CPT code 77402: Radiation delivery, level 12026 Medicare rate & RVUs in Wisconsin
Report level 1 radiation treatment delivery for a simple external-beam treatment session, with the technical service distinguished from separately coded interpretation.
In Wisconsin, Medicare pays $78.28 for 77402 in the office.
Check a contract rate as a % of Medicare · 77402 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 77402 covers
This code represents the technical delivery of a simple external-beam radiation treatment session. Radiation therapists typically operate the treatment equipment in a radiation oncology department, following the radiation oncologist’s prescription and treatment plan. The level reflects delivery complexity; the diagnosis or body site alone does not determine the level. The session record should show the treatment delivered and the technical details supporting level 1 rather than a higher-complexity delivery code.
Report the code for the qualifying delivery session, not separately for each beam or port. Documentation should support the delivered treatment and its level. CMS classifies 77402 as technical-component-only: a separate code covers interpretation, so this code does not represent the physician’s interpretive service. CMS assigns no physician work RVU to the delivery code; its payment valuation reflects practice expense and malpractice components.
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 Wisconsin compares for 77402
Across 109 of 109 payment localities, the office rate for 77402 runs from $70.35 in Arkansas to $117.88 in San Benito County, CA. Wisconsin pays $78.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wisconsin · this page$78.28
- Los Angeles, CA · California$96.86+$18.58
- Washington, DC area · District of Columbia$96.75+$18.47
- Miami, FL · Florida$86.53+$8.25
- Chicago, IL · Illinois$83.44+$5.16
- Manhattan, NY · New York$95.76+$17.48
- Alaska · Alaska$87.16+$8.88
Other areas in Wisconsin first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $71.69 | — |
| ArkansasArkansas | $70.35 | — |
| ArizonaArizona | $79.54 | — |
| Bakersfield, CACalifornia | $89.73 | — |
| Chico, CACalifornia | $89.68 | — |
| El Centro, CACalifornia | $89.68 | — |
| Fresno, CACalifornia | $89.68 | — |
| Hanford, CACalifornia | $89.68 | — |
| Madera, CACalifornia | $89.68 | — |
| Merced, CACalifornia | $89.68 | — |
| Modesto, CACalifornia | $89.68 | — |
| Napa, CACalifornia | $107.75 | — |
| Oxnard, CACalifornia | $96.75 | — |
| Redding, CACalifornia | $89.68 | — |
| Rest of CaliforniaCalifornia | $89.68 | — |
| Riverside, CACalifornia | $89.89 | — |
| Sacramento, CACalifornia | $95.14 | — |
| Salinas, CACalifornia | $94.81 | — |
| San Diego, CACalifornia | $97.83 | — |
| Marin County, CACalifornia | $115.22 | — |
| San Francisco, CACalifornia | $115.20 | — |
| San Benito County, CACalifornia | $117.88 | — |
| Santa Clara County, CACalifornia | $117.79 | — |
| San Luis Obispo, CACalifornia | $93.18 | — |
| Santa Cruz, CACalifornia | $99.38 | — |
| Santa Maria, CACalifornia | $95.38 | — |
