FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

77470 in El Centro

Office / nonfacility

$151.80

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 oncology

About 77470: Special radiation treatment procedure

Reports additional work for an unusual or complex radiation treatment circumstance, such as total body irradiation or radiation delivered with concurrent chemotherapy.

A radiation oncologist reports this service when a treatment circumstance requires substantial work beyond the usual radiation planning and treatment process. Examples include total body irradiation, hemibody irradiation, hyperthermia combined with radiation, or coordinating radiation with concurrent chemotherapy. The added work may involve specialized preparation, coordination, or treatment considerations; the specific circumstance and work performed should be evident in the record.

Report 77470 for the additional special-treatment work, not as a substitute for applicable radiation delivery or management services. Documentation should explain why the case required extra effort and describe the work attributable to that circumstance. CMS identifies professional and technical components: modifier 26 represents the professional interpretation, modifier TC represents equipment and staff, and an unmodified claim represents the global service. The CMS file lists both modifiers as separately priced.

CMS billing rules for 77470

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU1.98 · 46%
  • Practice expense (office) RVU2.26 · 52%
  • Malpractice RVU0.10 · 2%

83.5K

Medicare services in 2024 · #616 by national volume

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.

77470 compared with similar codes

Office rates for El Centro, from the same CMS release.

77402

Radiation delivery

Level 1

$89.68

77402 represents level 1 radiation treatment delivery. Use 77470 for additional work associated with a special treatment circumstance, not for routine delivery.

77427

Radiation treatment management

Per five treatment fractions

$200.44

77427 represents radiation treatment management in five-treatment increments. 77470 represents additional work for special treatment circumstances.

77432

Stereotactic management

Cranial, single-session course

$433.24

77432 describes stereotactic radiation treatment. 77470 captures extra work for a special treatment circumstance and is not a stereotactic treatment code.

77435

SBRT management

Per treatment course

$655.28

77435 describes management of stereotactic body radiation therapy. 77470 is distinguished by additional special-treatment work rather than SBRT management.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 77470 is $152.16—$0.36 higher than the $151.80 rate in El Centro. Both use the same code, release and participation basis.

77470 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $151.80

  2. Bakersfield

    $152.16

    $0.36 higher than El Centro

  3. Chico

    $151.78

    $0.02 lower than El Centro

  4. Fresno

    $151.78

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $151.78

    $0.02 lower than El Centro

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

    $160.36

    $8.56 higher than El Centro

  7. Madera

    $151.78

    $0.02 lower than El Centro

Other payment areas listed in California 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, 77470 ranges from $132.70 in Arkansas to $184.05 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

  • Merced

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 77470

    Office

    $171.49

    Facility

    Unavailable

    $19.69 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77470

    Office

    $159.29

    Facility

    Unavailable

    $7.49 higher than El Centro for the office setting.

  • Redding

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77470

    Office

    $152.91

    Facility

    Unavailable

    $1.11 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77470

    Office

    $158.10

    Facility

    Unavailable

    $6.30 higher than El Centro for the office setting.

  • Salinas

    California · 77470

    Office

    $157.46

    Facility

    Unavailable

    $5.66 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77470

    Office

    $160.21

    Facility

    Unavailable

    $8.41 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77470

    Office

    $180.38

    Facility

    Unavailable

    $28.58 higher than El Centro for the office setting.

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

    California · 77470

    Office

    $180.27

    Facility

    Unavailable

    $28.47 higher than El Centro for the office setting.

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

    California · 77470

    Office

    $184.05

    Facility

    Unavailable

    $32.25 higher than El Centro for the office setting.

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

    California · 77470

    Office

    $183.59

    Facility

    Unavailable

    $31.79 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77470

    Office

    $155.03

    Facility

    Unavailable

    $3.23 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 77470

    Office

    $161.03

    Facility

    Unavailable

    $9.23 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 77470

    Office

    $157.79

    Facility

    Unavailable

    $5.99 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 77470

    Office

    $162.60

    Facility

    Unavailable

    $10.80 higher than El Centro for the office setting.

