CPT code 77407: Radiation delivery, level 22026 Medicare rate & RVUs in Massachusetts
Reports an intermediate-level external-beam radiation treatment delivery session, selected by the delivery’s CPT-defined complexity rather than the cancer site.
Medicare pays $325.88–$369.48 for 77407 in the office in Massachusetts, from Rest of Massachusetts to Metropolitan Boston, MA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $369.48 | Unavailable |
| Rest of Massachusetts | $325.88 | Unavailable |
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
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
| 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. |
77407 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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