CPT code 77763: Brachytherapy application, complex intracavitary placement2026 Medicare rate & RVUs in Utah
Report this service for complex placement of an intracavitary radiation source, such as during brachytherapy for a gynecologic malignancy.
In Utah, Medicare pays $760.65 for 77763 in the office.
Check a contract rate as a % of Medicare · 77763 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 77763 covers
This service covers complex placement of a radiation source within a body cavity for brachytherapy. A radiation oncologist typically performs the application, often in a hospital or other treatment setting. Gynecologic cancers involving sites such as the cervix or vagina are common clinical contexts for intracavitary treatment. The application is distinct from the subsequent delivery of radiation by a high-dose-rate remote afterloading system.
Choose this level when the documented application is complex rather than simple or intermediate; the record should support the treated site, the intracavitary approach, and the work involved in positioning the source or applicator. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. Modifier 50 is inappropriate for this service. An assistant is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.
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 Utah compares for 77763
Across 109 of 109 payment localities, the office rate for 77763 runs from $714.39 in Arkansas to $1,033.55 in San Benito County, CA. Utah pays $760.65. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$760.65
- Los Angeles, CA · California$888.34+$127.69
- Washington, DC area · District of Columbia$896.88+$136.23
- Miami, FL · Florida$837.20+$76.55
- Chicago, IL · Illinois$817.57+$56.92
- Manhattan, NY · New York$899.54+$138.89
- Alaska · Alaska$957.63+$196.98
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $723.12 | — |
| ArkansasArkansas | $714.39 | — |
| ArizonaArizona | $774.27 | — |
| Bakersfield, CACalifornia | $838.28 | — |
| Chico, CACalifornia | $836.53 | — |
| El Centro, CACalifornia | $836.61 | — |
| Fresno, CACalifornia | $836.53 | — |
| Hanford, CACalifornia | $836.53 | — |
| Madera, CACalifornia | $836.53 | — |
| Merced, CACalifornia | $836.53 | — |
| Modesto, CACalifornia | $836.53 | — |
| Napa, CACalifornia | $958.63 | — |
| Oxnard, CACalifornia | $883.51 | — |
| Redding, CACalifornia | $836.53 | — |
| Rest of CaliforniaCalifornia | $836.53 | — |
| Riverside, CACalifornia | $842.00 | — |
| Sacramento, CACalifornia | $874.96 | — |
| Salinas, CACalifornia | $871.57 | — |
| San Diego, CACalifornia | $889.66 | — |
| Marin County, CACalifornia | $1,012.26 | — |
| San Francisco, CACalifornia | $1,011.71 | — |
| San Benito County, CACalifornia | $1,033.55 | — |
| Santa Clara County, CACalifornia | $1,031.28 | — |
| San Luis Obispo, CACalifornia | $857.75 | — |
| Santa Cruz, CACalifornia | $896.40 | — |
| Santa Maria, CACalifornia | $874.18 | — |
| Santa Rosa, CACalifornia | $905.35 | — |
| Stockton, CACalifornia | $836.53 | — |
| Vallejo, CACalifornia | $957.83 | — |
| Visalia, CACalifornia | $836.53 | — |
| Yuba City, CACalifornia | $836.53 | — |
| ColoradoColorado | $823.33 | — |
| ConnecticutConnecticut | $839.02 | — |
| DelawareDelaware | $785.77 | — |
| Fort Lauderdale, FLFlorida | $811.58 | — |
| Rest of FloridaFlorida | $778.45 | — |
| Atlanta, GAGeorgia | $803.97 | — |
| Rest of GeorgiaGeorgia | $741.76 | — |
| Hawaii, Guam, HIHawaii | $852.68 | — |
| IowaIowa | $740.10 | — |
| IdahoIdaho | $743.82 | — |
| East St. Louis, ILIllinois | $769.04 | — |
| Rest of IllinoisIllinois | $758.20 | — |
| Suburban Chicago, ILIllinois | $819.87 | — |
| IndianaIndiana | $747.49 | — |
| KansasKansas | $736.43 | — |
| KentuckyKentucky | $735.75 | — |
| New Orleans, LALouisiana | $765.03 | — |
| Rest of LouisianaLouisiana | $734.48 | — |
| Metropolitan Boston, MAMassachusetts | $897.46 | — |
| Rest of MassachusettsMassachusetts | $819.29 | — |
| Baltimore area, MDMaryland | $836.36 | — |
| Rest of MarylandMaryland | $799.34 | — |
| Rest of MaineMaine | $746.26 | — |
| Southern Maine, MEMaine | $781.45 | — |
