CPT code 77469: IORT management, during surgery2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $261.12 for 77469 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 77469 nationwide

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

What 77469 covers

This service represents the radiation oncologist’s management of radiation delivered in the operating room during a surgical procedure. Intraoperative radiation therapy may be used to treat a tumor bed or other selected target while the area is exposed during surgery. The radiation oncologist coordinates and manages the treatment in the operative setting with the surgical team; this is different from the technical act of delivering the beam.

Report 77469 for the management service when intraoperative radiation treatment is performed, and distinguish it from the modality-specific delivery service, such as intraoperative x-ray or electron treatment. Documentation should identify the operative treatment, the physician’s management work, and the relationship to the surgical procedure and radiation delivery. The code is not the selection for routine fraction-based radiation management or for stereotactic treatment management; those services have their own codes. CMS assigns work and practice expense values to this service.

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 Virginia compares for 77469

Across 109 of 109 payment localities, the facility rate for 77469 runs from $250.32 in Arkansas to $357.82 in Alaska. Virginia pays $261.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

77469 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 77469 in every payment locality

How the 77469 rate is calculated

Each of 77469’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.

Payment rules and modifiers for 77469

77469 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 77469

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

How 77469 has changed in Virginia

Price 77469 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates