CPT code 77412: Radiation delivery, complex treatment2026 Medicare rate & RVUs
Reports a complex external-beam radiation treatment delivery for a fraction when the documented treatment setup and delivery meet this level of complexity.
Medicare pays $443.56 for 77412 nationally in the office. Local office rates run $380.22–$637.50.
Medicare rate · 77412
Radiation delivery, complex treatment
- Work RVUs
- 0
- Total RVUs
- 13.28
- Global days
- XXX
National rate · 2026
$443.56
Office setting, before claim adjustments.
See every locality for 77412 →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.
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On this page 10 sections
What 77412 covers
Code 77412 represents delivery of a complex external-beam radiation treatment fraction, commonly using a medical linear accelerator in an outpatient cancer center or hospital radiation department. Radiation therapists carry out the planned treatment under the radiation oncologist’s direction. The treatment record should establish the delivered fraction and the setup or delivery features supporting the complex level; the diagnosis or equipment alone does not establish that level.
Report the code for each qualifying treatment delivery, using the documented complexity to distinguish it from the simple and intermediate delivery levels. Retain the treatment plan and fraction record, including the relevant fields, ports, or delivery setup details. CMS classifies 77412 as a technical-component-only service: a separate code covers interpretation, so this code represents the technical delivery rather than the physician’s interpretation.
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 77412 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
$380.22 to $637.50
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $387.40 | Unavailable |
| Alaska | $471.19 | Unavailable |
| Arizona | $429.55 | Unavailable |
| Arkansas | $380.22 | Unavailable |
| Atlanta, GA | $451.09 | Unavailable |
| Austin, TX | $468.89 | Unavailable |
| Bakersfield, CA | $485.01 | Unavailable |
| Baltimore area, MD | $476.33 | Unavailable |
| Beaumont, TX | $403.69 | Unavailable |
| Brazoria, TX | $439.08 | Unavailable |
| Chicago, IL | $448.80 | Unavailable |
| Chico, CA | $484.84 | Unavailable |
| Colorado | $471.29 | Unavailable |
| Connecticut | $478.03 | Unavailable |
| Dallas, TX | $441.47 | Unavailable |
| Delaware | $438.03 | Unavailable |
| Detroit, MI | $429.72 | Unavailable |
| East St. Louis, IL | $410.64 | Unavailable |
| El Centro, CA | $484.85 | Unavailable |
| Fort Lauderdale, FL | $451.19 | Unavailable |
| Fort Worth, TX | $437.09 | Unavailable |
| Fresno, CA | $484.84 | Unavailable |
| Galveston, TX | $440.07 | Unavailable |
| Hanford, CA | $484.84 | Unavailable |
| Hawaii, Guam, HI | $503.03 | Unavailable |
| Houston, TX | $441.35 | Unavailable |
| Idaho | $407.03 | Unavailable |
| Indiana | $410.15 | Unavailable |
| Iowa | $404.65 | Unavailable |
| Kansas | $400.05 | Unavailable |
| Kentucky | $394.39 | Unavailable |
| King County, WA | $543.29 | Unavailable |
| Los Angeles, CA | $523.52 | Unavailable |
| Madera, CA | $484.84 | Unavailable |
| Manhattan, NY | $516.41 | Unavailable |
| Marin County, CA | $623.20 | Unavailable |
| Merced, CA | $484.84 | Unavailable |
| Metropolitan Boston, MA | $528.90 | Unavailable |
| Metropolitan Kansas City, MO | $416.60 | Unavailable |
| Metropolitan Philadelphia, PA | $462.11 | Unavailable |
| Metropolitan St. Louis, MO | $422.39 | Unavailable |
| Miami, FL | $465.23 | Unavailable |
| Minnesota | $454.71 | Unavailable |
| Mississippi | $381.62 | Unavailable |
| Modesto, CA | $484.84 | Unavailable |
| Montana | $443.56 | Unavailable |
| Napa, CA | $582.72 | Unavailable |
| Nebraska | $408.14 | Unavailable |
| Nevada | $443.61 | Unavailable |
| New Hampshire | $461.36 | Unavailable |
| New Mexico | $407.41 | Unavailable |
| New Orleans, LA | $417.85 | Unavailable |
| North Carolina | $413.16 | Unavailable |
| North Dakota | $442.18 | Unavailable |
| Northern New Jersey | $514.32 | Unavailable |
| NYC suburbs and Long Island, NY | $528.96 | Unavailable |
| Ohio | $405.20 | Unavailable |
| Oklahoma | $395.83 | Unavailable |
| Oxnard, CA | $522.99 | Unavailable |
| Portland, OR | $491.94 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $485.97 | Unavailable |
| Puerto Rico | $448.38 | Unavailable |
| Queens, NY | $524.90 | Unavailable |
| Redding, CA | $484.84 | Unavailable |
| Rest of California | $484.84 | Unavailable |
| Rest of Florida | $425.33 | Unavailable |
| Rest of Georgia | $396.36 | Unavailable |
| Rest of Illinois | $406.49 | Unavailable |
| Rest of Louisiana | $392.72 | Unavailable |
| Rest of Maine | $407.38 | Unavailable |
| Rest of Maryland | $448.67 | Unavailable |
| Rest of Massachusetts | $466.47 | Unavailable |
| Rest of Michigan | $405.48 | Unavailable |
| Rest of Missouri | $382.61 | Unavailable |
| Rest of New Jersey | $484.38 | Unavailable |
| Rest of New York | $420.81 | Unavailable |
