CPT code 77316: Brachytherapy plan, simple source or point count2026 Medicare rate & RVUs

Reports planning the dose distribution for a simple brachytherapy treatment, selected by the number of radioactive sources or calculation points.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.6K Medicare services in 2024

Medicare pays $248.84 for 77316 nationally in the office. Local office rates run $218.94–$340.30.

Medicare rate · 77316

Brachytherapy plan, simple source or point count

Office or facility?

Work RVUs
1.37
Total RVUs
7.45
Global days
XXX

National rate · 2026

$248.84

Office setting, before claim adjustments.

See every locality for 77316 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 77316 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 77316 covers

A radiation oncology team uses this service to calculate and document how radiation from implanted or applicator-based radioactive sources will be distributed in the treated area. The plan accounts for source geometry and the prescribed dose; a radiation oncologist typically directs or reviews the plan, with dosimetry and physics staff supporting its preparation. Examples include planning for intracavitary or interstitial brachytherapy, rather than external-beam treatment.

Select this level when the plan falls in the simple category of one to four sources or calculation points; use the intermediate or complex sibling when the applicable count is higher. The record should support the selected category and include the prescription and resulting dose distribution. CMS recognizes professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the technical work, and no modifier represents the global service.

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 77316 pays more and less

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

109 payment localities

$218.94 to $340.30

$218.94$279.62$340.30
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

77316 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$222.32Unavailable
Alaska$283.03Unavailable
Arizona$242.13Unavailable
Arkansas$218.94Unavailable
Atlanta, GA$252.90Unavailable
Austin, TX$260.07Unavailable
Bakersfield, CA$267.41Unavailable
Baltimore area, MD$265.00Unavailable
Beaumont, TX$230.63Unavailable
Brazoria, TX$246.60Unavailable

77316 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.

$218.94

$303.68

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

View every state and territory as a table
77316 office rate range by state
State / territoryOffice rate rangeLocalities
AK$283.031
AL$222.321
AR$218.941
AZ$242.131
CA$267.05–$340.3029
CO$261.341
CT$265.881
DC$287.221
DE$246.301
FL$241.91–$262.633
GA$228.01–$252.902
GU$274.611
HI$274.611
IA$229.671
ID$230.951
IL$233.56–$257.384
IN$232.391
KS$227.871
KY$226.391
LA$225.75–$237.572
MA$259.39–$288.992
MD$251.39–$287.223
ME$231.50–$245.692
MI$231.96–$244.382
MN$252.031
MO$221.22–$239.273
MS$220.161
MT$248.831
NC$234.151
ND$246.651
NE$231.201
NH$256.551
NJ$269.37–$283.872
NM$233.021
NV$248.421
NY$237.78–$292.605
OH$231.521
OK$226.681
OR$246.95–$270.762
PA$232.28–$258.552
PR$250.981
RI$255.891
SC$233.131
SD$246.401
TN$228.991
TX$230.63–$260.078
UT$236.501
VA$244.37–$287.222
VI$250.981
VT$245.031
WA$259.12–$295.722
WI$237.921
WV$224.301
WY$247.881

How the 77316 rate is calculated

Each of 77316’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 · 77316

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.37

1.37 RVUs× 1.000 GPCI

Practice expense5.97

5.97 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

7.4500

Conversion factor

$33.4009

Medicare rate

$248.84

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

Payment rules and modifiers for 77316

The CMS indicators that decide how 77316 is paid alongside other services.

CMS payment indicators · 77316

Brachytherapy plan, simple source or point count

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/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

77316 without 26 · national office

$248.84

Brachytherapy plan, simple source or point count

77316-26 · Professional component

$73.48

Pays only the interpretation and report.

When to use modifier 26

77316 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 77316

    Brachytherapy plan, simple source or point count1.37 wRVU

    $248.84

  • 77317

    Brachytherapy plan, intermediate complexity1.78 wRVU

    $325.99+$77.15

  • 77318

    Brachytherapy plan, complex isodose plan2.83 wRVU

    $462.94+$214.10

  • 77306

    Radiation plan, simple teletherapy plan1.37 wRVU

    $150.30−$98.54

  • 77300

    Dosimetry calculation, basic, per calculation0.6 wRVU

    $67.14−$181.70

How to choose

77317Brachytherapy planIntermediate complexity
Both cover brachytherapy planning, but 77317 is the intermediate level for a higher source or calculation-point count than the simple category.
77318Brachytherapy planComplex isodose plan
Use 77318 for the complex brachytherapy planning level; 77316 is limited to the simple category.
77306Radiation planSimple teletherapy plan
77306 is for simple external-beam isodose planning. Use 77316 when the plan is for brachytherapy sources.
77300Dosimetry calculationBasic, per calculation
77300 reports a radiation dose calculation, not the brachytherapy isodose plan itself.

77316 billing questions

How is the simple level distinguished from the intermediate level?

The simple category covers one to four sources or calculation points. The intermediate sibling, 77317, is for plans with a higher count.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical component involving equipment and staff. Without either modifier, the claim represents the global service.

Does this code report placement of the brachytherapy sources?

No. It reports the planning work that calculates the dose distribution; source placement or applicator insertion is a separate service.

What documentation supports the simple level?

Document the brachytherapy plan, prescription, resulting dose distribution, and source or calculation-point count supporting the simple category.

Should this be used for an external-beam isodose plan?

No. This code is for brachytherapy planning. External-beam isodose planning is represented by codes such as 77306 or 77307, depending on the plan's 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 77316PPRRVU2026_Oct_nonQPP.csv, line 9,059 (RVU26D)

Open CMS sourceHow we calculate rates

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