CPT code 77316: Brachytherapy plan, simple source or point count2026 Medicare rate & RVUs in New Mexico
Reports planning the dose distribution for a simple brachytherapy treatment, selected by the number of radioactive sources or calculation points.
In New Mexico, Medicare pays $233.02 for 77316 in the office.
Check a contract rate as a % of Medicare · 77316 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How New Mexico compares for 77316
Across 109 of 109 payment localities, the office rate for 77316 runs from $218.94 in Arkansas to $340.30 in San Benito County, CA. New Mexico pays $233.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$233.02
- Los Angeles, CA · California$285.97+$52.95
- Washington, DC area · District of Columbia$287.22+$54.20
- Miami, FL · Florida$262.63+$29.61
- Chicago, IL · Illinois$254.91+$21.89
- Manhattan, NY · New York$286.22+$53.20
- Alaska · Alaska$283.03+$50.01
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $222.32 | — |
| ArkansasArkansas | $218.94 | — |
| ArizonaArizona | $242.13 | — |
| Bakersfield, CACalifornia | $267.41 | — |
| Chico, CACalifornia | $267.05 | — |
| El Centro, CACalifornia | $267.07 | — |
| Fresno, CACalifornia | $267.05 | — |
| Hanford, CACalifornia | $267.05 | — |
| Madera, CACalifornia | $267.05 | — |
| Merced, CACalifornia | $267.05 | — |
| Modesto, CACalifornia | $267.05 | — |
| Napa, CACalifornia | $313.32 | — |
| Oxnard, CACalifornia | $285.02 | — |
| Redding, CACalifornia | $267.05 | — |
| Rest of CaliforniaCalifornia | $267.05 | — |
| Riverside, CACalifornia | $268.26 | — |
| Sacramento, CACalifornia | $281.28 | — |
| Salinas, CACalifornia | $280.26 | — |
| San Diego, CACalifornia | $287.61 | — |
| Marin County, CACalifornia | $332.95 | — |
| San Francisco, CACalifornia | $332.83 | — |
| San Benito County, CACalifornia | $340.30 | — |
| Santa Clara County, CACalifornia | $339.79 | — |
| San Luis Obispo, CACalifornia | $275.63 | — |
| Santa Cruz, CACalifornia | $290.96 | — |
| Santa Maria, CACalifornia | $281.51 | — |
| Santa Rosa, CACalifornia | $293.97 | — |
| Stockton, CACalifornia | $267.05 | — |
| Vallejo, CACalifornia | $313.14 | — |
| Visalia, CACalifornia | $267.05 | — |
| Yuba City, CACalifornia | $267.05 | — |
| ColoradoColorado | $261.34 | — |
| ConnecticutConnecticut | $265.88 | — |
| DelawareDelaware | $246.30 | — |
| Fort Lauderdale, FLFlorida | $254.40 | — |
| Rest of FloridaFlorida | $241.91 | — |
| Atlanta, GAGeorgia | $252.90 | — |
| Rest of GeorgiaGeorgia | $228.01 | — |
| Hawaii, Guam, HIHawaii | $274.61 | — |
| IowaIowa | $229.67 | — |
| IdahoIdaho | $230.95 | — |
| East St. Louis, ILIllinois | $236.61 | — |
| Rest of IllinoisIllinois | $233.56 | — |
| Suburban Chicago, ILIllinois | $257.38 | — |
| IndianaIndiana | $232.39 | — |
| KansasKansas | $227.87 | — |
| KentuckyKentucky | $226.39 | — |
| New Orleans, LALouisiana | $237.57 | — |
| Rest of LouisianaLouisiana | $225.75 | — |
| Metropolitan Boston, MAMassachusetts | $288.99 | — |
| Rest of MassachusettsMassachusetts | $259.39 | — |
| Baltimore area, MDMaryland | $265.00 | — |
| Rest of MarylandMaryland | $251.39 | — |
| Rest of MaineMaine | $231.50 | — |
| Southern Maine, MEMaine | $245.69 | — |
| Detroit, MIMichigan | $244.38 | — |
| Rest of MichiganMichigan | $231.96 | — |
| MinnesotaMinnesota | $252.03 | — |
| Metropolitan Kansas City, MOMissouri | $236.59 | — |
| Metropolitan St. Louis, MOMissouri | $239.27 | — |
| Rest of MissouriMissouri | $221.22 | — |
| MississippiMississippi | $220.16 | — |
| MontanaMontana | $248.83 | — |
| North CarolinaNorth Carolina | $234.15 | — |
| North DakotaNorth Dakota | $246.65 | — |
| NebraskaNebraska | $231.20 | — |
| New HampshireNew Hampshire | $256.55 | — |
| Northern New JerseyNew Jersey | $283.87 | — |
| Rest of New JerseyNew Jersey | $269.37 | — |
| NevadaNevada | $248.42 | — |
| NYC suburbs and Long Island, NYNew York | $292.60 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $270.61 | — |
| Queens, NYNew York | $289.68 | — |
| Rest of New YorkNew York | $237.78 | — |
| OhioOhio | $231.52 | — |
| OklahomaOklahoma | $226.68 | — |
| Portland, OROregon | $270.76 | — |
| Rest of OregonOregon | $246.95 | — |
