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CPT code 77432: Stereotactic management, cranial, single-session course2026 Medicare rate & RVUs in Hanford, CA

Report physician management for a complete, single-session stereotactic radiation course targeting one or more cranial lesions.

CMS RVU26DEffective Oct 1, 2026One payment locality9.6K Medicare services in 2024

In Hanford, CA, Medicare pays $433.13 for 77432 in the office and $433.13 when it’s performed in a hospital or facility.

$433.13Office (non-facility)
$433.13Hospital or facility
+2.1%vs the national office rate ($424.19)

Check a contract rate as a % of Medicare · 77432 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 77432 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hanford, CA
  2. What 77432 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 77432 covers

77432 represents physician management of a complete stereotactic radiation course delivered in one session to one or more cranial lesions. It is used in stereotactic radiosurgery, commonly for intracranial targets treated by a radiation oncology team. The code describes the physician’s professional work, not the equipment-based delivery of radiation.

Select this code when the cranial stereotactic treatment course is completed in one session; a different management code is used for stereotactic body radiation therapy. Documentation should identify the cranial target or targets, the single-session course, and the physician’s management, interpretation, and report. CMS classifies 77432 as professional-component-only: the physician claim covers interpretation and report, while a separate code covers the technical portion of treatment delivery.

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 Hanford, CA compares for 77432

Across 109 of 109 payment localities, the office rate for 77432 runs from $393.73 in Arkansas to $553.46 in Alaska. Hanford, CA pays $433.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

77432 in Hanford, CA vs other payment areas
  1. Hanford, CA · this page$433.13
  2. Bakersfield, CA · California$435.14+$2.01
  3. Chico, CA · California$433.13
  4. El Centro, CA · California$433.24+$0.11
  5. Fresno, CA · California$433.13
  6. Los Angeles, CA · California$454.63+$21.50
  7. Madera, CA · California$433.13

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

Every other payment area

77432 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$433.13$433.13
Modesto, CACalifornia$433.13$433.13
Napa, CACalifornia$476.83$476.83
Oxnard, CACalifornia$450.30$450.30
Redding, CACalifornia$433.13$433.13
Rest of CaliforniaCalifornia$433.13$433.13
Riverside, CACalifornia$439.85$439.85
Sacramento, CACalifornia$447.81$447.81

77432 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.

$393.73

$553.46

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

View every state and territory as a table
77432 office rate range by state
State / territoryOffice rate rangeLocalities
AK$553.461
AL$397.101
AR$393.731
AZ$416.731
CA$433.13–$507.6229
CO$432.171
CT$444.871
DC$466.401
DE$421.671
FL$428.02–$461.333
GA$412.34–$431.402
GU$435.611
HI$435.611
IA$399.501
ID$401.781
IL$422.96–$453.114
IN$403.061
KS$400.071
KY$406.261
LA$406.55–$418.352
MA$431.92–$460.842
MD$426.85–$466.403
ME$404.81–$415.362
MI$414.12–$433.062
MN$414.081
MO$403.52–$417.233
MS$398.581
MT$424.151
NC$407.061
ND$412.091
NE$400.281
NH$427.631
NJ$449.91–$465.182
NM$416.171
NV$420.931
NY$410.84–$485.745
OH$411.661
OK$404.031
OR$417.56–$439.302
PA$411.10–$438.752
PR$425.491
RI$431.711
SC$410.041
SD$410.661
TN$401.481
TX$409.61–$432.898
UT$413.361
VA$415.72–$466.402
VI$425.491
VT$412.671
WA$430.41–$466.492
WI$403.961
WV$413.851
WY$418.891

See 77432 in every payment locality

How the 77432 rate is calculated

Each of 77432’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 · 77432

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.72

7.72 RVUs× 1.000 GPCI

Practice expense4.37

4.37 RVUs× 1.000 GPCI

Malpractice0.61

0.61 RVUs× 1.000 GPCI

Adjusted RVUs

12.7000

Conversion factor

$33.4009

Medicare rate

$424.19

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

The exact Hanford, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,106

Code
77432
Physician work
7.72
Practice expense
4.37
Malpractice
0.61

GPCI2026.csv

12

Locality
Hanford, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 77432 in Hanford, CA
ComponentRVULocality factorAdjusted
Physician work7.72× 1.0177.8512
Practice expense4.37× 1.0964.7895
Malpractice0.61× 0.5360.3270
Total RVUs12.9677
Conversion factor× 33.4009

Office rate, Hanford, CA$433.13

Office: (7.72 × 1.017 + 4.37 × 1.096 + 0.61 × 0.536) × $33.4009 = $433.13

Facility: (7.72 × 1.017 + 4.37 × 1.096 + 0.61 × 0.536) × $33.4009 = $433.13

Open 77432 in the RVU calculator

Payment rules and modifiers for 77432

The CMS indicators that decide how 77432 is paid alongside other services.

CMS payment indicators · 77432

Stereotactic management, cranial, single-session course

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/technical2Professional component only.

