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

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 Queens, NY, Medicare pays $476.26 for 77432 in the office and $476.26 when it’s performed in a hospital or facility.

$476.26Office (non-facility)
$476.26Hospital or facility
+12.3%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $476.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

77432 in Queens, NY vs other payment areas
  1. Queens, NY · this page$476.26
  2. Manhattan, NY · New York$476.28+$0.02
  3. NYC suburbs and Long Island, NY · New York$485.74+$9.48
  4. Poughkeepsie and northern NYC suburbs, NY · New York$453.94−$22.32
  5. Rest of New York · New York$410.84−$65.42
  6. Los Angeles, CA · California$454.63−$21.63
  7. Washington, DC area · District of Columbia$466.40−$9.86

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

Every other payment area

77432 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$461.33$461.33
Chicago, ILIllinois$453.11$453.11
AlaskaAlaska$553.46$553.46
AlabamaAlabama$397.10$397.10
ArkansasArkansas$393.73$393.73
ArizonaArizona$416.73$416.73
Bakersfield, CACalifornia$435.14$435.14
Chico, CACalifornia$433.13$433.13

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 77432 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work7.72× 1.0648.2141
Practice expense4.37× 1.1825.1653
Malpractice0.61× 1.4420.8796
Total RVUs14.2590
Conversion factor× 33.4009

Office rate, Queens, NY$476.26

Office: (7.72 × 1.064 + 4.37 × 1.182 + 0.61 × 1.442) × $33.4009 = $476.26

Facility: (7.72 × 1.064 + 4.37 × 1.182 + 0.61 × 1.442) × $33.4009 = $476.26

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, Queens, NY
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.$720.40
77372Stereotactic radiosurgery, linear accelerator, one sessionTechnical delivery code associated with a multisession cranial stereotactic course.$1,105.68

How 77432 has changed in Queens, NY

77432 · Office / nonfacility

$476.26

Effective 2026-10-01

The base rate is $6.26 higher than on 2025-10-01, moving from $470.00 to $476.26 (1.3%).

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

    $470.00changed to$476.26

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $475.32changed to$470.00

    • 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

    $467.56changed to$475.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $495.88changed to$467.56

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.60 changed to 0.63
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $510.84changed to$495.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.91 changed to 4.12
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $508.08changed to$510.84

    • 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

    $510.82changed to$508.08

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $497.80changed to$510.82

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $492.94changed to$497.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.46 changed to 3.56

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $488.93changed to$492.94

    • 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
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $485.70changed to$488.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.31 changed to 3.37
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $484.56changed to$485.70

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.17 changed to 3.31
    • Malpractice RVU 0.62 changed to 0.58

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $482.15changed to$484.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $476.60changed to$482.15

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $450.06changed to$476.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.22 changed to 3.17
    • Malpractice RVU 0.65 changed to 0.62
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $450.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$476.26$476.26RVU26D
2026-07-01$476.26$476.26RVU26C
2026-04-01$476.26$476.26RVU26B
2026-01-01$476.26$476.26RVU26A
2025-10-01$470.00$470.00RVU25D
2025-07-01$470.00$470.00RVU25C
2025-04-01$470.00$470.00RVU25B
2025-01-01$470.00$470.00RVU25A
2024-10-01$475.32$475.32RVU24D
2024-07-01$475.32$475.32RVU24C
2024-04-01$475.32$475.32RVU24B
2024-03-09$475.32$475.32RVU24AR
2024-01-01$467.56$467.56RVU24A
2023-10-01$495.88$495.88RVU23D
2023-07-01$495.88$495.88RVU23C
2023-04-01$495.88$495.88RVU23B
2023-01-01$495.88$495.88RVU23A
2022-10-01$510.84$510.84RVU22D
2022-07-01$510.84$510.84RVU22C
2022-04-01$510.84$510.84RVU22B
2022-01-01$510.84$510.84RVU22A
2021-10-01$508.08$508.08RVU21D
2021-07-01$508.08$508.08RVU21C
2021-04-01$508.08$508.08RVU21B
2021-01-01$508.08$508.08RVU21A
2020-10-01$510.82$510.82RVU20D
2020-07-01$510.82$510.82RVU20C
2020-04-01$510.82$510.82RVU20B
2020-01-01$510.82$510.82RVU20A
2019-10-01$497.80$497.80RVU19D
2019-07-01$497.80$497.80RVU19C
2019-04-01$497.80$497.80RVU19B
2019-01-01$497.80$497.80RVU19A
2018-10-01$492.94$492.94RVU18D
2018-07-01$492.94$492.94RVU18C
2018-04-01$492.94$492.94RVU18B
2018-01-01$492.94$492.94RVU18AR1
2017-10-01$488.93$488.93RVU17D
2017-07-01$488.93$488.93RVU17C
2017-04-01$488.93$488.93RVU17B
2017-01-01$488.93$488.93RVU17A
2016-10-01$485.70$485.70RVU16D
2016-07-01$485.70$485.70RVU16C
2016-04-01$485.70$485.70RVU16B
2016-01-01$485.70$485.70RVU16A
2015-10-01$484.56$484.13RVU15D
2015-07-01$484.56$484.13RVU15C
2015-04-01$482.15$481.72RVU15B
2015-01-01$482.15$481.72RVU15A
2014-10-01$476.60$476.60RVU14D
2014-07-01$476.60$476.60RVU14C
2014-04-01$476.60$476.60RVU14B
2014-01-01$476.60$476.60RVU14A
2013-10-01$450.06$450.06RVU13D
2013-07-01$450.06$450.06RVU13C
2013-04-01$450.06$450.06RVU13B
2013-01-01$450.06$450.06RVU13AR

Price 77432 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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