CPT code 0774T: VR dissociation service, other physician, additional time2026 Medicare rate & RVUs in California

Reports each additional 15 minutes of virtual reality procedural dissociation provided by a physician or qualified professional other than the physician providing the procedure.

CMS RVU26DEffective Oct 1, 202629 payment localities

CMS doesn’t publish an office rate for 0774T in California.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in California
  2. What 0774T covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 0774T covers

This add-on represents additional time using virtual reality to support a patient's dissociation during a procedure. It is reported by the physician or other qualified health care professional providing the VR dissociation service when that clinician is other than the physician providing the procedure. It is distinct from virtual reality used as a therapeutic service outside this procedural context.

Medicare assigns this Category III code carrier-priced status. CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Report it only with the applicable primary procedure, not by itself. This code represents each additional 15 minutes after the initial interval represented by 0773T, and Medicare treats payment within the primary procedure's global period.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 0774T pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

0774T office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 0774T rate is calculated

Each of 0774T’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 0774T

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 0774T

The CMS indicators that decide how 0774T is paid alongside other services.

CMS payment indicators · 0774T

VR dissociation service, other physician, additional time

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

0774T compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 0774T

    VR dissociation service, other physician, additional time0 wRVU

    Not priced

  • 0773T

    VR procedural dissociation, other clinician, initial 15 minutes0 wRVU

    Not priced

  • 0772T

    VR dissociation, small procedure, each additional0 wRVU

    Not priced

  • 0770T

    VR-assisted therapy, with physiologic monitoring0 wRVU

    Not priced

How to choose

0773TVR procedural dissociationOther clinician, initial 15 minutes
0773T represents the initial interval of the other physician's VR dissociation service; 0774T represents each additional 15 minutes.
0772TVR dissociationSmall procedure, each additional
0772T is the additional-time code for the same-physician service. 0774T is for the other physician's service.
0770TVR-assisted therapyWith physiologic monitoring
0770T describes VR technology used to assist therapy. 0774T concerns additional time providing VR dissociation during a procedure.

0774T billing questions

When should I use 0774T rather than 0773T?

Use 0773T for the initial interval of the service by the other physician or qualified professional. Use 0774T for each additional 15 minutes.

Can 0774T be billed by itself?

No. It is an add-on code and must be reported with the applicable primary procedure.

How many minutes does one unit represent?

Each unit represents an additional 15 minutes after the initial interval.

How does Medicare price 0774T?

It has carrier-priced status, so CMS publishes no national payment. The Medicare Administrative Contractor sets payment for each claim.

What should the record support?

Document the VR dissociation service, the clinician providing it, and the additional time represented by the units reported.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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