Billing code 77402: Radiation deliveryMedicare rate & RVUs
Report level 1 radiation treatment delivery for a simple external-beam treatment session, with the technical service distinguished from separately coded interpretation.
Medicare pays $82.17 for 77402 nationally in the office. Local office rates run $70.35–$117.88.
Medicare rate · 77402
Radiation delivery
- Work RVUs
- 0
- Total RVUs
- 2.46
- Global days
- XXX
National rate · 2026
$82.17
Office setting, before claim adjustments.
See every locality for 77402 →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 77402 covers
This code represents the technical delivery of a simple external-beam radiation treatment session. Radiation therapists typically operate the treatment equipment in a radiation oncology department, following the radiation oncologist’s prescription and treatment plan. The level reflects delivery complexity; the diagnosis or body site alone does not determine the level. The session record should show the treatment delivered and the technical details supporting level 1 rather than a higher-complexity delivery code.
Report the code for the qualifying delivery session, not separately for each beam or port. Documentation should support the delivered treatment and its level. CMS classifies 77402 as technical-component-only: a separate code covers interpretation, so this code does not represent the physician’s interpretive service. CMS assigns no physician work RVU to the delivery code; its payment valuation reflects practice expense and malpractice components.
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 77402 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
$70.35 to $117.88
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $71.69 | Unavailable |
| Alaska* | $87.16 | Unavailable |
| Arizona | $79.54 | Unavailable |
| Arkansas | $70.35 | Unavailable |
| Atlanta | $83.60 | Unavailable |
| Austin | $86.82 | Unavailable |
| Bakersfield | $89.73 | Unavailable |
| Baltimore/Surr. Cntys | $88.27 | Unavailable |
| Beaumont | $74.78 | Unavailable |
| Brazoria | $81.29 | Unavailable |
| Chicago | $83.44 | Unavailable |
| Chico | $89.68 | Unavailable |
| Colorado | $87.24 | Unavailable |
| Connecticut | $88.58 | Unavailable |
| Dallas | $81.75 | Unavailable |
| Dc + Md/Va Suburbs | $96.75 | Unavailable |
| Delaware | $81.12 | Unavailable |
| Detroit | $79.77 | Unavailable |
| East St. Louis | $76.32 | Unavailable |
| El Centro | $89.68 | Unavailable |
| Fort Lauderdale | $83.77 | Unavailable |
| Fort Worth | $80.94 | Unavailable |
| Fresno | $89.68 | Unavailable |
| Galveston | $81.48 | Unavailable |
| Hanford-Corcoran | $89.68 | Unavailable |
| Hawaii, Guam | $93.05 | Unavailable |
| Houston | $81.85 | Unavailable |
| Idaho | $75.29 | Unavailable |
| Indiana | $75.87 | Unavailable |
| Iowa | $74.84 | Unavailable |
| Kansas | $74.01 | Unavailable |
| Kentucky | $73.06 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $96.86 | Unavailable |
| Madera | $89.68 | Unavailable |
| Manhattan | $95.76 | Unavailable |
| Merced | $89.68 | Unavailable |
| Metropolitan Boston | $97.90 | Unavailable |
| Metropolitan Kansas City | $77.18 | Unavailable |
| Metropolitan Philadelphia | $85.64 | Unavailable |
| Metropolitan St. Louis | $78.26 | Unavailable |
| Miami | $86.53 | Unavailable |
| Minnesota | $84.06 | Unavailable |
| Mississippi | $70.66 | Unavailable |
| Modesto | $89.68 | Unavailable |
| Montana** | $82.16 | Unavailable |
| Napa | $107.75 | Unavailable |
| Nebraska | $75.48 | Unavailable |
| Nevada** | $82.14 | Unavailable |
| New Hampshire | $85.42 | Unavailable |
| New Mexico | $75.54 | Unavailable |
| New Orleans | $77.45 | Unavailable |
| North Carolina | $76.46 | Unavailable |
| North Dakota** | $81.77 | Unavailable |
| Northern Nj | $95.25 | Unavailable |
| Nyc Suburbs/Long Island | $98.14 | Unavailable |
| Ohio | $75.08 | Unavailable |
| Oklahoma | $73.30 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $96.75 | Unavailable |
| Portland | $91.04 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $90.05 | Unavailable |
| Puerto Rico | $83.05 | Unavailable |
| Queens | $97.29 | Unavailable |
| Redding | $89.68 | Unavailable |
| Rest Of California | $89.68 | Unavailable |
| Rest Of Florida | $78.92 | Unavailable |
| Rest Of Georgia | $73.49 | Unavailable |
| Rest Of Illinois | $75.45 | Unavailable |
| Rest Of Louisiana | $72.77 | Unavailable |
| Rest Of Maine | $75.39 | Unavailable |
| Rest Of Maryland | $83.09 | Unavailable |
| Rest Of Massachusetts | $86.35 | Unavailable |
| Rest Of Michigan | $75.16 | Unavailable |
| Rest Of Missouri | $70.90 | Unavailable |
| Rest Of New Jersey | $89.73 | Unavailable |
| Rest Of New York | $77.89 | Unavailable |
| Rest Of Oregon | $81.64 | Unavailable |
| Rest Of Pennsylvania | $75.45 | Unavailable |
| Rest Of Texas | $77.95 | Unavailable |
| Rest Of Washington | $86.33 | Unavailable |
| Rhode Island | $84.78 | Unavailable |
| Riverside-San Bernardino-Ontario | $89.89 | Unavailable |
| Sacramento-Roseville-Folsom | $95.14 | Unavailable |
| Salinas | $94.81 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $97.83 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $115.22 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $115.20 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $117.88 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $117.79 | Unavailable |
| San Luis Obispo-Paso Robles | $93.18 | Unavailable |
| Santa Cruz-Watsonville | $99.38 | Unavailable |
| Santa Maria-Santa Barbara | $95.38 | Unavailable |
| Santa Rosa-Petaluma | $100.44 | Unavailable |
| Seattle (King Cnty) | $100.54 | Unavailable |
| South Carolina | $75.87 | Unavailable |
| South Dakota** | $81.72 | Unavailable |
| Southern Maine | $81.19 | Unavailable |
| Stockton | $89.68 | Unavailable |
| Suburban Chicago | $84.88 | Unavailable |
| Tennessee | $74.44 | Unavailable |
| Utah | $77.21 | Unavailable |
| Vallejo | $107.72 | Unavailable |
| Vermont | $81.02 | Unavailable |
| Virgin Islands | $83.05 | Unavailable |
| Virginia | $80.58 | Unavailable |
| Visalia | $89.68 | Unavailable |
| West Virginia | $71.78 | Unavailable |
| Wisconsin | $78.28 | Unavailable |
| Wyoming** | $81.99 | Unavailable |
| Yuba City | $89.68 | Unavailable |
77402 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.
