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CMS RVU26D · Effective 2026-10-01

77761 in Modesto

Office / nonfacility

$450.72

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.

Brachytherapy

About 77761: Simple intracavitary brachytherapy application

Reports the simple-complexity application of an intracavitary radiation source, such as an applicator used for gynecologic brachytherapy.

Code 77761 represents the simple-complexity level of intracavitary brachytherapy source application. A radiation oncologist positions an applicator or source within a body cavity to provide localized radiation. A familiar clinical setting is gynecologic brachytherapy, with an applicator placed in the uterine or cervical region as part of a planned radiation course. The code level reflects application complexity, not the cancer diagnosis or radiation dose.

Select 77761 when the procedure documentation supports simple application rather than the intermediate or complex sibling level. Document the cavity, applicator and source arrangement, procedural details, and basis for the complexity level. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. Modifier 26 identifies the professional interpretation, modifier TC identifies the technical work, and an unmodified claim represents the global service. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 77761

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
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.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.75 · 30%
  • Practice expense (office) RVU8.72 · 69%
  • Malpractice RVU0.23 · 2%

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.

77761 compared with similar codes

Office rates for Modesto, from the same CMS release.

77762

Intracavitary radiation

Intermediate application

$591.45

Use 77762 when the intracavitary application is documented at the intermediate level; 77761 is the simple-level sibling.

77763

Brachytherapy application

Complex intracavitary placement

$836.53

Use 77763 for a documented complex intracavitary application, rather than the simple application represented by 77761.

77770

HDR brachytherapy

Single channel, per fraction

$375.47

77770 describes remote afterloading HDR brachytherapy involving one channel. Choose based on the treatment technique and channel count, not the simple intracavitary application level.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 77761 is $451.53—$0.81 higher than the $450.72 rate in Modesto. Both use the same code, release and participation basis.

77761 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $450.72

  2. Bakersfield

    $451.53

    $0.81 higher than Modesto

  3. Chico

    $450.72

    The same base rate than Modesto

  4. El Centro

    $450.76

    $0.04 higher than Modesto

  5. Fresno

    $450.72

    The same base rate than Modesto

  6. Hanford-Corcoran

    $450.72

    The same base rate than Modesto

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

    $480.05

    $29.33 higher than Modesto

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, 77761 ranges from $379.40 in Arkansas to $563.14 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

  • Madera

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 77761

    Office

    $520.92

    Facility

    Unavailable

    $70.20 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77761

    Office

    $477.81

    Facility

    Unavailable

    $27.09 higher than Modesto for the office setting.

  • Redding

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77761

    Office

    $453.28

    Facility

    Unavailable

    $2.56 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77761

    Office

    $472.61

    Facility

    Unavailable

    $21.89 higher than Modesto for the office setting.

  • Salinas

    California · 77761

    Office

    $470.82

    Facility

    Unavailable

    $20.10 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77761

    Office

    $481.52

    Facility

    Unavailable

    $30.80 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77761

    Office

    $551.35

    Facility

    Unavailable

    $100.63 higher than Modesto for the office setting.

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

    California · 77761

    Office

    $551.09

    Facility

    Unavailable

    $100.37 higher than Modesto for the office setting.

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

    California · 77761

    Office

    $563.14

    Facility

    Unavailable

    $112.42 higher than Modesto for the office setting.

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

    California · 77761

    Office

    $562.07

    Facility

    Unavailable

    $111.35 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77761

    Office

    $463.24

    Facility

    Unavailable

    $12.52 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 77761

    Office

    $485.88

    Facility

    Unavailable

    $35.16 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 77761

    Office

    $472.48

    Facility

    Unavailable

    $21.76 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 77761

    Office

    $490.79

    Facility

    Unavailable

    $40.07 higher than Modesto for the office setting.

  • Stockton

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 77761

    Office

    $520.55

    Facility

    Unavailable

    $69.83 higher than Modesto for the office setting.