| Santa Rosa, CACalifornia | $100.44 | — |
| Stockton, CACalifornia | $89.68 | — |
| Vallejo, CACalifornia | $107.72 | — |
| Visalia, CACalifornia | $89.68 | — |
| Yuba City, CACalifornia | $89.68 | — |
| ColoradoColorado | $87.24 | — |
| ConnecticutConnecticut | $88.58 | — |
| DelawareDelaware | $81.12 | — |
| Fort Lauderdale, FLFlorida | $83.77 | — |
| Rest of FloridaFlorida | $78.92 | — |
| Atlanta, GAGeorgia | $83.60 | — |
| Rest of GeorgiaGeorgia | $73.49 | — |
| Hawaii, Guam, HIHawaii | $93.05 | — |
| IowaIowa | $74.84 | — |
| IdahoIdaho | $75.29 | — |
| East St. Louis, ILIllinois | $76.32 | — |
| Rest of IllinoisIllinois | $75.45 | — |
| Suburban Chicago, ILIllinois | $84.88 | — |
| IndianaIndiana | $75.87 | — |
| KansasKansas | $74.01 | — |
| KentuckyKentucky | $73.06 | — |
| New Orleans, LALouisiana | $77.45 | — |
| Rest of LouisianaLouisiana | $72.77 | — |
| Metropolitan Boston, MAMassachusetts | $97.90 | — |
| Rest of MassachusettsMassachusetts | $86.35 | — |
| Baltimore area, MDMaryland | $88.27 | — |
| Rest of MarylandMaryland | $83.09 | — |
| Rest of MaineMaine | $75.39 | — |
| Southern Maine, MEMaine | $81.19 | — |
| Detroit, MIMichigan | $79.77 | — |
| Rest of MichiganMichigan | $75.16 | — |
| MinnesotaMinnesota | $84.06 | — |
| Metropolitan Kansas City, MOMissouri | $77.18 | — |
| Metropolitan St. Louis, MOMissouri | $78.26 | — |
| Rest of MissouriMissouri | $70.90 | — |
| MississippiMississippi | $70.66 | — |
| MontanaMontana | $82.16 | — |
| North CarolinaNorth Carolina | $76.46 | — |
| North DakotaNorth Dakota | $81.77 | — |
| NebraskaNebraska | $75.48 | — |
| New HampshireNew Hampshire | $85.42 | — |
| Northern New JerseyNew Jersey | $95.25 | — |
| Rest of New JerseyNew Jersey | $89.73 | — |
| New MexicoNew Mexico | $75.54 | — |
| NevadaNevada | $82.14 | — |
| NYC suburbs and Long Island, NYNew York | $98.14 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $90.05 | — |
| Queens, NYNew York | $97.29 | — |
| Rest of New YorkNew York | $77.89 | — |
| OhioOhio | $75.08 | — |
| OklahomaOklahoma | $73.30 | — |
| Portland, OROregon | $91.04 | — |
| Rest of OregonOregon | $81.64 | — |
| Metropolitan Philadelphia, PAPennsylvania | $85.64 | — |
| Rest of PennsylvaniaPennsylvania | $75.45 | — |
| Puerto RicoPuerto Rico | $83.05 | — |
| Rhode IslandRhode Island | $84.78 | — |
| South CarolinaSouth Carolina | $75.87 | — |
| South DakotaSouth Dakota | $81.72 | — |
| TennesseeTennessee | $74.44 | — |
| Austin, TXTexas | $86.82 | — |
| Beaumont, TXTexas | $74.78 | — |
| Brazoria, TXTexas | $81.29 | — |
| Dallas, TXTexas | $81.75 | — |
| Fort Worth, TXTexas | $80.94 | — |
| Galveston, TXTexas | $81.48 | — |
| Houston, TXTexas | $81.85 | — |
| Rest of TexasTexas | $77.95 | — |
| UtahUtah | $77.21 | — |
| VirginiaVirginia | $80.58 | — |
| Virgin Islands, VIUnited States Virgin Islands | $83.05 | — |
| VermontVermont | $81.02 | — |
| Rest of WashingtonWashington | $86.33 | — |
| King County, WAWashington | $100.54 | — |
| West VirginiaWest Virginia | $71.78 | — |
| WyomingWyoming | $81.99 | — |
77402 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.
