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CMS RVU26D · Effective 2026-10-01

77438 in Delaware

Office / nonfacility

$109.20

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Radiation therapy

About 77438: Orthovoltage superficial radiation treatment delivery

Reports each fraction of superficial radiation delivered with orthovoltage equipment operating above 150 kV through 500 kV, commonly for selected skin lesions.

This service covers delivery of a superficial radiation treatment fraction using orthovoltage equipment in the range above 150 kV through 500 kV. Radiation oncologists prescribe and oversee treatment, while radiation therapists typically operate the equipment in a radiation oncology center. It is used for selected cutaneous lesions, including some nonmelanoma skin cancers, when the treatment plan calls for orthovoltage energy.

Report the code for each qualifying treatment fraction, not for treatment planning or image guidance alone. The treatment record should support the target site, prescribed energy, and delivery of the fraction. CMS classifies this as a technical-component-only service; a separate code covers interpretation. The physician’s documentation and the treatment record should distinguish the delivered orthovoltage treatment from lower-energy superficial treatment and from other radiation delivery methods.

CMS billing rules for 77438

Professional and technical components
Technical-component-only code: a separate code covers interpretation.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU3.30 · 100%
  • Malpractice RVU0.01 · 0%

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.

77438 compared with similar codes

Office rates for Delaware, from the same CMS release.

77437

Superficial radiation

Up to 150 kV

$108.21

Choose 77438 for orthovoltage energy above 150 kV through 500 kV; choose 77437 for superficial treatment at 150 kV or less.

77402

Radiation delivery

Level 1

$81.12

77402 represents level 1 radiation treatment delivery; 77438 is specifically for superficial orthovoltage delivery in its stated energy range.

77439

Radiation image guidance

Ultrasound-guided placement

$16.01

77439 is for ultrasound guidance used to place a superficial radiation applicator, not for delivery of the treatment fraction.

The same code, a different location

How does Delaware compare?

77438 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $109.20

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $130.62

    $21.42 higher than Delaware

  3. Dc + Md/Va Suburbs

    $130.21

    $21.01 higher than Delaware

  4. Miami

    $115.59

    $6.39 higher than Delaware

  5. Chicago

    $111.54

    $2.34 higher than Delaware

  6. Manhattan

    $128.61

    $19.41 higher than Delaware

  7. Alaska*

    $117.57

    $8.37 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 77438 ranges from $94.85 in Arkansas to $159.12 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 77438

    Office

    $96.63

    Facility

    Unavailable

    $12.57 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 77438

    Office

    $94.85

    Facility

    Unavailable

    $14.35 lower than Delaware for the office setting.

  • Arizona

    Arizona · 77438

    Office

    $107.09

    Facility

    Unavailable

    $2.11 lower than Delaware for the office setting.

  • Bakersfield

    California · 77438

    Office

    $121.01

    Facility

    Unavailable

    $11.81 higher than Delaware for the office setting.

  • Chico

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • El Centro

    California · 77438

    Office

    $120.99

    Facility

    Unavailable

    $11.79 higher than Delaware for the office setting.

  • Fresno

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Madera

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Merced

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Modesto

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Napa

    California · 77438

    Office

    $145.44

    Facility

    Unavailable

    $36.24 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77438

    Office

    $130.49

    Facility

    Unavailable

    $21.29 higher than Delaware for the office setting.

  • Redding

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Rest Of California

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77438

    Office

    $121.09

    Facility

    Unavailable

    $11.89 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77438

    Office

    $128.37

    Facility

    Unavailable

    $19.17 higher than Delaware for the office setting.

  • Salinas

    California · 77438

    Office

    $127.93

    Facility

    Unavailable

    $18.73 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77438

    Office

    $132.01

    Facility

    Unavailable

    $22.81 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77438

    Office

    $155.57

    Facility

    Unavailable

    $46.37 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 77438

    Office

    $155.56

    Facility

    Unavailable

    $46.36 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 77438

    Office

    $159.12

    Facility

    Unavailable

    $49.92 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 77438

    Office

    $159.07

    Facility

    Unavailable

    $49.87 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77438

    Office

    $125.72

    Facility

    Unavailable

    $16.52 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 77438

    Office

    $134.10

    Facility

    Unavailable

    $24.90 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 77438

    Office

    $128.70

    Facility

    Unavailable

    $19.50 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 77438

    Office

    $135.53

    Facility

    Unavailable

    $26.33 higher than Delaware for the office setting.

  • Stockton

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Vallejo

    California · 77438

    Office

    $145.43

    Facility

    Unavailable

    $36.23 higher than Delaware for the office setting.

  • Visalia

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Yuba City

    California · 77438

    Office

    $120.98

    Facility

    Unavailable

    $11.78 higher than Delaware for the office setting.