| Rest of Oregon | $441.10 | Unavailable |
| Rest of Pennsylvania | $407.25 | Unavailable |
| Rest of Texas | $420.83 | Unavailable |
| Rest of Washington | $466.39 | Unavailable |
| Rhode Island | $457.87 | Unavailable |
| Riverside, CA | $485.58 | Unavailable |
| Sacramento, CA | $514.40 | Unavailable |
| Salinas, CA | $512.63 | Unavailable |
| San Benito County, CA | $637.50 | Unavailable |
| San Diego, CA | $528.97 | Unavailable |
| San Francisco, CA | $623.12 | Unavailable |
| San Luis Obispo, CA | $503.81 | Unavailable |
| Santa Clara County, CA | $637.18 | Unavailable |
| Santa Cruz, CA | $537.34 | Unavailable |
| Santa Maria, CA | $515.72 | Unavailable |
| Santa Rosa, CA | $543.08 | Unavailable |
| South Carolina | $409.68 | Unavailable |
| South Dakota | $442.01 | Unavailable |
| Southern Maine, ME | $438.73 | Unavailable |
| Stockton, CA | $484.84 | Unavailable |
| Suburban Chicago, IL | $457.28 | Unavailable |
| Tennessee | $402.33 | Unavailable |
| Utah | $416.85 | Unavailable |
| Vallejo, CA | $582.61 | Unavailable |
| Vermont | $438.00 | Unavailable |
| Virgin Islands, VI | $448.38 | Unavailable |
| Virginia | $435.38 | Unavailable |
| Visalia, CA | $484.84 | Unavailable |
| Washington, DC area | $522.37 | Unavailable |
| West Virginia | $386.77 | Unavailable |
| Wisconsin | $423.41 | Unavailable |
| Wyoming | $442.96 | Unavailable |
| Yuba City, CA | $484.84 | Unavailable |
77412 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.
$380.22
$561.17
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 | $471.19 | 1 |
| AL | $387.40 | 1 |
| AR | $380.22 | 1 |
| AZ | $429.55 | 1 |
| CA | $484.84–$637.50 | 29 |
| CO | $471.29 | 1 |
| CT | $478.03 | 1 |
| DC | $522.37 | 1 |
| DE | $438.03 | 1 |
| FL | $425.33–$465.23 | 3 |
| GA | $396.36–$451.09 | 2 |
| GU | $503.03 | 1 |
| HI | $503.03 | 1 |
| IA | $404.65 | 1 |
| ID | $407.03 | 1 |
| IL | $406.49–$457.28 | 4 |
| IN | $410.15 | 1 |
| KS | $400.05 | 1 |
| KY | $394.39 | 1 |
| LA | $392.72–$417.85 | 2 |
| MA | $466.47–$528.90 | 2 |
| MD | $448.67–$522.37 | 3 |
| ME | $407.38–$438.73 | 2 |
| MI | $405.48–$429.72 | 2 |
| MN | $454.71 | 1 |
| MO | $382.61–$422.39 | 3 |
| MS | $381.62 | 1 |
| MT | $443.56 | 1 |
| NC | $413.16 | 1 |
| ND | $442.18 | 1 |
| NE | $408.14 | 1 |
| NH | $461.36 | 1 |
| NJ | $484.38–$514.32 | 2 |
| NM | $407.41 | 1 |
| NV | $443.61 | 1 |
| NY | $420.81–$528.96 | 5 |
| OH | $405.20 | 1 |
| OK | $395.83 | 1 |
| OR | $441.10–$491.94 | 2 |
| PA | $407.25–$462.11 | 2 |
| PR | $448.38 | 1 |
| RI | $457.87 | 1 |
| SC | $409.68 | 1 |
| SD | $442.01 | 1 |
| TN | $402.33 | 1 |
| TX | $403.69–$468.89 | 8 |
| UT | $416.85 | 1 |
| VA | $435.38–$522.37 | 2 |
| VI | $448.38 | 1 |
| VT | $438.00 | 1 |
| WA | $466.39–$543.29 | 2 |
| WI | $423.41 | 1 |
| WV | $386.77 | 1 |
| WY | $442.96 | 1 |
How the 77412 rate is calculated
Each of 77412’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 · 77412
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense13.21
13.21 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
13.2800
Conversion factor
$33.4009
Medicare rate
$443.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77412
The CMS indicators that decide how 77412 is paid alongside other services.
CMS payment indicators · 77412
Radiation delivery, complex treatment
| 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. |
77412 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 77402Radiation deliveryLevel 1
- 77402 is the simple delivery level. Use 77412 only when the documented delivery supports the complex level.
- 77407Radiation deliveryLevel 2
- 77407 describes intermediate delivery complexity; 77412 is the higher complexity level, based on the treatment setup and delivery documentation.
- 77417Port imagingTreatment-field verification
- 77417 represents treatment-related port imaging, not radiation delivery. It may be reported when that imaging service is performed and documented.
77412 billing questions
How is 77412 distinguished from 77407?
Select the level supported by the documented treatment-delivery complexity. The treatment record should support why the session meets the complex level rather than the intermediate level.
Is 77412 reported for each treatment fraction?
Report it for each qualifying complex treatment delivery. The record should identify the date and fraction delivered.
Does 77412 include the physician’s interpretation?
No. CMS identifies 77412 as technical-component-only; a separate code covers interpretation.
Can 77412 be used for IMRT delivery?
When the service is IMRT delivery, consider the IMRT-specific delivery code, such as 77386, rather than selecting 77412 solely because the treatment is complex.
What documentation supports the complex level?
Keep the treatment plan and delivery record showing the fraction and the setup or delivery details that support complex treatment delivery.
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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