$70.35
$103.78
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 | $87.16 | 1 |
| AL | $71.69 | 1 |
| AR | $70.35 | 1 |
| AZ | $79.54 | 1 |
| CA | $89.68–$117.88 | 29 |
| CO | $87.24 | 1 |
| CT | $88.58 | 1 |
| DC | $96.75 | 1 |
| DE | $81.12 | 1 |
| FL | $78.92–$86.53 | 3 |
| GA | $73.49–$83.60 | 2 |
| GU | $93.05 | 1 |
| HI | $93.05 | 1 |
| IA | $74.84 | 1 |
| ID | $75.29 | 1 |
| IL | $75.45–$84.88 | 4 |
| IN | $75.87 | 1 |
| KS | $74.01 | 1 |
| KY | $73.06 | 1 |
| LA | $72.77–$77.45 | 2 |
| MA | $86.35–$97.90 | 2 |
| MD | $83.09–$96.75 | 3 |
| ME | $75.39–$81.19 | 2 |
| MI | $75.16–$79.77 | 2 |
| MN | $84.06 | 1 |
| MO | $70.90–$78.26 | 3 |
| MS | $70.66 | 1 |
| MT | $82.16 | 1 |
| NC | $76.46 | 1 |
| ND | $81.77 | 1 |
| NE | $75.48 | 1 |
| NH | $85.42 | 1 |
| NJ | $89.73–$95.25 | 2 |
| NM | $75.54 | 1 |
| NV | $82.14 | 1 |
| NY | $77.89–$98.14 | 5 |
| OH | $75.08 | 1 |
| OK | $73.30 | 1 |
| OR | $81.64–$91.04 | 2 |
| PA | $75.45–$85.64 | 2 |
| PR | $83.05 | 1 |
| RI | $84.78 | 1 |
| SC | $75.87 | 1 |
| SD | $81.72 | 1 |
| TN | $74.44 | 1 |
| TX | $74.78–$86.82 | 8 |
| UT | $77.21 | 1 |
| VA | $80.58–$96.75 | 2 |
| VI | $83.05 | 1 |
| VT | $81.02 | 1 |
| WA | $86.33–$100.54 | 2 |
| WI | $78.28 | 1 |
| WV | $71.78 | 1 |
| WY | $81.99 | 1 |
How the 77402 rate is calculated
Each of 77402’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 · 77402
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense2.44
2.44 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
2.4600
Conversion factor
$33.4009
Medicare rate
$82.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Wisconsin inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,097
- Code
- 77402
- Physician work
- 0.00
- Practice expense
- 2.44
- Malpractice
- 0.02
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 2.44 | × 0.958 | 2.3375 |
| Malpractice | 0.02 | × 0.308 | 0.0062 |
| Total RVUs | 2.3437 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Wisconsin$78.28
Office: (0 × 1 + 2.44 × 0.958 + 0.02 × 0.308) × $33.4009 = $78.28
Payment rules and modifiers for 77402
The CMS indicators that decide how 77402 is paid alongside other services.
CMS payment indicators · 77402
Radiation delivery, level 1
| 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 | 3 | Technical component only. |
How 77402 has changed in Wisconsin
77402 · Office / nonfacility
$78.28
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
No ratechanged to$78.28
Held through RVU26B, RVU26C, RVU26D.
January 1, 2015
RVU15A
$134.04changed toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.
January 1, 2014
RVU14A
$148.80changed to$134.04
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.55 changed to 3.90
- Practice expense GPCI 0.960 changed to 0.958
- Malpractice GPCI 0.547 changed to 0.557
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$148.80
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $78.28 | Not available in this setting | RVU26D |
| 2026-07-01 | $78.28 | Not available in this setting | RVU26C |
| 2026-04-01 | $78.28 | Not available in this setting | RVU26B |
| 2026-01-01 | $78.28 | Not available in this setting | RVU26A |
| 2025-10-01 | Separate payment rules apply | Separate payment rules apply | RVU25D |
| 2025-07-01 | Separate payment rules apply | Separate payment rules apply | RVU25C |
| 2025-04-01 | Separate payment rules apply | Separate payment rules apply | RVU25B |
| 2025-01-01 | Separate payment rules apply | Separate payment rules apply | RVU25A |
| 2024-10-01 | Separate payment rules apply | Separate payment rules apply | RVU24D |
| 2024-07-01 | Separate payment rules apply | Separate payment rules apply | RVU24C |
| 2024-04-01 | Separate payment rules apply | Separate payment rules apply | RVU24B |
| 2024-03-09 | Separate payment rules apply | Separate payment rules apply | RVU24AR |
| 2024-01-01 | Separate payment rules apply | Separate payment rules apply | RVU24A |
| 2023-10-01 | Separate payment rules apply | Separate payment rules apply | RVU23D |
| 2023-07-01 | Separate payment rules apply | Separate payment rules apply | RVU23C |
| 2023-04-01 | Separate payment rules apply | Separate payment rules apply | RVU23B |
| 2023-01-01 | Separate payment rules apply | Separate payment rules apply | RVU23A |
| 2022-10-01 | Separate payment rules apply | Separate payment rules apply | RVU22D |