Codes related to 77432

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

Codes related to 77432
CodeHow it relatesOffice range, Hanford, CA
Often billed with
77371SRS delivery, multisource cobalt-60Technical delivery code for a complete single-session cranial stereotactic radiosurgery course.No office rate
Used instead
77435SBRT management, per treatment courseManagement code for stereotactic body radiation therapy rather than single-session cranial treatment.$655.12
77372Stereotactic radiosurgery, linear accelerator, one sessionTechnical delivery code associated with a multisession cranial stereotactic course.$1,019.61

How 77432 has changed in Hanford, CA

77432 · Office / nonfacility

$433.13

Effective 2026-10-01

The base rate is $8.86 higher than on 2025-10-01, moving from $424.27 to $433.13 (2.1%).

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

    $424.27changed to$433.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.92 changed to 7.72
    • Practice expense RVU 4.33 changed to 4.37
    • Malpractice RVU 0.63 changed to 0.61
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $428.97changed to$424.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.12 changed to 4.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $421.97changed to$428.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $436.44changed to$421.97

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.60 changed to 0.63
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560

  5. January 1, 2023

    RVU23A

    $437.98changed to$436.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.91 changed to 4.12
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $436.74changed to$437.98

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.79 changed to 3.91
    • Malpractice RVU 0.58 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $446.52changed to$436.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.68 changed to 3.79
    • Malpractice RVU 0.56 changed to 0.58
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $440.76changed to$446.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.56 changed to 3.68
    • Malpractice RVU 0.57 changed to 0.56
    • Work GPCI 1.021 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $436.13changed to$440.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.46 changed to 3.56
    • Work GPCI 1.020 changed to 1.021

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $434.26changed to$436.13

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.37 changed to 3.46
    • Malpractice RVU 0.58 changed to 0.57
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$434.26

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$433.13$433.13RVU26D
2026-07-01$433.13$433.13RVU26C
2026-04-01$433.13$433.13RVU26B
2026-01-01$433.13$433.13RVU26A
2025-10-01$424.27$424.27RVU25D
2025-07-01$424.27$424.27RVU25C
2025-04-01$424.27$424.27RVU25B
2025-01-01$424.27$424.27RVU25A
2024-10-01$428.97$428.97RVU24D
2024-07-01$428.97$428.97RVU24C
2024-04-01$428.97$428.97RVU24B
2024-03-09$428.97$428.97RVU24AR
2024-01-01$421.97$421.97RVU24A
2023-10-01$436.44$436.44RVU23D
2023-07-01$436.44$436.44RVU23C
2023-04-01$436.44$436.44RVU23B
2023-01-01$436.44$436.44RVU23A
2022-10-01$437.98$437.98RVU22D
2022-07-01$437.98$437.98RVU22C
2022-04-01$437.98$437.98RVU22B
2022-01-01$437.98$437.98RVU22A
2021-10-01$436.74$436.74RVU21D
2021-07-01$436.74$436.74RVU21C
2021-04-01$436.74$436.74RVU21B
2021-01-01$436.74$436.74RVU21A
2020-10-01$446.52$446.52RVU20D
2020-07-01$446.52$446.52RVU20C
2020-04-01$446.52$446.52RVU20B
2020-01-01$446.52$446.52RVU20A
2019-10-01$440.76$440.76RVU19D
2019-07-01$440.76$440.76RVU19C
2019-04-01$440.76$440.76RVU19B
2019-01-01$440.76$440.76RVU19A
2018-10-01$436.13$436.13RVU18D
2018-07-01$436.13$436.13RVU18C
2018-04-01$436.13$436.13RVU18B
2018-01-01$436.13$436.13RVU18AR1
2017-10-01$434.26$434.26RVU17D
2017-07-01$434.26$434.26RVU17C
2017-04-01$434.26$434.26RVU17B
2017-01-01$434.26$434.26RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 77432 for an earlier date of service

Where the Hanford, CA rate applies

Hanford, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Corcoran
  • Hanford
  • Armona
  • Avenal
  • Grangeville
  • Hardwick
  • Home Garden
  • Kettleman City

Browse all communities in California

77432 billing questions

When should 77432 be used instead of 77435?

Use 77432 for management of a complete, single-session stereotactic course for cranial lesions. 77435 is the management code associated with stereotactic body radiation therapy.

Is the radiation delivery included in 77432?

No. 77432 represents the professional interpretation and report; a separate code covers the technical treatment delivery.

Can 77432 be reported once for each cranial lesion?

The code describes management of the complete one-session course for one or more cranial lesions, not a separate unit for each lesion.

What documentation supports 77432?

Document the cranial target or targets, that the complete course was delivered in one session, and the physician’s management, interpretation, and report.

How does 77432 differ from 77371?

77432 is the professional management service. 77371 represents the technical delivery for a complete single-session cranial stereotactic radiosurgery course.

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 77432PPRRVU2026_Oct_nonQPP.csv, line 9,106 (RVU26D)
Geographic factors for Hanford, CAGPCI2026.csv, line 12 (RVU26D)

Open CMS sourceHow we calculate rates

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