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CPT code 77407: Radiation delivery, level 22026 Medicare rate & RVUs

Reports an intermediate-level external-beam radiation treatment delivery session, selected by the delivery’s CPT-defined complexity rather than the cancer site.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $309.96 for 77407 nationally in the office. Local office rates run $265.57–$445.15.

Medicare rate · 77407

Radiation delivery, level 2

Office or facility?

Work RVUs
0
Total RVUs
9.28
Global days
XXX

National rate · 2026

$309.96

Office setting, before claim adjustments.

See every locality for 77407 →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 77407 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 77407 covers

Code 77407 represents the technical delivery of an intermediate-complexity external-beam radiation treatment. Radiation oncology teams commonly provide this service with a linear accelerator during a course of treatment for cancers such as breast, prostate, or head and neck cancer. The code describes a treatment delivery session, not the treatment plan or the physician’s ongoing management of the course. The tumor site alone does not determine the delivery level.

Select the level using the applicable CPT delivery criteria and document the treatment delivered, including the technical details that support intermediate-level classification. The record should make clear that a radiation treatment session occurred. CMS classifies 77407 as technical-component-only: it represents the technical service, while a separate code covers interpretation. It is not split into professional and technical portions for reporting. Do not use this level solely because it falls between the simpler and more complex levels; the documented delivery must meet its criteria.

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 77407 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

$265.57 to $445.15

$265.57$355.36$445.15
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

77407 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$270.60Unavailable
Alaska$329.08Unavailable
Arizona$300.13Unavailable
Arkansas$265.57Unavailable
Atlanta, GA$315.29Unavailable
Austin, TX$327.59Unavailable
Bakersfield, CA$338.74Unavailable
Baltimore area, MD$332.92Unavailable
Beaumont, TX$282.10Unavailable
Brazoria, TX$306.75Unavailable

77407 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.

$265.57

$391.87

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

View every state and territory as a table
77407 office rate range by state
State / territoryOffice rate rangeLocalities
AK$329.081
AL$270.601
AR$265.571
AZ$300.131
CA$338.59–$445.1529
CO$329.231
CT$334.091
DC$365.001
DE$306.061
FL$297.42–$325.653
GA$277.09–$315.292
GU$351.311
HI$351.311
IA$282.581
ID$284.271
IL$284.30–$319.824
IN$286.451
KS$279.401
KY$275.611
LA$274.46–$292.062
MA$325.88–$369.482
MD$313.49–$365.003
ME$284.57–$306.452
MI$283.43–$300.562
MN$317.481
MO$267.41–$295.183
MS$266.631
MT$309.961
NC$288.601
ND$308.771
NE$285.001
NH$322.341
NJ$338.49–$359.372
NM$284.801
NV$309.931
NY$293.97–$369.885
OH$283.181
OK$276.561
OR$308.13–$343.632
PA$284.60–$322.972
PR$313.321
RI$319.911
SC$286.261
SD$308.631
TN$281.011
TX$282.10–$327.598
UT$291.281
VA$304.14–$365.002
VI$313.321
VT$305.891
WA$325.80–$379.502
WI$295.641
WV$270.481
WY$309.441

How the 77407 rate is calculated

Each of 77407’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 · 77407

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense9.22

9.22 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

9.2800

Conversion factor

$33.4009

Medicare rate

$309.96

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

Payment rules and modifiers for 77407

The CMS indicators that decide how 77407 is paid alongside other services.

CMS payment indicators · 77407

Radiation delivery, level 2

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/technical3Technical component only.

77407 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 77407

    Radiation delivery, level 20 wRVU

    $309.96

  • 77402

    Radiation delivery, level 10 wRVU

    $82.17−$227.79

  • 77412

    Radiation delivery, complex treatment0 wRVU

    $443.56+$133.60

  • 77423

    Neutron beam treatment, complex delivery0 wRVU

    Not priced

How to choose

77402Radiation deliveryLevel 1
Use 77402 when the treatment delivery meets the simpler-level criteria. The treatment site or diagnosis does not by itself make 77407 appropriate.
77412Radiation deliveryComplex treatment
Use 77412 when the documented delivery meets the more complex-level criteria; 77407 is for the intermediate level.
77423Neutron beam treatmentComplex delivery
77423 describes neutron-beam treatment delivery. Code 77407 is for an intermediate-level external-beam delivery session, not neutron-beam treatment.

Codes related to 77407

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

Codes related to 77407
CodeHow it relatesNational office range
Same family
77402Radiation delivery, level 1Sibling code for a simpler level of radiation treatment delivery.$70.35–$117.88
77412Radiation delivery, complex treatmentSibling code for a more complex level of radiation treatment delivery.$380.22–$637.50
Often billed with
77417Port imaging, treatment-field verificationPort imaging may be reported with a delivery session when performed and documented.No office rate
Used instead
77423Neutron beam treatment, complex deliveryDescribes neutron-beam treatment delivery, a different radiation modality.No office rate
77424Intraoperative radiation, X-ray deliveryDescribes intraoperative radiation delivery by X-ray rather than external-beam session delivery.No office rate
77425Intraoperative radiation, electron beamDescribes intraoperative electron radiation delivery rather than external-beam session delivery.No office rate

77407 billing questions

How is 77407 distinguished from 77402 and 77412?

These codes represent different levels of radiation delivery complexity. Choose 77407 only when the documented delivery meets the intermediate-level CPT criteria; the diagnosis or body site alone does not establish the level.

Does 77407 include the physician’s interpretation?

No. CMS identifies 77407 as technical-component-only, and a separate code covers interpretation.

Should 77407 be split with modifier 26 and TC?

CMS classifies the code as technical-component-only rather than as a code with separately reported professional and technical portions. The interpretation is represented by a separate code.

What documentation supports reporting 77407?

Document that the radiation treatment delivery occurred and include the technical details supporting intermediate-level classification under the applicable CPT criteria.

Is 77407 reported for the treatment plan or weekly management?

No. It represents a treatment delivery session. Planning and management describe different services and should not be substituted for the delivery code.

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 77407PPRRVU2026_Oct_nonQPP.csv, line 9,098 (RVU26D)

Open CMS sourceHow we calculate rates

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