 | $104.55 | 1902800352 - UNITED MEMORIAL MEDICAL CENTER | 160743029 - (NY) UNITED MEMORIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 98977 | $38.88 | 1235136821 - THERESE LANGO | 272451336 | 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 | $41.81 | 1205833241 - CLHG-WINN, LLC, WINN PARISH MEDICAL CENTER | 813465517 | LA | General Acute Care Hospital (282N00000X) |
United | 98977 | $98.34 | 1831840180 - MARYVILLE IMAGING, LLC, GOSHEN IMAGING | 452588783 - (IL) MARYVILLE IMAGING LLC | IL | Radiology Clinic/Center (261QR0200X) |
United | 98977 | $65.06 | 1619923844 - CRAIG PETERSON | 631220236 - (AL) EASTERN SHORE HEART CENTER | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $104.97 | 1083644579 - BRONSON BATTLE CREEK HOSPITAL | 382776791 - (MI) BRONSON BATTLE CREEK HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 98977 | $45.16 | 1992720791 - OMEGA HOSPITAL LLC | 470901008 - (LA) OMEGA HOSPITAL LLC | LA | General Acute Care Hospital (282N00000X) |
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 | $133.36 | 1689672693 - SAINT CLARE HOSPITAL, ST. CLARE HOSPITAL | 911487485 | WA | General Acute Care Hospital (282N00000X) |
United | 98977 | $52.06 | 1265761506 - SONO CARE OF EAST TEXAS LLC | 800504116 - (TX) SONO CARE OF EAST TEXAS LLC | TX | Radiology Clinic/Center (261QR0200X) |
United | 98977 | $38.88 | 1235136821 - THERESE LANGO | 272451336 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 98977 | $66.12 | 1366490021 - HAWTHORNE WORKS MEDICAL IMAGING, LLC | 203364703 - (IL) HAWTHORNE WORKS MEDICAL IMAGING LLC | IL | Radiology Clinic/Center (261QR0200X) |
United | 98977 | $42.08 | 1750646436 - OXFORD PRE OP & IMAGING CENTER LLC | 454896914 - (MS) OXFORD PRE OP IMAGING CENTER LLC | MS | Radiology Clinic/Center (261QR0200X) |
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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