| Detroit, MIMichigan | $785.88 | — |
| Rest of MichiganMichigan | $751.10 | — |
| MinnesotaMinnesota | $794.73 | — |
| Metropolitan Kansas City, MOMissouri | $761.45 | — |
| Metropolitan St. Louis, MOMissouri | $768.27 | — |
| Rest of MissouriMissouri | $723.38 | — |
| MississippiMississippi | $719.04 | — |
| MontanaMontana | $791.90 | — |
| North CarolinaNorth Carolina | $752.95 | — |
| North DakotaNorth Dakota | $782.21 | — |
| NebraskaNebraska | $743.74 | — |
| New HampshireNew Hampshire | $810.13 | — |
| Northern New JerseyNew Jersey | $889.79 | — |
| Rest of New JerseyNew Jersey | $850.22 | — |
| New MexicoNew Mexico | $754.25 | — |
| NevadaNevada | $789.70 | — |
| NYC suburbs and Long Island, NYNew York | $917.31 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $854.96 | — |
| Queens, NYNew York | $907.06 | — |
| Rest of New YorkNew York | $762.39 | — |
| OhioOhio | $749.12 | — |
| OklahomaOklahoma | $735.46 | — |
| Portland, OROregon | $847.05 | — |
| Rest of OregonOregon | $785.10 | — |
| Metropolitan Philadelphia, PAPennsylvania | $820.41 | — |
| Rest of PennsylvaniaPennsylvania | $750.55 | — |
| Puerto RicoPuerto Rico | $797.12 | — |
| Rhode IslandRhode Island | $811.81 | — |
| South CarolinaSouth Carolina | $751.96 | — |
| South DakotaSouth Dakota | $781.07 | — |
| TennesseeTennessee | $739.43 | — |
| Austin, TXTexas | $819.27 | — |
| Beaumont, TXTexas | $746.34 | — |
| Brazoria, TXTexas | $786.15 | — |
| Dallas, TXTexas | $790.17 | — |
| Fort Worth, TXTexas | $785.45 | — |
| Galveston, TXTexas | $787.92 | — |
| Houston, TXTexas | $796.89 | — |
| Rest of TexasTexas | $765.17 | — |
| VirginiaVirginia | $778.73 | — |
| Virgin Islands, VIUnited States Virgin Islands | $797.12 | — |
| VermontVermont | $778.91 | — |
| Rest of WashingtonWashington | $817.85 | — |
| King County, WAWashington | $915.10 | — |
| WisconsinWisconsin | $759.88 | — |
| West VirginiaWest Virginia | $734.32 | — |
| WyomingWyoming | $787.68 | — |
77763 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$714.39
$957.63
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $957.63 | 1 |
| AL | $723.12 | 1 |
| AR | $714.39 | 1 |
| AZ | $774.27 | 1 |
| CA | $836.53–$1,033.55 | 29 |
| CO | $823.33 | 1 |
| CT | $839.02 | 1 |
| DC | $896.88 | 1 |
| DE | $785.77 | 1 |
| FL | $778.45–$837.20 | 3 |
| GA | $741.76–$803.97 | 2 |
| GU | $852.68 | 1 |
| HI | $852.68 | 1 |
| IA | $740.10 | 1 |
| ID | $743.82 | 1 |
| IL | $758.20–$819.87 | 4 |
| IN | $747.49 | 1 |
| KS | $736.43 | 1 |
| KY | $735.75 | 1 |
| LA | $734.48–$765.03 | 2 |
| MA | $819.29–$897.46 | 2 |
| MD | $799.34–$896.88 | 3 |
| ME | $746.26–$781.45 | 2 |
| MI | $751.10–$785.88 | 2 |
| MN | $794.73 | 1 |
| MO | $723.38–$768.27 | 3 |
| MS | $719.04 | 1 |
| MT | $791.90 | 1 |
| NC | $752.95 | 1 |
| ND | $782.21 | 1 |
| NE | $743.74 | 1 |
| NH | $810.13 | 1 |
| NJ | $850.22–$889.79 | 2 |
| NM | $754.25 | 1 |
| NV | $789.70 | 1 |
| NY | $762.39–$917.31 | 5 |
| OH | $749.12 | 1 |
| OK | $735.46 | 1 |
| OR | $785.10–$847.05 | 2 |
| PA | $750.55–$820.41 | 2 |
| PR | $797.12 | 1 |
| RI | $811.81 | 1 |
| SC | $751.96 | 1 |
| SD | $781.07 | 1 |
| TN | $739.43 | 1 |
| TX | $746.34–$819.27 | 8 |
| UT | $760.65 | 1 |
| VA | $778.73–$896.88 | 2 |
| VI | $797.12 | 1 |
| VT | $778.91 | 1 |
| WA | $817.85–$915.10 | 2 |
| WI | $759.88 | 1 |
| WV | $734.32 | 1 |
| WY | $787.68 | 1 |
How the 77763 rate is calculated
Each of 77763’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 · 77763
RVUs × geographic indexes × conversion factor
Work8.44
8.44 RVUs× 1.000 GPCI
Practice expense14.78
14.78 RVUs× 1.000 GPCI
Malpractice0.49
0.49 RVUs× 1.000 GPCI
Adjusted RVUs
23.7100
Conversion factor
$33.4009
Medicare rate
$791.94
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,151
- Code
- 77763
- Physician work
- 8.44
- Practice expense
- 14.78
- Malpractice
- 0.49
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.44 | × 1.000 | 8.4400 |
| Practice expense | 14.78 | × 0.940 | 13.8932 |
| Malpractice | 0.49 | × 0.898 | 0.4400 |
| Total RVUs | 22.7732 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$760.65
Office: (8.44 × 1 + 14.78 × 0.94 + 0.49 × 0.898) × $33.4009 = $760.65
