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CPT code 77262: Radiation planning, intermediate complexity2026 Medicare rate & RVUs in King County, WA

Reports physician planning of an intermediate-complexity radiation treatment course, based on the documented clinical work needed to select the treatment approach.

CMS RVU26DEffective Oct 1, 2026One payment locality3.6K Medicare services in 2024

In King County, WA, Medicare pays $118.38 for 77262 in the office and $118.38 when it’s performed in a hospital or facility.

$118.38Office (non-facility)
$118.38Hospital or facility
+10.4%vs the national office rate ($107.22)

Check a contract rate as a % of Medicare · 77262 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 77262 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 77262 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 77262 covers

A radiation oncologist reviews the patient’s clinical information and relevant imaging, defines the treatment target and considers nearby normal structures, then establishes the treatment approach. Planning decisions may address treatment modality, dose, and fractionation. This service is used in radiation oncology for planning an individual course of treatment; the treatment site alone does not determine its complexity level.

Choose the intermediate level when the documented planning work supports that degree of complexity, rather than the simpler or more complex levels. The record should show the clinical information reviewed and the reasoning behind the treatment approach and complexity assigned. CMS identifies this as a professional-component-only code: it represents the physician’s interpretation and report, while a separate code covers the technical portion. Simulation and treatment planning describe distinct work; report a simulation service separately when performed.

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 King County, WA compares for 77262

Across 109 of 109 payment localities, the office rate for 77262 runs from $99.90 in Arkansas to $140.46 in Alaska. King County, WA pays $118.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

77262 in King County, WA vs other payment areas
  1. King County, WA · this page$118.38
  2. Rest of Washington · Washington$109.12−$9.26
  3. Los Angeles, CA · California$115.51−$2.87
  4. Washington, DC area · District of Columbia$117.96−$0.42
  5. Miami, FL · Florida$114.91−$3.47
  6. Chicago, IL · Illinois$113.05−$5.33
  7. Manhattan, NY · New York$119.90+$1.52

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

Every other payment area

77262 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$140.46$140.46
AlabamaAlabama$100.72$100.72
ArkansasArkansas$99.90$99.90
ArizonaArizona$105.46$105.46
Bakersfield, CACalifornia$110.54$110.54
Chico, CACalifornia$110.12$110.12
El Centro, CACalifornia$110.14$110.14
Fresno, CACalifornia$110.12$110.12

77262 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$99.90

$140.46

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

View every state and territory as a table
77262 office rate range by state
State / territoryOffice rate rangeLocalities
AK$140.461
AL$100.721
AR$99.901
AZ$105.461
CA$110.12–$129.3529
CO$109.561
CT$112.291
DC$117.961
DE$106.681
FL$107.56–$114.913
GA$103.87–$108.832
GU$110.751
HI$110.751
IA$101.561
ID$102.061
IL$106.16–$113.054
IN$102.381
KS$101.571
KY$102.651
LA$102.67–$105.522
MA$109.46–$116.832
MD$108.00–$117.963
ME$102.66–$105.402
MI$104.42–$108.632
MN$105.501
MO$101.86–$105.403
MS$100.881
MT$107.211
NC$103.221
ND$104.841
NE$101.791
NH$108.281
NJ$113.71–$117.692
NM$104.861
NV$106.591
NY$104.12–$122.025
OH$103.941
OK$102.251
OR$105.87–$111.462
PA$103.87–$110.722
PR$107.581
RI$109.281
SC$103.721
SD$104.561
TN$101.901
TX$103.51–$109.108
UT$104.521
VA$105.39–$117.962
VI$107.581
VT$104.861
WA$109.12–$118.382
WI$102.841
WV$103.961
WY$106.171

See 77262 in every payment locality

How the 77262 rate is calculated

Each of 77262’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 · 77262

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.95

1.95 RVUs× 1.000 GPCI

Practice expense1.14

1.14 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

3.2100

Conversion factor

$33.4009

Medicare rate

$107.22

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

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,027

Code
77262
Physician work
1.95
Practice expense
1.14
Malpractice
0.12

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 77262 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0502.0475
Practice expense1.14× 1.2271.3988
Malpractice0.12× 0.8170.0980
Total RVUs3.5443
Conversion factor× 33.4009

Office rate, King County, WA$118.38

Office: (1.95 × 1.05 + 1.14 × 1.227 + 0.12 × 0.817) × $33.4009 = $118.38

Facility: (1.95 × 1.05 + 1.14 × 1.227 + 0.12 × 0.817) × $33.4009 = $118.38

Open 77262 in the RVU calculator

Payment rules and modifiers for 77262

The CMS indicators that decide how 77262 is paid alongside other services.

CMS payment indicators · 77262

Radiation planning, intermediate complexity

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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/technical2Professional component only.

Codes related to 77262

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 77262
CodeHow it relatesOffice range, King County, WA
Same family
77261Radiation planning, simple complexityThe simpler clinical treatment-planning level.$77.19
77263Treatment planning, complex planningThe more complex clinical treatment-planning level.$185.18
Often billed with
77285Radiotherapy simulation, intermediate complexityIntermediate-complexity simulation is distinct from treatment planning when both services are performed.$548.88

How 77262 has changed in King County, WA

77262 · Office / nonfacility

$118.38

Effective 2026-10-01

The base rate is $1.94 higher than on 2025-10-01, moving from $116.44 to $118.38 (1.7%).

