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CPT code 77412: Radiation delivery, complex treatment2026 Medicare rate & RVUs in Montana

Reports a complex external-beam radiation treatment delivery for a fraction when the documented treatment setup and delivery meet this level of complexity.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $443.56 for 77412 in the office.

$443.56Office (non-facility)
Not available in this settingHospital or facility
+0.0%vs the national office rate ($443.56)

Check a contract rate as a % of Medicare · 77412 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 77412 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 77412 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Montana compares for 77412

Across 109 of 109 payment localities, the office rate for 77412 runs from $380.22 in Arkansas to $637.50 in San Benito County, CA. Montana pays $443.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

77412 in Montana vs other payment areas
  1. Montana · this page$443.56
  2. Los Angeles, CA · California$523.52+$79.96
  3. Washington, DC area · District of Columbia$522.37+$78.81
  4. Miami, FL · Florida$465.23+$21.67
  5. Chicago, IL · Illinois$448.80+$5.24
  6. Manhattan, NY · New York$516.41+$72.85
  7. Alaska · Alaska$471.19+$27.63

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

77412 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$387.40—
ArkansasArkansas$380.22—
ArizonaArizona$429.55—
Bakersfield, CACalifornia$485.01—
Chico, CACalifornia$484.84—
El Centro, CACalifornia$484.85—
Fresno, CACalifornia$484.84—
Hanford, CACalifornia$484.84—

77412 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.

$380.22

$561.17

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

View every state and territory as a table
77412 office rate range by state
State / territoryOffice rate rangeLocalities
AK$471.191
AL$387.401
AR$380.221
AZ$429.551
CA$484.84–$637.5029
CO$471.291
CT$478.031
DC$522.371
DE$438.031
FL$425.33–$465.233
GA$396.36–$451.092
GU$503.031
HI$503.031
IA$404.651
ID$407.031
IL$406.49–$457.284
IN$410.151
KS$400.051
KY$394.391
LA$392.72–$417.852
MA$466.47–$528.902
MD$448.67–$522.373
ME$407.38–$438.732
MI$405.48–$429.722
MN$454.711
MO$382.61–$422.393
MS$381.621
MT$443.561
NC$413.161
ND$442.181
NE$408.141
NH$461.361
NJ$484.38–$514.322
NM$407.411
NV$443.611
NY$420.81–$528.965
OH$405.201
OK$395.831
OR$441.10–$491.942
PA$407.25–$462.112
PR$448.381
RI$457.871
SC$409.681
SD$442.011
TN$402.331
TX$403.69–$468.898
UT$416.851
VA$435.38–$522.372
VI$448.381
VT$438.001
WA$466.39–$543.292
WI$423.411
WV$386.771
WY$442.961

See 77412 in every payment locality

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

Office or facility?

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,099

Code
77412
Physician work
0.00
Practice expense
13.21
Malpractice
0.07

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 77412 in Montana
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense13.21× 1.00013.2100
Malpractice0.07× 0.9980.0699
Total RVUs13.2799
Conversion factor× 33.4009

Office rate, Montana$443.56

Office: (0 × 1 + 13.21 × 1 + 0.07 × 0.998) × $33.4009 = $443.56

Open 77412 in the RVU calculator

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

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.

Codes related to 77412

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

Codes related to 77412
CodeHow it relatesOffice range, Montana
Same family
77402Radiation delivery, level 1Simple external-beam treatment delivery level.$82.16
77407Radiation delivery, level 2Intermediate external-beam treatment delivery level.$309.96
Often billed with
77417Port imaging, treatment-field verificationPort imaging may be reported for separately performed treatment verification imaging.No office rate

How 77412 has changed in Montana

77412 · Office / nonfacility

$443.56

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.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    No ratechanged to$443.56

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2015

    RVU15A

    $241.50changed 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.