| Metropolitan Philadelphia, PAPennsylvania | $258.55 | — |
| Rest of PennsylvaniaPennsylvania | $232.28 | — |
| Puerto RicoPuerto Rico | $250.98 | — |
| Rhode IslandRhode Island | $255.89 | — |
| South CarolinaSouth Carolina | $233.13 | — |
| South DakotaSouth Dakota | $246.40 | — |
| TennesseeTennessee | $228.99 | — |
| Austin, TXTexas | $260.07 | — |
| Beaumont, TXTexas | $230.63 | — |
| Brazoria, TXTexas | $246.60 | — |
| Dallas, TXTexas | $247.93 | — |
| Fort Worth, TXTexas | $245.98 | — |
| Galveston, TXTexas | $247.18 | — |
| Houston, TXTexas | $249.19 | — |
| Rest of TexasTexas | $238.31 | — |
| UtahUtah | $236.50 | — |
| VirginiaVirginia | $244.37 | — |
| Virgin Islands, VIUnited States Virgin Islands | $250.98 | — |
| VermontVermont | $245.03 | — |
| Rest of WashingtonWashington | $259.12 | — |
| King County, WAWashington | $295.72 | — |
| WisconsinWisconsin | $237.92 | — |
| West VirginiaWest Virginia | $224.30 | — |
| WyomingWyoming | $247.88 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $283.03 | 1 |
| AL | $222.32 | 1 |
| AR | $218.94 | 1 |
| AZ | $242.13 | 1 |
| CA | $267.05–$340.30 | 29 |
| CO | $261.34 | 1 |
| CT | $265.88 | 1 |
| DC | $287.22 | 1 |
| DE | $246.30 | 1 |
| FL | $241.91–$262.63 | 3 |
| GA | $228.01–$252.90 | 2 |
| GU | $274.61 | 1 |
| HI | $274.61 | 1 |
| IA | $229.67 | 1 |
| ID | $230.95 | 1 |
| IL | $233.56–$257.38 | 4 |
| IN | $232.39 | 1 |
| KS | $227.87 | 1 |
| KY | $226.39 | 1 |
| LA | $225.75–$237.57 | 2 |
| MA | $259.39–$288.99 | 2 |
| MD | $251.39–$287.22 | 3 |
| ME | $231.50–$245.69 | 2 |
| MI | $231.96–$244.38 | 2 |
| MN | $252.03 | 1 |
| MO | $221.22–$239.27 | 3 |
| MS | $220.16 | 1 |
| MT | $248.83 | 1 |
| NC | $234.15 | 1 |
| ND | $246.65 | 1 |
| NE | $231.20 | 1 |
| NH | $256.55 | 1 |
| NJ | $269.37–$283.87 | 2 |
| NM | $233.02 | 1 |
| NV | $248.42 | 1 |
| NY | $237.78–$292.60 | 5 |
| OH | $231.52 | 1 |
| OK | $226.68 | 1 |
| OR | $246.95–$270.76 | 2 |
| PA | $232.28–$258.55 | 2 |
| PR | $250.98 | 1 |
| RI | $255.89 | 1 |
| SC | $233.13 | 1 |
| SD | $246.40 | 1 |
| TN | $228.99 | 1 |
| TX | $230.63–$260.07 | 8 |
| UT | $236.50 | 1 |
| VA | $244.37–$287.22 | 2 |
| VI | $250.98 | 1 |
| VT | $245.03 | 1 |
| WA | $259.12–$295.72 | 2 |
| WI | $237.92 | 1 |
| WV | $224.30 | 1 |
| WY | $247.88 | 1 |
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
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,059
- Code
- 77316
- Physician work
- 1.37
- Practice expense
- 5.97
- Malpractice
- 0.11
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 5.97 | × 0.917 | 5.4745 |
| Malpractice | 0.11 | × 1.201 | 0.1321 |
| Total RVUs | 6.9766 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$233.02
Office: (1.37 × 1 + 5.97 × 0.917 + 0.11 × 1.201) × $33.4009 = $233.02
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
How 77316 has changed in New Mexico
77316 · Office / nonfacility
$233.02
Effective 2026-10-01
The base rate is $9.57 higher than on 2025-10-01, moving from $223.45 to $233.02 (4.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$223.45changed to$233.02
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.40 changed to 1.37
- Practice expense RVU 5.95 changed to 5.97
- Malpractice RVU 0.09 changed to 0.11
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$228.62changed to$223.45
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.88 changed to 5.95
- Malpractice RVU 0.11 changed to 0.09
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$224.89changed to$228.62
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$228.69changed to$224.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.80 changed to 5.88
- Malpractice RVU 0.10 changed to 0.11
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$226.34changed to$228.69
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.62 changed to 5.80
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$217.90changed to$226.34
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.29 changed to 5.62
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$207.91changed to$217.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.67 changed to 5.29
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$196.89changed to$207.91