  • Colorado

    Colorado · 77438

    Office

    $117.54

    Facility

    Unavailable

    $8.34 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 77438

    Office

    $119.11

    Facility

    Unavailable

    $9.91 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 77438

    Office

    $112.26

    Facility

    Unavailable

    $3.06 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 77438

    Office

    $105.88

    Facility

    Unavailable

    $3.32 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 77438

    Office

    $112.39

    Facility

    Unavailable

    $3.19 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 77438

    Office

    $98.72

    Facility

    Unavailable

    $10.48 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 77438

    Office

    $125.52

    Facility

    Unavailable

    $16.32 higher than Delaware for the office setting.

  • Iowa

    Iowa · 77438

    Office

    $100.99

    Facility

    Unavailable

    $8.21 lower than Delaware for the office setting.

  • Idaho

    Idaho · 77438

    Office

    $101.56

    Facility

    Unavailable

    $7.64 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 77438

    Office

    $102.08

    Facility

    Unavailable

    $7.12 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 77438

    Office

    $101.16

    Facility

    Unavailable

    $8.04 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 77438

    Office

    $113.79

    Facility

    Unavailable

    $4.59 higher than Delaware for the office setting.

  • Indiana

    Indiana · 77438

    Office

    $102.34

    Facility

    Unavailable

    $6.86 lower than Delaware for the office setting.

  • Kansas

    Kansas · 77438

    Office

    $99.81

    Facility

    Unavailable

    $9.39 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 77438

    Office

    $98.29

    Facility

    Unavailable

    $10.91 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 77438

    Office

    $104.10

    Facility

    Unavailable

    $5.10 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 77438

    Office

    $97.87

    Facility

    Unavailable

    $11.33 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 77438

    Office

    $131.90

    Facility

    Unavailable

    $22.70 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77438

    Office

    $116.33

    Facility

    Unavailable

    $7.13 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77438

    Office

    $118.68

    Facility

    Unavailable

    $9.48 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 77438

    Office

    $111.85

    Facility

    Unavailable

    $2.65 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 77438

    Office

    $101.61

    Facility

    Unavailable

    $7.59 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 77438

    Office

    $109.44

    Facility

    Unavailable

    $0.24 higher than Delaware for the office setting.

  • Detroit

    Michigan · 77438

    Office

    $106.93

    Facility

    Unavailable

    $2.27 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 77438

    Office

    $101.01

    Facility

    Unavailable

    $8.19 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 77438

    Office

    $113.52

    Facility

    Unavailable

    $4.32 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 77438

    Office

    $103.83

    Facility

    Unavailable

    $5.37 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 77438

    Office

    $105.27

    Facility

    Unavailable

    $3.93 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 77438

    Office

    $95.34

    Facility

    Unavailable

    $13.86 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 77438

    Office

    $95.15

    Facility

    Unavailable

    $14.05 lower than Delaware for the office setting.

  • Montana**

    Montana · 77438

    Office

    $110.56

    Facility

    Unavailable

    $1.36 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 77438

    Office

    $103.05

    Facility

    Unavailable

    $6.15 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 77438

    Office

    $110.36

    Facility

    Unavailable

    $1.16 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 77438

    Office

    $101.86

    Facility

    Unavailable

    $7.34 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 77438

    Office

    $115.03

    Facility

    Unavailable

    $5.83 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 77438

    Office

    $128.22

    Facility

    Unavailable

    $19.02 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 77438

    Office

    $120.73

    Facility

    Unavailable

    $11.53 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 77438

    Office

    $101.48

    Facility

    Unavailable

    $7.72 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 77438

    Office

    $110.61

    Facility

    Unavailable

    $1.41 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77438

    Office

    $131.68

    Facility

    Unavailable

    $22.48 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77438

    Office

    $121.10

    Facility

    Unavailable

    $11.90 higher than Delaware for the office setting.

  • Queens

    New York · 77438

    Office

    $130.77

    Facility

    Unavailable

    $21.57 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 77438

    Office

    $104.95

    Facility

    Unavailable

    $4.25 lower than Delaware for the office setting.

  • Ohio

    Ohio · 77438

    Office

    $100.97

    Facility

    Unavailable

    $8.23 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 77438

    Office

    $98.69

    Facility

    Unavailable

    $10.51 lower than Delaware for the office setting.

  • Portland

    Oregon · 77438

    Office

    $122.71

    Facility

    Unavailable

    $13.51 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 77438

    Office

    $110.02

    Facility

    Unavailable

    $0.82 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77438

    Office

    $115.14

    Facility

    Unavailable

    $5.94 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77438

    Office

    $101.50

    Facility

    Unavailable

    $7.70 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 77438

    Office

    $111.76

    Facility

    Unavailable

    $2.56 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 77438

    Office

    $114.16

    Facility

    Unavailable

    $4.96 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 77438

    Office

    $102.13

    Facility

    Unavailable

    $7.07 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 77438

    Office

    $110.34

    Facility

    Unavailable

    $1.14 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 77438

    Office

    $100.37

    Facility

    Unavailable

    $8.83 lower than Delaware for the office setting.

