Billing code 77432: Stereotactic managementMedicare rate & RVUs
Report physician management for a complete, single-session stereotactic radiation course targeting one or more cranial lesions.
Medicare pays $424.19 for 77432 nationally in the office and $424.19 in a hospital or facility. Local office rates run $393.73–$553.46.
Medicare rate · 77432
Stereotactic management
Swap in your local Medicare rate.
- Work RVUs
- 7.72
- Total RVUs
- 12.70
- Global days
- XXX
National rate · 2026
$424.19
Office setting, before claim adjustments.
See every locality for 77432 → · 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 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.
Where 77432 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
$393.73 to $553.46
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $397.10 | $397.10 |
| Alaska* | $553.46 | $553.46 |
| Arizona | $416.73 | $416.73 |
| Arkansas | $393.73 | $393.73 |
| Atlanta | $431.40 | $431.40 |
| Austin | $430.85 | $430.85 |
| Bakersfield | $435.14 | $435.14 |
| Baltimore/Surr. Cntys | $443.80 | $443.80 |
| Beaumont | $409.61 | $409.61 |
| Brazoria | $420.46 | $420.46 |
| Chicago | $453.11 | $453.11 |
| Chico | $433.13 | $433.13 |
| Colorado | $432.17 | $432.17 |
| Connecticut | $444.87 | $444.87 |
| Dallas | $423.04 | $423.04 |
| Dc + Md/Va Suburbs | $466.40 | $466.40 |
| Delaware | $421.67 | $421.67 |
| Detroit | $433.06 | $433.06 |
| East St. Louis | $433.17 | $433.17 |
| El Centro | $433.24 | $433.24 |
| Fort Lauderdale | $442.55 | $442.55 |
| Fort Worth | $421.84 | $421.84 |
| Fresno | $433.13 | $433.13 |
| Galveston | $421.73 | $421.73 |
| Hanford-Corcoran | $433.13 | $433.13 |
| Hawaii, Guam | $435.61 | $435.61 |
| Houston | $432.89 | $432.89 |
| Idaho | $401.78 | $401.78 |
| Indiana | $403.06 | $403.06 |
| Iowa | $399.50 | $399.50 |
| Kansas | $400.07 | $400.07 |
| Kentucky | $406.26 | $406.26 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $454.63 | $454.63 |
| Madera | $433.13 | $433.13 |
| Manhattan | $476.28 | $476.28 |
| Merced | $433.13 | $433.13 |
| Metropolitan Boston | $460.84 | $460.84 |
| Metropolitan Kansas City | $414.82 | $414.82 |
| Metropolitan Philadelphia | $438.75 | $438.75 |
| Metropolitan St. Louis | $417.23 | $417.23 |
| Miami | $461.33 | $461.33 |
| Minnesota | $414.08 | $414.08 |
| Mississippi | $398.58 | $398.58 |
| Modesto | $433.13 | $433.13 |
| Montana** | $424.15 | $424.15 |
| Napa | $476.83 | $476.83 |
| Nebraska | $400.28 | $400.28 |
| Nevada** | $420.93 | $420.93 |
| New Hampshire | $427.63 | $427.63 |
| New Mexico | $416.17 | $416.17 |
| New Orleans | $418.35 | $418.35 |
| North Carolina | $407.06 | $407.06 |
| North Dakota** | $412.09 | $412.09 |
| Northern Nj | $465.18 | $465.18 |
| Nyc Suburbs/Long Island | $485.74 | $485.74 |
| Ohio | $411.66 | $411.66 |
| Oklahoma | $404.03 | $404.03 |
| Oxnard-Thousand Oaks-Ventura | $450.30 | $450.30 |
| Portland | $439.30 | $439.30 |
| Poughkpsie/N Nyc Suburbs | $453.94 | $453.94 |
| Puerto Rico | $425.49 | $425.49 |
| Queens | $476.26 | $476.26 |
| Redding | $433.13 | $433.13 |
| Rest Of California | $433.13 | $433.13 |
| Rest Of Florida | $428.02 | $428.02 |
| Rest Of Georgia | $412.34 | $412.34 |
| Rest Of Illinois | $422.96 | $422.96 |
| Rest Of Louisiana | $406.55 | $406.55 |
| Rest Of Maine | $404.81 | $404.81 |
| Rest Of Maryland | $426.85 | $426.85 |
| Rest Of Massachusetts | $431.92 | $431.92 |
| Rest Of Michigan | $414.12 | $414.12 |
| Rest Of Missouri | $403.52 | $403.52 |
| Rest Of New Jersey | $449.91 | $449.91 |
| Rest Of New York | $410.84 | $410.84 |
| Rest Of Oregon | $417.56 | $417.56 |
| Rest Of Pennsylvania | $411.10 | $411.10 |
| Rest Of Texas | $414.77 | $414.77 |
| Rest Of Washington | $430.41 | $430.41 |
| Rhode Island | $431.71 | $431.71 |
| Riverside-San Bernardino-Ontario | $439.85 | $439.85 |