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

    $116.44changed to$118.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 1.15 changed to 1.14
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $117.80changed to$116.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.10 changed to 1.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $115.88changed to$117.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $118.05changed to$115.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.07 changed to 1.10
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $117.49changed to$118.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.03 changed to 1.07
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $117.34changed to$117.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.99 changed to 1.03
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $118.96changed to$117.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.96 changed to 0.99
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $116.72changed to$118.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.92 changed to 0.96
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $116.59changed to$116.72

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $120.93changed to$116.59

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 2.11 changed to 2.00
    • Practice expense RVU 0.96 changed to 0.92
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $118.97changed to$120.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.94 changed to 0.96
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $118.15changed to$118.97

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.91 changed to 0.94

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $117.56changed to$118.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $117.51changed to$117.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.87 changed to 0.91
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $112.84changed to$117.51

    • Conversion factor 34.0230 changed to 35.8228
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $112.84

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$118.38$118.38RVU26D
2026-07-01$118.38$118.38RVU26C
2026-04-01$118.38$118.38RVU26B
2026-01-01$118.38$118.38RVU26A
2025-10-01$116.44$116.44RVU25D
2025-07-01$116.44$116.44RVU25C
2025-04-01$116.44$116.44RVU25B
2025-01-01$116.44$116.44RVU25A
2024-10-01$117.80$117.80RVU24D
2024-07-01$117.80$117.80RVU24C
2024-04-01$117.80$117.80RVU24B
2024-03-09$117.80$117.80RVU24AR
2024-01-01$115.88$115.88RVU24A
2023-10-01$118.05$118.05RVU23D
2023-07-01$118.05$118.05RVU23C
2023-04-01$118.05$118.05RVU23B
2023-01-01$118.05$118.05RVU23A
2022-10-01$117.49$117.49RVU22D
2022-07-01$117.49$117.49RVU22C
2022-04-01$117.49$117.49RVU22B
2022-01-01$117.49$117.49RVU22A
2021-10-01$117.34$117.34RVU21D
2021-07-01$117.34$117.34RVU21C
2021-04-01$117.34$117.34RVU21B
2021-01-01$117.34$117.34RVU21A
2020-10-01$118.96$118.96RVU20D
2020-07-01$118.96$118.96RVU20C
2020-04-01$118.96$118.96RVU20B
2020-01-01$118.96$118.96RVU20A
2019-10-01$116.72$116.72RVU19D
2019-07-01$116.72$116.72RVU19C
2019-04-01$116.72$116.72RVU19B
2019-01-01$116.72$116.72RVU19A
2018-10-01$116.59$116.59RVU18D
2018-07-01$116.59$116.59RVU18C
2018-04-01$116.59$116.59RVU18B
2018-01-01$116.59$116.59RVU18AR1
2017-10-01$120.93$120.93RVU17D
2017-07-01$120.93$120.93RVU17C
2017-04-01$120.93$120.93RVU17B
2017-01-01$120.93$120.93RVU17A
2016-10-01$118.97$118.97RVU16D
2016-07-01$118.97$118.97RVU16C
2016-04-01$118.97$118.97RVU16B
2016-01-01$118.97$118.97RVU16A
2015-10-01$118.15$118.15RVU15D
2015-07-01$118.15$118.15RVU15C
2015-04-01$117.56$117.56RVU15B
2015-01-01$117.56$117.56RVU15A
2014-10-01$117.51$117.51RVU14D
2014-07-01$117.51$117.51RVU14C
2014-04-01$117.51$117.51RVU14B
2014-01-01$117.51$117.51RVU14A
2013-10-01$112.84$112.84RVU13D
2013-07-01$112.84$112.84RVU13C
2013-04-01$112.84$112.84RVU13B
2013-01-01$112.84$112.84RVU13AR

Price 77262 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 77262 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

77262 billing questions

How is 77262 distinguished from 77261 or 77263?

The levels distinguish the complexity of the clinical treatment planning. Select the intermediate level when the physician’s documented planning work supports it; the treatment site by itself does not establish the level.

Is simulation included in 77262?

No. Treatment planning and simulation are distinct services. Simulation codes, such as 77285 for intermediate-complexity simulation, describe simulation work rather than the physician’s treatment-planning decisions.

Does 77262 represent the professional or technical service?

It represents the professional component: the physician’s interpretation and report. CMS identifies a separate code for the technical portion.

Should modifier 26 be appended?

No. This is already a professional-component-only code; it does not represent a global service that needs modifier 26 to identify the professional portion.

What documentation supports the intermediate level?

Document the clinical information and imaging reviewed, the treatment approach selected, and the reasoning supporting intermediate planning complexity. A diagnosis or anatomic site alone does not establish the level.

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 77262PPRRVU2026_Oct_nonQPP.csv, line 9,027 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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