| 2022-07-01 | Separate payment rules apply | Separate payment rules apply | RVU22C |
| 2022-04-01 | Separate payment rules apply | Separate payment rules apply | RVU22B |
| 2022-01-01 | Separate payment rules apply | Separate payment rules apply | RVU22A |
| 2021-10-01 | Separate payment rules apply | Separate payment rules apply | RVU21D |
| 2021-07-01 | Separate payment rules apply | Separate payment rules apply | RVU21C |
| 2021-04-01 | Separate payment rules apply | Separate payment rules apply | RVU21B |
| 2021-01-01 | Separate payment rules apply | Separate payment rules apply | RVU21A |
| 2020-10-01 | Separate payment rules apply | Separate payment rules apply | RVU20D |
| 2020-07-01 | Separate payment rules apply | Separate payment rules apply | RVU20C |
| 2020-04-01 | Separate payment rules apply | Separate payment rules apply | RVU20B |
| 2020-01-01 | Separate payment rules apply | Separate payment rules apply | RVU20A |
| 2019-10-01 | Separate payment rules apply | Separate payment rules apply | RVU19D |
| 2019-07-01 | Separate payment rules apply | Separate payment rules apply | RVU19C |
| 2019-04-01 | Separate payment rules apply | Separate payment rules apply | RVU19B |
| 2019-01-01 | Separate payment rules apply | Separate payment rules apply | RVU19A |
| 2018-10-01 | Separate payment rules apply | Separate payment rules apply | RVU18D |
| 2018-07-01 | Separate payment rules apply | Separate payment rules apply | RVU18C |
| 2018-04-01 | Separate payment rules apply | Separate payment rules apply | RVU18B |
| 2018-01-01 | Separate payment rules apply | Separate payment rules apply | RVU18AR1 |
| 2017-10-01 | Separate payment rules apply | Separate payment rules apply | RVU17D |
| 2017-07-01 | Separate payment rules apply | Separate payment rules apply | RVU17C |
| 2017-04-01 | Separate payment rules apply | Separate payment rules apply | RVU17B |
| 2017-01-01 | Separate payment rules apply | Separate payment rules apply | RVU17A |
| 2016-10-01 | Separate payment rules apply | Separate payment rules apply | RVU16D |
| 2016-07-01 | Separate payment rules apply | Separate payment rules apply | RVU16C |
| 2016-04-01 | Separate payment rules apply | Separate payment rules apply | RVU16B |
| 2016-01-01 | Separate payment rules apply | Separate payment rules apply | RVU16A |
| 2015-10-01 | Separate payment rules apply | Separate payment rules apply | RVU15D |
| 2015-07-01 | Separate payment rules apply | Separate payment rules apply | RVU15C |
| 2015-04-01 | Separate payment rules apply | Separate payment rules apply | RVU15B |
| 2015-01-01 | Separate payment rules apply | Separate payment rules apply | RVU15A |
| 2014-10-01 | $134.04 | Not available in this setting | RVU14D |
| 2014-07-01 | $134.04 | Not available in this setting | RVU14C |
| 2014-04-01 | $134.04 | Not available in this setting | RVU14B |
| 2014-01-01 | $134.04 | Not available in this setting | RVU14A |
| 2013-10-01 | $148.80 | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Wisconsin rate applies
Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.
- Abbotsford
- Abrams
- Adams
- Adell
- Albany
- Algoma
- Allens Grove
- Allenton
77402 billing questions
How is level 1 distinguished from levels 2 and 3?
Choose the level that matches the technical complexity of the delivered treatment, not the diagnosis or treatment site alone. The treatment record should support why the session meets level 1 rather than a higher level.
Is 77402 reported for each beam or port?
No. It represents the qualifying delivery session; do not count each beam or port as a separate unit.
Does 77402 include the physician’s interpretation?
No. CMS classifies it as a technical-component-only code, and a separate code covers interpretation.
What documentation supports reporting 77402?
The treatment record should identify the delivered session and include technical details that support level 1. The record should also allow the reported delivery level to be distinguished from levels 2 and 3.
Is 77417 the same service as 77402?
No. 77402 reports radiation treatment delivery; 77417 represents therapeutic radiology port imaging when that imaging service is performed.
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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