Billing code 77262: Radiation planningMedicare rate & RVUs
Reports physician planning of an intermediate-complexity radiation treatment course, based on the documented clinical work needed to select the treatment approach.
Medicare pays $107.22 for 77262 nationally in the office and $107.22 in a hospital or facility. Local office rates run $99.90–$140.46.
Medicare rate · 77262
Radiation planning
- Work RVUs
- 1.95
- Total RVUs
- 3.21
- Global days
- XXX
National rate · 2026
$107.22
Office setting, before claim adjustments.
See every locality for 77262 →Billed by an NP, PA or therapist? →
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 10 sections
What 77262 covers
A radiation oncologist reviews the patient’s clinical information and relevant imaging, defines the treatment target and considers nearby normal structures, then establishes the treatment approach. Planning decisions may address treatment modality, dose, and fractionation. This service is used in radiation oncology for planning an individual course of treatment; the treatment site alone does not determine its complexity level.
Choose the intermediate level when the documented planning work supports that degree of complexity, rather than the simpler or more complex levels. The record should show the clinical information reviewed and the reasoning behind the treatment approach and complexity assigned. CMS identifies this as a professional-component-only code: it represents the physician’s interpretation and report, while a separate code covers the technical portion. Simulation and treatment planning describe distinct work; report a simulation service separately when performed.
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.
Where 77262 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$99.90 to $140.46
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $100.72 | $100.72 |
| Alaska* | $140.46 | $140.46 |
| Arizona | $105.46 | $105.46 |
| Arkansas | $99.90 | $99.90 |
| Atlanta | $108.83 | $108.83 |
| Austin | $109.10 | $109.10 |
| Bakersfield | $110.54 | $110.54 |
| Baltimore/Surr. Cntys | $111.99 | $111.99 |
| Beaumont | $103.51 | $103.51 |
| Brazoria | $106.51 | $106.51 |
| Chicago | $113.05 | $113.05 |
| Chico | $110.12 | $110.12 |
| Colorado | $109.56 | $109.56 |
| Connecticut | $112.29 | $112.29 |
| Dallas | $107.08 | $107.08 |
| Dc + Md/Va Suburbs | $117.96 | $117.96 |
| Delaware | $106.68 | $106.68 |
| Detroit | $108.63 | $108.63 |
| East St. Louis | $108.23 | $108.23 |
| El Centro | $110.14 | $110.14 |
| Fort Lauderdale | $110.95 | $110.95 |
| Fort Worth | $106.75 | $106.75 |
| Fresno | $110.12 | $110.12 |
| Galveston | $106.78 | $106.78 |
| Hanford-Corcoran | $110.12 | $110.12 |
| Hawaii, Guam | $110.75 | $110.75 |
| Houston | $108.98 | $108.98 |
| Idaho | $102.06 | $102.06 |
| Indiana | $102.38 | $102.38 |
| Iowa | $101.56 | $101.56 |
| Kansas | $101.57 | $101.57 |
| Kentucky | $102.65 | $102.65 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $115.51 | $115.51 |
| Madera | $110.12 | $110.12 |
| Manhattan | $119.90 | $119.90 |
| Merced | $110.12 | $110.12 |
| Metropolitan Boston | $116.83 | $116.83 |
| Metropolitan Kansas City | $104.80 | $104.80 |
| Metropolitan Philadelphia | $110.72 | $110.72 |
| Metropolitan St. Louis | $105.40 | $105.40 |
| Miami | $114.91 | $114.91 |
| Minnesota | $105.50 | $105.50 |
| Mississippi | $100.88 | $100.88 |
| Modesto | $110.12 | $110.12 |
| Montana** | $107.21 | $107.21 |
| Napa | $121.46 | $121.46 |
| Nebraska | $101.79 | $101.79 |
| Nevada** | $106.59 | $106.59 |
| New Hampshire | $108.28 | $108.28 |
| New Mexico | $104.86 | $104.86 |
| New Orleans | $105.52 | $105.52 |
| North Carolina | $103.22 | $103.22 |
| North Dakota** | $104.84 | $104.84 |
| Northern Nj | $117.69 | $117.69 |
| Nyc Suburbs/Long Island | $122.02 | $122.02 |
| Ohio | $103.94 | $103.94 |
| Oklahoma | $102.25 | $102.25 |
| Oxnard-Thousand Oaks-Ventura | $114.46 | $114.46 |
| Portland | $111.46 | $111.46 |
| Poughkpsie/N Nyc Suburbs | $114.61 | $114.61 |
| Puerto Rico | $107.58 | $107.58 |
| Queens | $120.09 | $120.09 |
| Redding | $110.12 | $110.12 |
| Rest Of California | $110.12 | $110.12 |
| Rest Of Florida | $107.56 | $107.56 |
| Rest Of Georgia | $103.87 | $103.87 |
| Rest Of Illinois | $106.16 | $106.16 |
| Rest Of Louisiana | $102.67 | $102.67 |
| Rest Of Maine | $102.66 | $102.66 |
| Rest Of Maryland | $108.00 | $108.00 |
| Rest Of Massachusetts | $109.46 | $109.46 |
| Rest Of Michigan | $104.42 | $104.42 |
| Rest Of Missouri | $101.86 | $101.86 |
| Rest Of New Jersey | $113.71 | $113.71 |
| Rest Of New York | $104.12 | $104.12 |
| Rest Of Oregon | $105.87 | $105.87 |
| Rest Of Pennsylvania | $103.87 | $103.87 |
| Rest Of Texas | $104.89 | $104.89 |
| Rest Of Washington | $109.12 | $109.12 |
| Rhode Island | $109.28 | $109.28 |
| Riverside-San Bernardino-Ontario | $111.46 | $111.46 |
| Sacramento-Roseville-Folsom | $113.91 | $113.91 |
| Salinas | $113.43 | $113.43 |
| San Diego-Chula Vista-Carlsbad | $114.80 | $114.80 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $126.85 | $126.85 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $126.71 | $126.71 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $129.35 | $129.35 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $128.79 | $128.79 |
| San Luis Obispo-Paso Robles | $111.76 | $111.76 |
| Santa Cruz-Watsonville | $114.91 | $114.91 |
| Santa Maria-Santa Barbara | $113.50 | $113.50 |
| Santa Rosa-Petaluma | $115.99 | $115.99 |
| Seattle (King Cnty) | $118.38 | $118.38 |
| South Carolina | $103.72 | $103.72 |
| South Dakota** | $104.56 | $104.56 |
| Southern Maine | $105.40 | $105.40 |
| Stockton | $110.12 | $110.12 |
| Suburban Chicago | $111.80 | $111.80 |
| Tennessee | $101.90 | $101.90 |
| Utah | $104.52 | $104.52 |
| Vallejo | $121.26 | $121.26 |
| Vermont | $104.86 | $104.86 |
| Virgin Islands | $107.58 | $107.58 |
| Virginia | $105.39 | $105.39 |
| Visalia | $110.12 | $110.12 |
| West Virginia | $103.96 | $103.96 |
| Wisconsin | $102.84 | $102.84 |
| Wyoming** | $106.17 | $106.17 |
| Yuba City | $110.12 | $110.12 |
77262 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.
$99.90
$140.46
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 | $140.46 | 1 |
| AL | $100.72 | 1 |
| AR | $99.90 | 1 |
| AZ | $105.46 | 1 |
| CA | $110.12–$129.35 | 29 |
| CO | $109.56 | 1 |
| CT | $112.29 | 1 |
| DC | $117.96 | 1 |
| DE | $106.68 | 1 |
| FL | $107.56–$114.91 | 3 |
| GA | $103.87–$108.83 | 2 |
| GU | $110.75 | 1 |
| HI | $110.75 | 1 |
| IA | $101.56 | 1 |
| ID | $102.06 | 1 |
| IL | $106.16–$113.05 | 4 |
| IN | $102.38 | 1 |
| KS | $101.57 | 1 |
| KY | $102.65 | 1 |
| LA | $102.67–$105.52 | 2 |
| MA | $109.46–$116.83 | 2 |
| MD | $108.00–$117.96 | 3 |
| ME | $102.66–$105.40 | 2 |
| MI | $104.42–$108.63 | 2 |
| MN | $105.50 | 1 |
| MO | $101.86–$105.40 | 3 |
| MS | $100.88 | 1 |
| MT | $107.21 | 1 |
| NC | $103.22 | 1 |
| ND | $104.84 | 1 |
| NE | $101.79 | 1 |
| NH | $108.28 | 1 |
| NJ | $113.71–$117.69 | 2 |
| NM | $104.86 | 1 |
| NV | $106.59 | 1 |
| NY | $104.12–$122.02 | 5 |
| OH | $103.94 | 1 |
| OK | $102.25 | 1 |
| OR | $105.87–$111.46 | 2 |
| PA | $103.87–$110.72 | 2 |
| PR | $107.58 | 1 |
| RI | $109.28 | 1 |
| SC | $103.72 | 1 |
| SD | $104.56 | 1 |
| TN | $101.90 | 1 |
| TX | $103.51–$109.10 | 8 |
| UT | $104.52 | 1 |
| VA | $105.39–$117.96 | 2 |
| VI | $107.58 | 1 |
| VT | $104.86 | 1 |
| WA | $109.12–$118.38 | 2 |
| WI | $102.84 | 1 |
| WV | $103.96 | 1 |
| WY | $106.17 | 1 |
How the 77262 rate is calculated
Each of 77262’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 · 77262
RVUs × geographic indexes × conversion factor
Work1.95
1.95 RVUs× 1.000 GPCI
Practice expense1.14
1.14 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
3.2100
Conversion factor
$33.4009
Medicare rate
$107.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77262
The CMS indicators that decide how 77262 is paid alongside other services.
CMS payment indicators · 77262
Radiation planning
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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 | 2 | Professional component only. |
77262 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 77261Radiation planning
- Use 77261 when the clinical treatment-planning work is simple; 77262 reflects intermediate planning complexity.
- 77263Treatment planning
- Use 77263 when the documented clinical planning is complex. 77262 is for an intermediate level of planning work.
- 77285Radiotherapy simulation
- 77285 describes intermediate-complexity simulation, not treatment planning. The two codes represent different work even when part of the same radiation treatment course.
- 77295Radiotherapy plan
- 77295 describes a three-dimensional radiotherapy plan. It is not the intermediate-complexity level in the 77261–77263 planning series.
77262 billing questions
How is 77262 distinguished from 77261 or 77263?
The levels distinguish the complexity of the clinical treatment planning. Select the intermediate level when the physician’s documented planning work supports it; the treatment site by itself does not establish the level.
Is simulation included in 77262?
No. Treatment planning and simulation are distinct services. Simulation codes, such as 77285 for intermediate-complexity simulation, describe simulation work rather than the physician’s treatment-planning decisions.
Does 77262 represent the professional or technical service?
It represents the professional component: the physician’s interpretation and report. CMS identifies a separate code for the technical portion.
Should modifier 26 be appended?
No. This is already a professional-component-only code; it does not represent a global service that needs modifier 26 to identify the professional portion.
What documentation supports the intermediate level?
Document the clinical information and imaging reviewed, the treatment approach selected, and the reasoning supporting intermediate planning complexity. A diagnosis or anatomic site alone does not establish the level.
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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