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.29 changed to 4.67
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$185.07changed to$196.89
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.94 changed to 4.29
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$181.58changed to$185.07
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.86 changed to 3.94
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$180.22changed to$181.58
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.84 changed to 3.86
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$177.24changed to$180.22
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.73 changed to 3.84
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$176.36changed to$177.24
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$176.36
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $233.02 | Not available in this setting | RVU26D |
| 2026-07-01 | $233.02 | Not available in this setting | RVU26C |
| 2026-04-01 | $233.02 | Not available in this setting | RVU26B |
| 2026-01-01 | $233.02 | Not available in this setting | RVU26A |
| 2025-10-01 | $223.45 | Not available in this setting | RVU25D |
| 2025-07-01 | $223.45 | Not available in this setting | RVU25C |
| 2025-04-01 | $223.45 | Not available in this setting | RVU25B |
| 2025-01-01 | $223.45 | Not available in this setting | RVU25A |
| 2024-10-01 | $228.62 | Not available in this setting | RVU24D |
| 2024-07-01 | $228.62 | Not available in this setting | RVU24C |
| 2024-04-01 | $228.62 | Not available in this setting | RVU24B |
| 2024-03-09 | $228.62 | Not available in this setting | RVU24AR |
| 2024-01-01 | $224.89 | Not available in this setting | RVU24A |
| 2023-10-01 | $228.69 | Not available in this setting | RVU23D |
| 2023-07-01 | $228.69 | Not available in this setting | RVU23C |
| 2023-04-01 | $228.69 | Not available in this setting | RVU23B |
| 2023-01-01 | $228.69 | Not available in this setting | RVU23A |
| 2022-10-01 | $226.34 | Not available in this setting | RVU22D |
| 2022-07-01 | $226.34 | Not available in this setting | RVU22C |
| 2022-04-01 | $226.34 | Not available in this setting | RVU22B |
| 2022-01-01 | $226.34 | Not available in this setting | RVU22A |
| 2021-10-01 | $217.90 | Not available in this setting | RVU21D |
| 2021-07-01 | $217.90 | Not available in this setting | RVU21C |
| 2021-04-01 | $217.90 | Not available in this setting | RVU21B |
| 2021-01-01 | $217.90 | Not available in this setting | RVU21A |
| 2020-10-01 | $207.91 | Not available in this setting | RVU20D |
| 2020-07-01 | $207.91 | Not available in this setting | RVU20C |
| 2020-04-01 | $207.91 | Not available in this setting | RVU20B |
| 2020-01-01 | $207.91 | Not available in this setting | RVU20A |
| 2019-10-01 | $196.89 | Not available in this setting | RVU19D |
| 2019-07-01 | $196.89 | Not available in this setting | RVU19C |
| 2019-04-01 | $196.89 | Not available in this setting | RVU19B |
| 2019-01-01 | $196.89 | Not available in this setting | RVU19A |
| 2018-10-01 | $185.07 | Not available in this setting | RVU18D |
| 2018-07-01 | $185.07 | Not available in this setting | RVU18C |
| 2018-04-01 | $185.07 | Not available in this setting | RVU18B |
| 2018-01-01 | $185.07 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $181.58 | Not available in this setting | RVU17D |
| 2017-07-01 | $181.58 | Not available in this setting | RVU17C |
| 2017-04-01 | $181.58 | Not available in this setting | RVU17B |
| 2017-01-01 | $181.58 | Not available in this setting | RVU17A |
| 2016-10-01 | $180.22 | Not available in this setting | RVU16D |
| 2016-07-01 | $180.22 | Not available in this setting | RVU16C |
| 2016-04-01 | $180.22 | Not available in this setting | RVU16B |
| 2016-01-01 | $180.22 | Not available in this setting | RVU16A |
| 2015-10-01 | $177.24 | Not available in this setting | RVU15D |
| 2015-07-01 | $177.24 | Not available in this setting | RVU15C |
| 2015-04-01 | $176.36 | Not available in this setting | RVU15B |
| 2015-01-01 | $176.36 | Not available in this setting | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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