  • Stockton

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 77470

    Office

    $171.32

    Facility

    Unavailable

    $19.52 higher than El Centro for the office setting.

  • Visalia

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 77470

    Office

    $151.78

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77470

    Office

    $162.35

    Facility

    Unavailable

    $10.55 higher than El Centro for the office setting.

  • Miami

    Florida · 77470

    Office

    $153.16

    Facility

    Unavailable

    $1.36 higher than El Centro for the office setting.

  • Chicago

    Illinois · 77470

    Office

    $150.13

    Facility

    Unavailable

    $1.67 lower than El Centro for the office setting.

  • Manhattan

    New York · 77470

    Office

    $163.38

    Facility

    Unavailable

    $11.58 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 77470

    Office

    $181.43

    Facility

    Unavailable

    $29.63 higher than El Centro for the office setting.

  • Alabama

    Alabama · 77470

    Office

    $134.07

    Facility

    Unavailable

    $17.73 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 77470

    Office

    $132.70

    Facility

    Unavailable

    $19.10 lower than El Centro for the office setting.

  • Arizona

    Arizona · 77470

    Office

    $142.14

    Facility

    Unavailable

    $9.66 lower than El Centro for the office setting.

  • Colorado

    Colorado · 77470

    Office

    $149.85

    Facility

    Unavailable

    $1.95 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 77470

    Office

    $152.80

    Facility

    Unavailable

    $1.00 higher than El Centro for the office setting.

  • Delaware

    Delaware · 77470

    Office

    $144.05

    Facility

    Unavailable

    $7.75 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 77470

    Office

    $148.64

    Facility

    Unavailable

    $3.16 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 77470

    Office

    $143.32

    Facility

    Unavailable

    $8.48 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 77470

    Office

    $147.04

    Facility

    Unavailable

    $4.76 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 77470

    Office

    $137.45

    Facility

    Unavailable

    $14.35 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 77470

    Office

    $153.90

    Facility

    Unavailable

    $2.10 higher than El Centro for the office setting.

  • Iowa

    Iowa · 77470

    Office

    $136.53

    Facility

    Unavailable

    $15.27 lower than El Centro for the office setting.

  • Idaho

    Idaho · 77470

    Office

    $137.16

    Facility

    Unavailable

    $14.64 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 77470

    Office

    $142.31

    Facility

    Unavailable

    $9.49 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 77470

    Office

    $140.27

    Facility

    Unavailable

    $11.53 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 77470

    Office

    $150.04

    Facility

    Unavailable

    $1.76 lower than El Centro for the office setting.

  • Indiana

    Indiana · 77470

    Office

    $137.73

    Facility

    Unavailable

    $14.07 lower than El Centro for the office setting.

  • Kansas

    Kansas · 77470

    Office

    $136.06

    Facility

    Unavailable

    $15.74 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 77470

    Office

    $136.30

    Facility

    Unavailable

    $15.50 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 77470

    Office

    $140.96

    Facility

    Unavailable

    $10.84 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 77470

    Office

    $136.14

    Facility

    Unavailable

    $15.66 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 77470

    Office

    $161.95

    Facility

    Unavailable

    $10.15 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77470

    Office

    $149.34

    Facility

    Unavailable

    $2.46 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77470

    Office

    $152.32

    Facility

    Unavailable

    $0.52 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 77470

    Office

    $146.25

    Facility

    Unavailable

    $5.55 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 77470

    Office

    $137.66

    Facility

    Unavailable

    $14.14 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 77470

    Office

    $143.05

    Facility

    Unavailable

    $8.75 lower than El Centro for the office setting.

  • Detroit

    Michigan · 77470

    Office

    $144.61

    Facility

    Unavailable

    $7.19 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 77470

    Office

    $138.82

    Facility

    Unavailable

    $12.98 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 77470

    Office

    $144.80

    Facility

    Unavailable

    $7.00 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 77470

    Office

    $140.28

    Facility

    Unavailable

    $11.52 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 77470

    Office

    $141.34

    Facility

    Unavailable

    $10.46 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 77470

    Office

    $134.46

    Facility

    Unavailable

    $17.34 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 77470

    Office

    $133.60

    Facility

    Unavailable

    $18.20 lower than El Centro for the office setting.