Payment rules and modifiers for 77763
77763 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 77763
Brachytherapy application, complex intracavitary placement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
| Split (54/55/56) | 0.00/0.00/0.00 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 77763
Brachytherapy application, complex intracavitary placement
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77763 without 26 · national office
$791.94
Brachytherapy application, complex intracavitary placement
77763-26 · Professional component
$453.92
Pays only the interpretation and report.
How 77763 has changed in Utah
77763 · Office / nonfacility
$760.65
Effective 2026-10-01
The base rate is $19.74 higher than on 2025-10-01, moving from $740.91 to $760.65 (2.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$740.91changed to$760.65
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 8.66 changed to 8.44
- Practice expense RVU 14.76 changed to 14.78
- Malpractice RVU 0.51 changed to 0.49
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$748.49changed to$740.91
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 14.33 changed to 14.76
- Malpractice RVU 0.49 changed to 0.51
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$736.27changed to$748.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$746.55changed to$736.27
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 14.00 changed to 14.33
- Malpractice RVU 0.47 changed to 0.49
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$735.16changed to$746.55
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 13.31 changed to 14.00
- Malpractice RVU 0.44 changed to 0.47
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$730.71changed to$735.16
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 12.99 changed to 13.31
- Malpractice RVU 0.43 changed to 0.44
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$737.83changed to$730.71
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 12.31 changed to 12.99
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$740.76changed to$737.83
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 12.19 changed to 12.31
- Malpractice RVU 0.51 changed to 0.43
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$739.20changed to$740.76
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 12.13 changed to 12.19
- Malpractice RVU 0.54 changed to 0.51
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$720.13changed to$739.20
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 11.75 changed to 12.13
- Malpractice RVU 0.46 changed to 0.54
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$712.58changed to$720.13
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 11.61 changed to 11.75
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$707.56changed to$712.58
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 11.33 changed to 11.61
- Malpractice RVU 0.50 changed to 0.46
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$704.04changed to$707.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$697.24changed to$704.04
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 11.15 changed to 11.33
- Malpractice RVU 0.49 changed to 0.50
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$683.38changed to$697.24
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 11.86 changed to 11.15
- Malpractice RVU 0.51 changed to 0.49
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $683.38
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $760.65 | Not available in this setting | RVU26D |
| 2026-07-01 | $760.65 | Not available in this setting | RVU26C |
| 2026-04-01 | $760.65 | Not available in this setting | RVU26B |
| 2026-01-01 | $760.65 | Not available in this setting | RVU26A |
| 2025-10-01 | $740.91 | Not available in this setting | RVU25D |
| 2025-07-01 | $740.91 | Not available in this setting | RVU25C |
| 2025-04-01 | $740.91 | Not available in this setting | RVU25B |
| 2025-01-01 | $740.91 | Not available in this setting | RVU25A |
| 2024-10-01 | $748.49 | Not available in this setting | RVU24D |