$70.35
$103.78
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 | $87.16 | 1 |
| AL | $71.69 | 1 |
| AR | $70.35 | 1 |
| AZ | $79.54 | 1 |
| CA | $89.68–$117.88 | 29 |
| CO | $87.24 | 1 |
| CT | $88.58 | 1 |
| DC | $96.75 | 1 |
| DE | $81.12 | 1 |
| FL | $78.92–$86.53 | 3 |
| GA | $73.49–$83.60 | 2 |
| GU | $93.05 | 1 |
| HI | $93.05 | 1 |
| IA | $74.84 | 1 |
| ID | $75.29 | 1 |
| IL | $75.45–$84.88 | 4 |
| IN | $75.87 | 1 |
| KS | $74.01 | 1 |
| KY | $73.06 | 1 |
| LA | $72.77–$77.45 | 2 |
| MA | $86.35–$97.90 | 2 |
| MD | $83.09–$96.75 | 3 |
| ME | $75.39–$81.19 | 2 |
| MI | $75.16–$79.77 | 2 |
| MN | $84.06 | 1 |
| MO | $70.90–$78.26 | 3 |
| MS | $70.66 | 1 |
| MT | $82.16 | 1 |
| NC | $76.46 | 1 |
| ND | $81.77 | 1 |
| NE | $75.48 | 1 |
| NH | $85.42 | 1 |
| NJ | $89.73–$95.25 | 2 |
| NM | $75.54 | 1 |
| NV | $82.14 | 1 |
| NY | $77.89–$98.14 | 5 |
| OH | $75.08 | 1 |
| OK | $73.30 | 1 |
| OR | $81.64–$91.04 | 2 |
| PA | $75.45–$85.64 | 2 |
| PR | $83.05 | 1 |
| RI | $84.78 | 1 |
| SC | $75.87 | 1 |
| SD | $81.72 | 1 |
| TN | $74.44 | 1 |
| TX | $74.78–$86.82 | 8 |
| UT | $77.21 | 1 |
| VA | $80.58–$96.75 | 2 |
| VI | $83.05 | 1 |
| VT | $81.02 | 1 |
| WA | $86.33–$100.54 | 2 |
| WI | $78.28 | 1 |
| WV | $71.78 | 1 |
| WY | $81.99 | 1 |
How the 77402 rate is calculated
Each of 77402’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 · 77402
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense2.44
2.44 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
2.4600
Conversion factor
$33.4009
Medicare rate
$82.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77402
The CMS indicators that decide how 77402 is paid alongside other services.
CMS payment indicators · 77402
Radiation delivery
| 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 | 3 | Technical component only. |
77402 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 77407Radiation delivery
- Use 77407 when the treatment delivery meets level 2 complexity. The session’s technical details, rather than its diagnosis or site, distinguish it from level 1.
- 77412Radiation delivery
- Use 77412 for level 3 delivery complexity; 77402 represents the level 1 service.
- 77417Ther radiology port image(s)
- 77417 reports port imaging, not delivery of radiation treatment. Use 77402 for the level 1 delivery session.
- 77427Radiation treatment management
- 77427 represents radiation treatment management, while 77402 reports the technical delivery of a level 1 treatment session.
77402 billing questions
How is level 1 distinguished from levels 2 and 3?
Choose the level that matches the technical complexity of the delivered treatment, not the diagnosis or treatment site alone. The treatment record should support why the session meets level 1 rather than a higher level.
Is 77402 reported for each beam or port?
No. It represents the qualifying delivery session; do not count each beam or port as a separate unit.
Does 77402 include the physician’s interpretation?
No. CMS classifies it as a technical-component-only code, and a separate code covers interpretation.
What documentation supports reporting 77402?
The treatment record should identify the delivered session and include technical details that support level 1. The record should also allow the reported delivery level to be distinguished from levels 2 and 3.
Is 77417 the same service as 77402?
No. 77402 reports radiation treatment delivery; 77417 represents therapeutic radiology port imaging when that imaging service is performed.
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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