  • Montana**

    Montana · 77470

    Office

    $144.95

    Facility

    Unavailable

    $6.85 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 77470

    Office

    $138.70

    Facility

    Unavailable

    $13.10 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 77470

    Office

    $142.98

    Facility

    Unavailable

    $8.82 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 77470

    Office

    $137.07

    Facility

    Unavailable

    $14.73 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 77470

    Office

    $147.64

    Facility

    Unavailable

    $4.16 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 77470

    Office

    $161.43

    Facility

    Unavailable

    $9.63 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 77470

    Office

    $154.87

    Facility

    Unavailable

    $3.07 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 77470

    Office

    $139.37

    Facility

    Unavailable

    $12.43 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 77470

    Office

    $144.48

    Facility

    Unavailable

    $7.32 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77470

    Office

    $166.32

    Facility

    Unavailable

    $14.52 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77470

    Office

    $155.81

    Facility

    Unavailable

    $4.01 higher than El Centro for the office setting.

  • Queens

    New York · 77470

    Office

    $164.41

    Facility

    Unavailable

    $12.61 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 77470

    Office

    $140.19

    Facility

    Unavailable

    $11.61 lower than El Centro for the office setting.

  • Ohio

    Ohio · 77470

    Office

    $138.42

    Facility

    Unavailable

    $13.38 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 77470

    Office

    $136.14

    Facility

    Unavailable

    $15.66 lower than El Centro for the office setting.

  • Portland

    Oregon · 77470

    Office

    $153.54

    Facility

    Unavailable

    $1.74 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 77470

    Office

    $143.67

    Facility

    Unavailable

    $8.13 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77470

    Office

    $149.89

    Facility

    Unavailable

    $1.91 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77470

    Office

    $138.59

    Facility

    Unavailable

    $13.21 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 77470

    Office

    $145.74

    Facility

    Unavailable

    $6.06 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 77470

    Office

    $148.35

    Facility

    Unavailable

    $3.45 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 77470

    Office

    $138.72

    Facility

    Unavailable

    $13.08 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 77470

    Office

    $142.74

    Facility

    Unavailable

    $9.06 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 77470

    Office

    $136.54

    Facility

    Unavailable

    $15.26 lower than El Centro for the office setting.

  • Austin

    Texas · 77470

    Office

    $149.09

    Facility

    Unavailable

    $2.71 lower than El Centro for the office setting.

  • Beaumont

    Texas · 77470

    Office

    $137.93

    Facility

    Unavailable

    $13.87 lower than El Centro for the office setting.

  • Brazoria

    Texas · 77470

    Office

    $144.07

    Facility

    Unavailable

    $7.73 lower than El Centro for the office setting.

  • Dallas

    Texas · 77470

    Office

    $144.78

    Facility

    Unavailable

    $7.02 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 77470

    Office

    $144.07

    Facility

    Unavailable

    $7.73 lower than El Centro for the office setting.

  • Galveston

    Texas · 77470

    Office

    $144.39

    Facility

    Unavailable

    $7.41 lower than El Centro for the office setting.

  • Houston

    Texas · 77470

    Office

    $146.22

    Facility

    Unavailable

    $5.58 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 77470

    Office

    $140.79

    Facility

    Unavailable

    $11.01 lower than El Centro for the office setting.

  • Utah

    Utah · 77470

    Office

    $140.09

    Facility

    Unavailable

    $11.71 lower than El Centro for the office setting.

  • Virginia

    Virginia · 77470

    Office

    $142.69

    Facility

    Unavailable

    $9.11 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77470

    Office

    $145.74

    Facility

    Unavailable

    $6.06 lower than El Centro for the office setting.