  • Austin

    Texas · 77438

    Office

    $116.91

    Facility

    Unavailable

    $7.71 higher than Delaware for the office setting.

  • Beaumont

    Texas · 77438

    Office

    $100.61

    Facility

    Unavailable

    $8.59 lower than Delaware for the office setting.

  • Brazoria

    Texas · 77438

    Office

    $109.49

    Facility

    Unavailable

    $0.29 higher than Delaware for the office setting.

  • Dallas

    Texas · 77438

    Office

    $110.07

    Facility

    Unavailable

    $0.87 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 77438

    Office

    $108.97

    Facility

    Unavailable

    $0.23 lower than Delaware for the office setting.

  • Galveston

    Texas · 77438

    Office

    $109.73

    Facility

    Unavailable

    $0.53 higher than Delaware for the office setting.

  • Houston

    Texas · 77438

    Office

    $109.91

    Facility

    Unavailable

    $0.71 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 77438

    Office

    $104.90

    Facility

    Unavailable

    $4.30 lower than Delaware for the office setting.

  • Utah

    Utah · 77438

    Office

    $103.91

    Facility

    Unavailable

    $5.29 lower than Delaware for the office setting.

  • Virginia

    Virginia · 77438

    Office

    $108.58

    Facility

    Unavailable

    $0.62 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77438

    Office

    $111.76

    Facility

    Unavailable

    $2.56 higher than Delaware for the office setting.

  • Vermont

    Vermont · 77438

    Office

    $109.29

    Facility

    Unavailable

    $0.09 higher than Delaware for the office setting.

  • Rest Of Washington

    Washington · 77438

    Office

    $116.32

    Facility

    Unavailable

    $7.12 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 77438

    Office

    $135.52

    Facility

    Unavailable

    $26.32 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 77438

    Office

    $105.70

    Facility

    Unavailable

    $3.50 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 77438

    Office

    $96.26

    Facility

    Unavailable

    $12.94 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 77438

    Office

    $110.47

    Facility

    Unavailable

    $1.27 higher than Delaware for the office setting.

See how rates vary across the country

77438 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$94.85

$140.05

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$117.571
AL$96.631
AR$94.851
AZ$107.091
CA$120.98–$159.1229
CO$117.541
CT$119.111
DC$130.211
DE$109.201
FL$105.88–$115.593
GA$98.72–$112.392
GU$125.521
HI$125.521
IA$100.991
ID$101.561
IL$101.16–$113.794
IN$102.341
KS$99.811
KY$98.291
LA$97.87–$104.102
MA$116.33–$131.902
MD$111.85–$130.213
ME$101.61–$109.442
MI$101.01–$106.932
MN$113.521
MO$95.34–$105.273
MS$95.151
MT$110.561
NC$103.051
ND$110.361
NE$101.861
NH$115.031
NJ$120.73–$128.222
NM$101.481
NV$110.611
NY$104.95–$131.685
OH$100.971
OK$98.691
OR$110.02–$122.712
PA$101.50–$115.142
PR$111.761
RI$114.161
SC$102.131
SD$110.341
TN$100.371
TX$100.61–$116.918
UT$103.911
VA$108.58–$130.212
VI$111.761
VT$109.291
WA$116.32–$135.522
WI$105.701
WV$96.261
WY$110.471

Explore 77438 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77438 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$120.12

$109.20 × 110% = $120.12

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 77438 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

9,112

Code
77438
Physician work
0.00
Practice expense
3.30
Malpractice
0.01

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 77438 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0050.0000
Practice expense3.30× 0.9883.2604
Malpractice0.01× 0.8990.0090
Total RVUs3.2694
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$109.20

Open 77438 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.005
Practice expense3.30.988
Malpractice0.010.899

(0 × 1.005 + 3.3 × 0.988 + 0.01 × 0.899) × $33.4009 = $109.20

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

77438 · Office / nonfacility

$109.20

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    No ratechanged to$109.20

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$109.20Not available in this settingRVU26D
2026-07-01$109.20Not available in this settingRVU26C
2026-04-01$109.20Not available in this settingRVU26B
2026-01-01$109.20Not available in this settingRVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

77438 billing questions

How does this differ from 77437?

This code is for orthovoltage treatment above 150 kV through 500 kV. Code 77437 is the sibling for superficial treatment at 150 kV or less.

Is the code reported per fraction?

Yes. Report it for each qualifying orthovoltage treatment fraction delivered, rather than for the overall course of treatment.

Does this code include interpretation?

No. CMS identifies 77438 as technical-component-only, with interpretation covered by a separate code.

What documentation supports reporting 77438?

The treatment record should identify the treated site, the orthovoltage energy used, and the delivered fraction. The treatment plan should support the selected modality and energy range.

When might 77439 be reported with this service?

Code 77439 describes ultrasound image guidance for placement of a superficial radiation therapy applicator. It may be reported with 77438 when that image-guidance 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 77438PPRRVU2026_Oct_nonQPP.csv, line 9,112 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet