CPT code 77001: Fluoroscopic guidance, central venous device placement2026 Medicare rate & RVUs in Kansas

Reports fluoroscopic guidance and interpretation during central venous access device placement or replacement, alongside the primary access procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality225K Medicare services in 2024

In Kansas, Medicare pays $89.59 for 77001 in the office.

$89.59Office (non-facility)
Not available in this settingHospital or facility
−9.1%vs the national office rate ($98.53)

Check a contract rate as a % of Medicare · 77001 nationwide

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

We’ll open 77001 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What 77001 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 77001 covers

This service uses real-time X-ray imaging to guide placement or replacement of a central venous access device, such as a central catheter or implanted port. A physician performing the access procedure may use fluoroscopy to follow the wire and catheter and assess device position; radiology personnel may provide the imaging equipment and technical support. It is commonly performed in hospitals, procedure suites, and other settings where central venous access devices are placed or replaced.

Report 77001 only with a primary procedure for central venous access device placement or replacement; it is not a standalone service. The record should identify the associated access procedure, the fluoroscopic guidance provided, and the physician’s interpretation. CMS treats the service as having professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service. Payment for this add-on is 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.

How Kansas compares for 77001

Across 109 of 109 payment localities, the office rate for 77001 runs from $85.81 in Arkansas to $136.47 in San Benito County, CA. Kansas pays $89.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

77001 in Kansas vs other payment areas
  1. Kansas · this page$89.59
  2. Los Angeles, CA · California$113.94+$24.35
  3. Washington, DC area · District of Columbia$114.43+$24.84
  4. Miami, FL · Florida$104.55+$14.96
  5. Chicago, IL · Illinois$101.20+$11.61
  6. Manhattan, NY · New York$113.99+$24.40
  7. Alaska · Alaska$109.45+$19.86

Other areas in Kansas first, then benchmark localities. Bars start at $0.

Every other payment area

77001 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$87.24—
ArkansasArkansas$85.81—
ArizonaArizona$95.67—
Bakersfield, CACalifornia$106.23—
Chico, CACalifornia$106.08—
El Centro, CACalifornia$106.09—
Fresno, CACalifornia$106.08—
Hanford, CACalifornia$106.08—

77001 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$85.81

$121.28

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
77001 office rate range by state
State / territoryOffice rate rangeLocalities
AK$109.451
AL$87.241
AR$85.811
AZ$95.671
CA$106.08–$136.4729
CO$103.721
CT$105.641
DC$114.431
DE$97.411
FL$95.65–$104.553
GA$89.73–$100.262
GU$109.411
HI$109.411
IA$90.341
ID$90.891
IL$92.12–$102.194
IN$91.511
KS$89.591
KY$89.011
LA$88.74–$93.772
MA$102.87–$115.252
MD$99.53–$114.433
ME$91.14–$97.162
MI$91.40–$96.722
MN$99.811
MO$86.83–$94.483
MS$86.351
MT$98.531
NC$92.271
ND$97.541
NE$90.991
NH$101.791
NJ$106.96–$112.952
NM$91.851
NV$98.341
NY$93.81–$116.735
OH$91.191
OK$89.121
OR$97.70–$107.682
PA$91.51–$102.542
PR$99.441
RI$101.381
SC$91.861
SD$97.421
TN$90.071
TX$90.81–$103.278
UT$93.291
VA$96.61–$114.432
VI$99.441
VT$96.861
WA$102.77–$118.032
WI$93.831
WV$88.181
WY$98.101

See 77001 in every payment locality

How the 77001 rate is calculated

Each of 77001’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 · 77001

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.37

0.37 RVUs× 1.000 GPCI

Practice expense2.53

2.53 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

2.9500

Conversion factor

$33.4009

Medicare rate

$98.53

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

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,925

Code
77001
Physician work
0.37
Practice expense
2.53
Malpractice
0.05

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for 77001 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense2.53× 0.9042.2871
Malpractice0.05× 0.5040.0252
Total RVUs2.6823
Conversion factor× 33.4009

Office rate, Kansas$89.59

Office: (0.37 × 1 + 2.53 × 0.904 + 0.05 × 0.504) × $33.4009 = $89.59

Open 77001 in the RVU calculator

Payment rules and modifiers for 77001

The CMS indicators that decide how 77001 is paid alongside other services.

CMS payment indicators · 77001

Fluoroscopic guidance, central venous device placement

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/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

77001 without 26 · national office

$98.53

Fluoroscopic guidance, central venous device placement

77001-26 · Professional component

$17.70

Pays only the interpretation and report.

When to use modifier 26

How 77001 has changed in Kansas

77001 · Office / nonfacility

$89.59

Effective 2026-10-01

The base rate is $3.75 higher than on 2025-10-01, moving from $85.84 to $89.59 (4.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $85.84changed to$89.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • Practice expense RVU 2.48 changed to 2.53
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $89.85changed to$85.84

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.53 changed to 2.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $88.38changed to$89.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $93.33changed to$88.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.59 changed to 2.53
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540
  5. January 1, 2023

    RVU23A

    $97.21changed to$93.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.65 changed to 2.59
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $95.80changed to$97.21

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.58 changed to 2.65

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $89.69changed to$95.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.29 changed to 2.58
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $84.51changed to$89.69

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.13 changed to 2.29
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $78.84changed to$84.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.96 changed to 2.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $78.36changed to$78.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $65.08changed to$78.36

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.57 changed to 1.96
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $64.99changed to$65.08

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.56 changed to 1.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $64.66changed to$64.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $73.06changed to$64.66

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.81 changed to 1.56
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $109.74changed to$73.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.14 changed to 1.81
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $109.74

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$89.59Not available in this settingRVU26D
2026-07-01$89.59Not available in this settingRVU26C
2026-04-01$89.59Not available in this settingRVU26B
2026-01-01$89.59Not available in this settingRVU26A
2025-10-01$85.84Not available in this settingRVU25D
2025-07-01$85.84Not available in this settingRVU25C
2025-04-01$85.84Not available in this settingRVU25B
2025-01-01$85.84Not available in this settingRVU25A
2024-10-01$89.85Not available in this settingRVU24D
2024-07-01$89.85Not available in this settingRVU24C
2024-04-01$89.85Not available in this settingRVU24B
2024-03-09$89.85Not available in this settingRVU24AR
2024-01-01$88.38Not available in this settingRVU24A
2023-10-01$93.33Not available in this settingRVU23D
2023-07-01$93.33Not available in this settingRVU23C
2023-04-01$93.33Not available in this settingRVU23B
2023-01-01$93.33Not available in this settingRVU23A
2022-10-01$97.21Not available in this settingRVU22D
2022-07-01$97.21Not available in this settingRVU22C
2022-04-01$97.21Not available in this settingRVU22B
2022-01-01$97.21Not available in this settingRVU22A
2021-10-01$95.80Not available in this settingRVU21D
2021-07-01$95.80Not available in this settingRVU21C
2021-04-01$95.80Not available in this settingRVU21B
2021-01-01$95.80Not available in this settingRVU21A
2020-10-01$89.69Not available in this settingRVU20D
2020-07-01$89.69Not available in this settingRVU20C
2020-04-01$89.69Not available in this settingRVU20B
2020-01-01$89.69Not available in this settingRVU20A
2019-10-01$84.51Not available in this settingRVU19D
2019-07-01$84.51Not available in this settingRVU19C
2019-04-01$84.51Not available in this settingRVU19B
2019-01-01$84.51Not available in this settingRVU19A
2018-10-01$78.84Not available in this settingRVU18D
2018-07-01$78.84Not available in this settingRVU18C
2018-04-01$78.84Not available in this settingRVU18B
2018-01-01$78.84Not available in this settingRVU18AR1
2017-10-01$78.36Not available in this settingRVU17D
2017-07-01$78.36Not available in this settingRVU17C
2017-04-01$78.36Not available in this settingRVU17B
2017-01-01$78.36Not available in this settingRVU17A
2016-10-01$65.08Not available in this settingRVU16D
2016-07-01$65.08Not available in this settingRVU16C
2016-04-01$65.08Not available in this settingRVU16B
2016-01-01$65.08Not available in this settingRVU16A
2015-10-01$64.99Not available in this settingRVU15D
2015-07-01$64.99Not available in this settingRVU15C
2015-04-01$64.66Not available in this settingRVU15B
2015-01-01$64.66Not available in this settingRVU15A
2014-10-01$73.06Not available in this settingRVU14D
2014-07-01$73.06Not available in this settingRVU14C
2014-04-01$73.06Not available in this settingRVU14B
2014-01-01$73.06Not available in this settingRVU14A
2013-10-01$109.74Not available in this settingRVU13D
2013-07-01$109.74Not available in this settingRVU13C
2013-04-01$109.74Not available in this settingRVU13B
2013-01-01$109.74Not available in this settingRVU13AR

Price 77001 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

77001 billing questions

Can 77001 be reported by itself?

No. It is an add-on for fluoroscopic guidance associated with a primary central venous access device procedure and must be billed with that primary procedure.

When should modifier 26 or TC be used?

Use modifier 26 for the physician’s interpretation when professional and technical services are split. Use TC for the equipment and staff; without either modifier, the line represents the global service.

Is 77001 the code for placing the catheter or port?

No. The primary procedure code describes the central venous access device placement or replacement. 77001 reports the associated fluoroscopic guidance.

How does 77001 differ from 77002?

77001 is for fluoroscopic guidance associated with central venous access device placement or replacement. 77002 is used for fluoroscopic guidance for needle placement, such as for biopsy, aspiration, injection, or localization.

What documentation supports reporting 77001?

Document the primary central venous access procedure, the use of fluoroscopy to guide the device procedure, and the physician’s interpretation. The add-on must be linked to the primary procedure.

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

Show the CMS file lines behind this rate
RVUs for 77001PPRRVU2026_Oct_nonQPP.csv, line 8,925 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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