  • Vermont

    Vermont · 77470

    Office

    $142.56

    Facility

    Unavailable

    $9.24 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 77470

    Office

    $149.02

    Facility

    Unavailable

    $2.78 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 77470

    Office

    $164.79

    Facility

    Unavailable

    $12.99 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 77470

    Office

    $139.48

    Facility

    Unavailable

    $12.32 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 77470

    Office

    $136.51

    Facility

    Unavailable

    $15.29 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 77470

    Office

    $144.09

    Facility

    Unavailable

    $7.71 lower than El Centro for the office setting.

See how rates vary across the country

77470 · 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.

$132.70

$181.43

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$181.431
AL$134.071
AR$132.701
AZ$142.141
CA$151.78–$184.0529
CO$149.851
CT$152.801
DC$162.351
DE$144.051
FL$143.32–$153.163
GA$137.45–$147.042
GU$153.901
HI$153.901
IA$136.531
ID$137.161
IL$140.27–$150.134
IN$137.731
KS$136.061
KY$136.301
LA$136.14–$140.962
MA$149.34–$161.952
MD$146.25–$162.353
ME$137.66–$143.052
MI$138.82–$144.612
MN$144.801
MO$134.46–$141.343
MS$133.601
MT$144.951
NC$138.701
ND$142.981
NE$137.071
NH$147.641
NJ$154.87–$161.432
NM$139.371
NV$144.481
NY$140.19–$166.325
OH$138.421
OK$136.141
OR$143.67–$153.542
PA$138.59–$149.892
PR$145.741
RI$148.351
SC$138.721
SD$142.741
TN$136.541
TX$137.93–$149.098
UT$140.091
VA$142.69–$162.352
VI$145.741
VT$142.561
WA$149.02–$164.792
WI$139.481
WV$136.511
WY$144.091

Explore 77470 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77470 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$166.98

$151.80 × 110% = $166.98

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 77470 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

9,117

Code
77470
Physician work
1.98
Practice expense
2.26
Malpractice
0.10

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 77470 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0172.0137
Practice expense2.26× 1.0962.4770
Malpractice0.10× 0.5410.0541
Total RVUs4.5447
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$151.80

Open 77470 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.981.017
Practice expense2.261.096
Malpractice0.10.541

(1.98 × 1.017 + 2.26 × 1.096 + 0.1 × 0.541) × $33.4009 = $151.80

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

77470 · Office / nonfacility

$151.80

Effective 2026-10-01

The base rate is $3.12 higher than on 2025-10-01, moving from $148.68 to $151.80 (2.1%).

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

    $148.68changed to$151.80

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 2.27 changed to 2.26
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $148.68

    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$151.80Not available in this settingRVU26D
2026-07-01$151.80Not available in this settingRVU26C
2026-04-01$151.80Not available in this settingRVU26B
2026-01-01$151.80Not available in this settingRVU26A
2025-10-01$148.68Not available in this settingRVU25D
2025-07-01$148.68Not available in this settingRVU25C
2025-04-01$148.68Not available in this settingRVU25B
2025-01-01$148.68Not available in this settingRVU25A

77470 billing questions

How is 77470 different from a radiation delivery code?

77470 represents additional work tied to a special treatment circumstance. Codes such as 77402, 77407, and 77412 describe radiation treatment delivery at different levels.

Can 77470 be reported with radiation delivery?

It may be reported with the applicable delivery service when the record supports additional special-treatment work. It does not replace the code for treatment delivery.

What documentation supports 77470?

Document the unusual treatment circumstance, why it required work beyond the usual process, and the additional work performed. Naming a complex diagnosis alone does not explain the service.

When should modifier 26 or TC be used?

CMS identifies modifier 26 for the professional interpretation and modifier TC for equipment and staff. Without either modifier, the claim represents the global service.

Is 77470 the code for routine radiation treatment management?

No. Routine management is represented by applicable management services, such as 77427 for radiation treatment management reported in five-treatment increments. 77470 addresses added work for a special treatment circumstance.

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 77470PPRRVU2026_Oct_nonQPP.csv, line 9,117 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet