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

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 Ohio, Medicare pays $411.66 for 77432 in the office and $411.66 when it’s performed in a hospital or facility.

$411.66Office (non-facility)
$411.66Hospital or facility
−3.0%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 Ohio
  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 Ohio 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. Ohio pays $411.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

77432 in Ohio vs other payment areas
  1. Ohio · this page$411.66
  2. Los Angeles, CA · California$454.63+$42.97
  3. Washington, DC area · District of Columbia$466.40+$54.74
  4. Miami, FL · Florida$461.33+$49.67
  5. Chicago, IL · Illinois$453.11+$41.45
  6. Manhattan, NY · New York$476.28+$64.62
  7. Alaska · Alaska$553.46+$141.80

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

Every other payment area

77432 in every other Medicare payment locality
Payment localityOfficeFacility
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
El Centro, CACalifornia$433.24$433.24
Fresno, CACalifornia$433.13$433.13
Hanford, 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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 77432 in Ohio
ComponentRVULocality factorAdjusted
Physician work7.72× 1.0007.7200
Practice expense4.37× 0.9133.9898
Malpractice0.61× 1.0080.6149
Total RVUs12.3247
Conversion factor× 33.4009

Office rate, Ohio$411.66

Office: (7.72 × 1 + 4.37 × 0.913 + 0.61 × 1.008) × $33.4009 = $411.66

Facility: (7.72 × 1 + 4.37 × 0.913 + 0.61 × 1.008) × $33.4009 = $411.66

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, Ohio
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.$622.04
77372Stereotactic radiosurgery, linear accelerator, one sessionTechnical delivery code associated with a multisession cranial stereotactic course.$853.31

How 77432 has changed in Ohio

77432 · Office / nonfacility

$411.66

Effective 2026-10-01

The base rate is $6.83 higher than on 2025-10-01, moving from $404.83 to $411.66 (1.7%).

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

    $404.83changed to$411.66

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $410.24changed to$404.83

    • 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

    $403.54changed to$410.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $417.33changed to$403.54

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.60 changed to 0.63
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $420.33changed to$417.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.91 changed to 4.12
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $419.23changed to$420.33

    • 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

    $428.55changed to$419.23

    • 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
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $423.73changed to$428.55

    • 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
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $419.96changed to$423.73

    • 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

    $416.06changed to$419.96

    • 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
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $412.99changed to$416.06

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.31 changed to 3.37
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $411.28changed to$412.99

    • 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

    $409.24changed to$411.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $413.34changed to$409.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $398.44changed to$413.34

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $398.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$411.66$411.66RVU26D
2026-07-01$411.66$411.66RVU26C
2026-04-01$411.66$411.66RVU26B
2026-01-01$411.66$411.66RVU26A
2025-10-01$404.83$404.83RVU25D
2025-07-01$404.83$404.83RVU25C
2025-04-01$404.83$404.83RVU25B
2025-01-01$404.83$404.83RVU25A
2024-10-01$410.24$410.24RVU24D
2024-07-01$410.24$410.24RVU24C
2024-04-01$410.24$410.24RVU24B
2024-03-09$410.24$410.24RVU24AR
2024-01-01$403.54$403.54RVU24A
2023-10-01$417.33$417.33RVU23D
2023-07-01$417.33$417.33RVU23C
2023-04-01$417.33$417.33RVU23B
2023-01-01$417.33$417.33RVU23A
2022-10-01$420.33$420.33RVU22D
2022-07-01$420.33$420.33RVU22C
2022-04-01$420.33$420.33RVU22B
2022-01-01$420.33$420.33RVU22A
2021-10-01$419.23$419.23RVU21D
2021-07-01$419.23$419.23RVU21C
2021-04-01$419.23$419.23RVU21B
2021-01-01$419.23$419.23RVU21A
2020-10-01$428.55$428.55RVU20D
2020-07-01$428.55$428.55RVU20C
2020-04-01$428.55$428.55RVU20B
2020-01-01$428.55$428.55RVU20A
2019-10-01$423.73$423.73RVU19D
2019-07-01$423.73$423.73RVU19C
2019-04-01$423.73$423.73RVU19B
2019-01-01$423.73$423.73RVU19A
2018-10-01$419.96$419.96RVU18D
2018-07-01$419.96$419.96RVU18C
2018-04-01$419.96$419.96RVU18B
2018-01-01$419.96$419.96RVU18AR1
2017-10-01$416.06$416.06RVU17D
2017-07-01$416.06$416.06RVU17C
2017-04-01$416.06$416.06RVU17B
2017-01-01$416.06$416.06RVU17A
2016-10-01$412.99$412.99RVU16D
2016-07-01$412.99$412.99RVU16C
2016-04-01$412.99$412.99RVU16B
2016-01-01$412.99$412.99RVU16A
2015-10-01$411.28$410.95RVU15D
2015-07-01$411.28$410.95RVU15C
2015-04-01$409.24$408.91RVU15B
2015-01-01$409.24$408.91RVU15A
2014-10-01$413.34$413.34RVU14D
2014-07-01$413.34$413.34RVU14C
2014-04-01$413.34$413.34RVU14B
2014-01-01$413.34$413.34RVU14A
2013-10-01$398.44$398.44RVU13D
2013-07-01$398.44$398.44RVU13C
2013-04-01$398.44$398.44RVU13B
2013-01-01$398.44$398.44RVU13AR

Price 77432 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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