| 2024-07-01 | $748.49 | Not available in this setting | RVU24C |
| 2024-04-01 | $748.49 | Not available in this setting | RVU24B |
| 2024-03-09 | $748.49 | Not available in this setting | RVU24AR |
| 2024-01-01 | $736.27 | Not available in this setting | RVU24A |
| 2023-10-01 | $746.55 | Not available in this setting | RVU23D |
| 2023-07-01 | $746.55 | Not available in this setting | RVU23C |
| 2023-04-01 | $746.55 | Not available in this setting | RVU23B |
| 2023-01-01 | $746.55 | Not available in this setting | RVU23A |
| 2022-10-01 | $735.16 | Not available in this setting | RVU22D |
| 2022-07-01 | $735.16 | Not available in this setting | RVU22C |
| 2022-04-01 | $735.16 | Not available in this setting | RVU22B |
| 2022-01-01 | $735.16 | Not available in this setting | RVU22A |
| 2021-10-01 | $730.71 | Not available in this setting | RVU21D |
| 2021-07-01 | $730.71 | Not available in this setting | RVU21C |
| 2021-04-01 | $730.71 | Not available in this setting | RVU21B |
| 2021-01-01 | $730.71 | Not available in this setting | RVU21A |
| 2020-10-01 | $737.83 | Not available in this setting | RVU20D |
| 2020-07-01 | $737.83 | Not available in this setting | RVU20C |
| 2020-04-01 | $737.83 | Not available in this setting | RVU20B |
| 2020-01-01 | $737.83 | Not available in this setting | RVU20A |
| 2019-10-01 | $740.76 | Not available in this setting | RVU19D |
| 2019-07-01 | $740.76 | Not available in this setting | RVU19C |
| 2019-04-01 | $740.76 | Not available in this setting | RVU19B |
| 2019-01-01 | $740.76 | Not available in this setting | RVU19A |
| 2018-10-01 | $739.20 | Not available in this setting | RVU18D |
| 2018-07-01 | $739.20 | Not available in this setting | RVU18C |
| 2018-04-01 | $739.20 | Not available in this setting | RVU18B |
| 2018-01-01 | $739.20 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $720.13 | Not available in this setting | RVU17D |
| 2017-07-01 | $720.13 | Not available in this setting | RVU17C |
| 2017-04-01 | $720.13 | Not available in this setting | RVU17B |
| 2017-01-01 | $720.13 | Not available in this setting | RVU17A |
| 2016-10-01 | $712.58 | Not available in this setting | RVU16D |
| 2016-07-01 | $712.58 | Not available in this setting | RVU16C |
| 2016-04-01 | $712.58 | Not available in this setting | RVU16B |
| 2016-01-01 | $712.58 | Not available in this setting | RVU16A |
| 2015-10-01 | $707.56 | Not available in this setting | RVU15D |
| 2015-07-01 | $707.56 | Not available in this setting | RVU15C |
| 2015-04-01 | $704.04 | Not available in this setting | RVU15B |
| 2015-01-01 | $704.04 | Not available in this setting | RVU15A |
| 2014-10-01 | $697.24 | Not available in this setting | RVU14D |
| 2014-07-01 | $697.24 | Not available in this setting | RVU14C |
| 2014-04-01 | $697.24 | Not available in this setting | RVU14B |
| 2014-01-01 | $697.24 | Not available in this setting | RVU14A |
| 2013-10-01 | $683.38 | Not available in this setting | RVU13D |
| 2013-07-01 | $683.38 | Not available in this setting | RVU13C |
| 2013-04-01 | $683.38 | Not available in this setting | RVU13B |
| 2013-01-01 | $683.38 | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
77763 billing questions
How is complex application distinguished from 77761 or 77762?
These codes distinguish simple, intermediate, and complex intracavitary applications. The procedure documentation should support the level selected; do not choose by diagnosis alone.
Is this code for radiation delivery or source placement?
It represents complex intracavitary source application. Codes 77770–77772 describe high-dose-rate remote afterloading treatment, so select based on the service performed.
Which modifiers identify the components?
Modifier 26 identifies the professional interpretation component, and modifier TC identifies the technical component, including equipment and staff. Reporting without either modifier represents the global service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this service.
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
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