| Sacramento-Roseville-Folsom | $447.81 | $447.81 |
| Salinas | $445.94 | $445.94 |
| San Diego-Chula Vista-Carlsbad | $451.20 | $451.20 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $497.51 | $497.51 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $496.82 | $496.82 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $507.62 | $507.62 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $504.78 | $504.78 |
| San Luis Obispo-Paso Robles | $439.41 | $439.41 |
| Santa Cruz-Watsonville | $451.53 | $451.53 |
| Santa Maria-Santa Barbara | $446.19 | $446.19 |
| Santa Rosa-Petaluma | $455.75 | $455.75 |
| Seattle (King Cnty) | $466.49 | $466.49 |
| South Carolina | $410.04 | $410.04 |
| South Dakota** | $410.66 | $410.66 |
| Southern Maine | $415.36 | $415.36 |
| Stockton | $433.13 | $433.13 |
| Suburban Chicago | $445.67 | $445.67 |
| Tennessee | $401.48 | $401.48 |
| Utah | $413.36 | $413.36 |
| Vallejo | $475.83 | $475.83 |
| Vermont | $412.67 | $412.67 |
| Virgin Islands | $425.49 | $425.49 |
| Virginia | $415.72 | $415.72 |
| Visalia | $433.13 | $433.13 |
| West Virginia | $413.85 | $413.85 |
| Wisconsin | $403.96 | $403.96 |
| Wyoming** | $418.89 | $418.89 |
| Yuba City | $433.13 | $433.13 |
77432 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.
$393.73
$553.46
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 | $553.46 | 1 |
| AL | $397.10 | 1 |
| AR | $393.73 | 1 |
| AZ | $416.73 | 1 |
| CA | $433.13–$507.62 | 29 |
| CO | $432.17 | 1 |
| CT | $444.87 | 1 |
| DC | $466.40 | 1 |
| DE | $421.67 | 1 |
| FL | $428.02–$461.33 | 3 |
| GA | $412.34–$431.40 | 2 |
| GU | $435.61 | 1 |
| HI | $435.61 | 1 |
| IA | $399.50 | 1 |
| ID | $401.78 | 1 |
| IL | $422.96–$453.11 | 4 |
| IN | $403.06 | 1 |
| KS | $400.07 | 1 |
| KY | $406.26 | 1 |
| LA | $406.55–$418.35 | 2 |
| MA | $431.92–$460.84 | 2 |
| MD | $426.85–$466.40 | 3 |
| ME | $404.81–$415.36 | 2 |
| MI | $414.12–$433.06 | 2 |
| MN | $414.08 | 1 |
| MO | $403.52–$417.23 | 3 |
| MS | $398.58 | 1 |
| MT | $424.15 | 1 |
| NC | $407.06 | 1 |
| ND | $412.09 | 1 |
| NE | $400.28 | 1 |
| NH | $427.63 | 1 |
| NJ | $449.91–$465.18 | 2 |
| NM | $416.17 | 1 |
| NV | $420.93 | 1 |
| NY | $410.84–$485.74 | 5 |
| OH | $411.66 | 1 |
| OK | $404.03 | 1 |
| OR | $417.56–$439.30 | 2 |
| PA | $411.10–$438.75 | 2 |
| PR | $425.49 | 1 |
| RI | $431.71 | 1 |
| SC | $410.04 | 1 |
| SD | $410.66 | 1 |
| TN | $401.48 | 1 |
| TX | $409.61–$432.89 | 8 |
| UT | $413.36 | 1 |
| VA | $415.72–$466.40 | 2 |
| VI | $425.49 | 1 |
| VT | $412.67 | 1 |
| WA | $430.41–$466.49 | 2 |
| WI | $403.96 | 1 |
| WV | $413.85 | 1 |
| WY | $418.89 | 1 |
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
Swap in your local Medicare rate.
Work 7.72Practice expense 4.37Malpractice 0.61
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 77432
The CMS indicators that decide how 77432 is paid alongside other services.
CMS payment indicators · 77432
Stereotactic management
| 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. |
77432 compared with similar codes
Compare codes
77432 vs 77371 vs 77372 vs 77435: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 77371Srs multisource
- 77371 represents technical radiation delivery for a single-session cranial stereotactic course; 77432 represents the physician’s professional management, interpretation, and report.
- 77372Stereotactic radiosurgery
- 77372 is associated with technical delivery for a multisession cranial stereotactic course. 77432 is for professional management of a complete course in one session.
- 77435SBRT management
- 77435 is used for stereotactic body radiation therapy management. 77432 is specific to management of a single-session course for cranial lesions.
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
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