  3. January 1, 2014

    RVU14A

    $240.24changed to$241.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.05 changed to 6.73
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  4. January 1, 2013

    RVU13AR

    Earliest loaded release: $240.24

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$443.56Not available in this settingRVU26D
2026-07-01$443.56Not available in this settingRVU26C
2026-04-01$443.56Not available in this settingRVU26B
2026-01-01$443.56Not available in this settingRVU26A
2025-10-01Separate payment rules applySeparate payment rules applyRVU25D
2025-07-01Separate payment rules applySeparate payment rules applyRVU25C
2025-04-01Separate payment rules applySeparate payment rules applyRVU25B
2025-01-01Separate payment rules applySeparate payment rules applyRVU25A
2024-10-01Separate payment rules applySeparate payment rules applyRVU24D
2024-07-01Separate payment rules applySeparate payment rules applyRVU24C
2024-04-01Separate payment rules applySeparate payment rules applyRVU24B
2024-03-09Separate payment rules applySeparate payment rules applyRVU24AR
2024-01-01Separate payment rules applySeparate payment rules applyRVU24A
2023-10-01Separate payment rules applySeparate payment rules applyRVU23D
2023-07-01Separate payment rules applySeparate payment rules applyRVU23C
2023-04-01Separate payment rules applySeparate payment rules applyRVU23B
2023-01-01Separate payment rules applySeparate payment rules applyRVU23A
2022-10-01Separate payment rules applySeparate payment rules applyRVU22D
2022-07-01Separate payment rules applySeparate payment rules applyRVU22C
2022-04-01Separate payment rules applySeparate payment rules applyRVU22B
2022-01-01Separate payment rules applySeparate payment rules applyRVU22A
2021-10-01Separate payment rules applySeparate payment rules applyRVU21D
2021-07-01Separate payment rules applySeparate payment rules applyRVU21C
2021-04-01Separate payment rules applySeparate payment rules applyRVU21B
2021-01-01Separate payment rules applySeparate payment rules applyRVU21A
2020-10-01Separate payment rules applySeparate payment rules applyRVU20D
2020-07-01Separate payment rules applySeparate payment rules applyRVU20C
2020-04-01Separate payment rules applySeparate payment rules applyRVU20B
2020-01-01Separate payment rules applySeparate payment rules applyRVU20A
2019-10-01Separate payment rules applySeparate payment rules applyRVU19D
2019-07-01Separate payment rules applySeparate payment rules applyRVU19C
2019-04-01Separate payment rules applySeparate payment rules applyRVU19B
2019-01-01Separate payment rules applySeparate payment rules applyRVU19A
2018-10-01Separate payment rules applySeparate payment rules applyRVU18D
2018-07-01Separate payment rules applySeparate payment rules applyRVU18C
2018-04-01Separate payment rules applySeparate payment rules applyRVU18B
2018-01-01Separate payment rules applySeparate payment rules applyRVU18AR1
2017-10-01Separate payment rules applySeparate payment rules applyRVU17D
2017-07-01Separate payment rules applySeparate payment rules applyRVU17C
2017-04-01Separate payment rules applySeparate payment rules applyRVU17B
2017-01-01Separate payment rules applySeparate payment rules applyRVU17A
2016-10-01Separate payment rules applySeparate payment rules applyRVU16D
2016-07-01Separate payment rules applySeparate payment rules applyRVU16C
2016-04-01Separate payment rules applySeparate payment rules applyRVU16B
2016-01-01Separate payment rules applySeparate payment rules applyRVU16A
2015-10-01Separate payment rules applySeparate payment rules applyRVU15D
2015-07-01Separate payment rules applySeparate payment rules applyRVU15C
2015-04-01Separate payment rules applySeparate payment rules applyRVU15B
2015-01-01Separate payment rules applySeparate payment rules applyRVU15A
2014-10-01$241.50Not available in this settingRVU14D
2014-07-01$241.50Not available in this settingRVU14C
2014-04-01$241.50Not available in this settingRVU14B
2014-01-01$241.50Not available in this settingRVU14A
2013-10-01$240.24Not available in this settingRVU13D
2013-07-01$240.24Not available in this settingRVU13C
2013-04-01$240.24Not available in this settingRVU13B
2013-01-01$240.24Not available in this settingRVU13AR

Price 77412 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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
RVUs for 77412PPRRVU2026_Oct_nonQPP.csv, line 9,099 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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