  • Visalia

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 77761

    Office

    $450.72

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77761

    Office

    $483.67

    Facility

    Unavailable

    $32.95 higher than Modesto for the office setting.

  • Miami

    Florida · 77761

    Office

    $447.88

    Facility

    Unavailable

    $2.84 lower than Modesto for the office setting.

  • Chicago

    Illinois · 77761

    Office

    $436.47

    Facility

    Unavailable

    $14.25 lower than Modesto for the office setting.

  • Manhattan

    New York · 77761

    Office

    $483.89

    Facility

    Unavailable

    $33.17 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 77761

    Office

    $502.30

    Facility

    Unavailable

    $51.58 higher than Modesto for the office setting.

  • Alabama

    Alabama · 77761

    Office

    $384.45

    Facility

    Unavailable

    $66.27 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 77761

    Office

    $379.40

    Facility

    Unavailable

    $71.32 lower than Modesto for the office setting.

  • Arizona

    Arizona · 77761

    Office

    $414.06

    Facility

    Unavailable

    $36.66 lower than Modesto for the office setting.

  • Colorado

    Colorado · 77761

    Office

    $442.65

    Facility

    Unavailable

    $8.07 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 77761

    Office

    $450.74

    Facility

    Unavailable

    $0.02 higher than Modesto for the office setting.

  • Delaware

    Delaware · 77761

    Office

    $420.55

    Facility

    Unavailable

    $30.17 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 77761

    Office

    $434.18

    Facility

    Unavailable

    $16.54 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 77761

    Office

    $415.24

    Facility

    Unavailable

    $35.48 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 77761

    Office

    $430.77

    Facility

    Unavailable

    $19.95 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 77761

    Office

    $394.21

    Facility

    Unavailable

    $56.51 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 77761

    Office

    $460.86

    Facility

    Unavailable

    $10.14 higher than Modesto for the office setting.

  • Iowa

    Iowa · 77761

    Office

    $394.80

    Facility

    Unavailable

    $55.92 lower than Modesto for the office setting.

  • Idaho

    Idaho · 77761

    Office

    $396.84

    Facility

    Unavailable

    $53.88 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 77761

    Office

    $408.68

    Facility

    Unavailable

    $42.04 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 77761

    Office

    $403.18

    Facility

    Unavailable

    $47.54 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 77761

    Office

    $438.86

    Facility

    Unavailable

    $11.86 lower than Modesto for the office setting.

  • Indiana

    Indiana · 77761

    Office

    $398.98

    Facility

    Unavailable

    $51.74 lower than Modesto for the office setting.

  • Kansas

    Kansas · 77761

    Office

    $392.42

    Facility

    Unavailable

    $58.30 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 77761

    Office

    $391.21

    Facility

    Unavailable

    $59.51 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 77761

    Office

    $408.05

    Facility

    Unavailable

    $42.67 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 77761

    Office

    $390.37

    Facility

    Unavailable

    $60.35 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 77761

    Office

    $484.99

    Facility

    Unavailable

    $34.27 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77761

    Office

    $440.07

    Facility

    Unavailable

    $10.65 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77761

    Office

    $449.28

    Facility

    Unavailable

    $1.44 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 77761

    Office

    $428.31

    Facility

    Unavailable

    $22.41 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 77761

    Office

    $397.99

    Facility

    Unavailable

    $52.73 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 77761

    Office

    $418.74

    Facility

    Unavailable

    $31.98 lower than Modesto for the office setting.

  • Detroit

    Michigan · 77761

    Office

    $419.27

    Facility

    Unavailable

    $31.45 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 77761

    Office

    $399.84

    Facility

    Unavailable

    $50.88 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 77761

    Office

    $427.23

    Facility

    Unavailable

    $23.49 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 77761

    Office

    $406.25

    Facility

    Unavailable

    $44.47 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 77761

    Office

    $410.23

    Facility

    Unavailable

    $40.49 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 77761

    Office

    $383.80

    Facility

    Unavailable

    $66.92 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 77761

    Office

    $381.70

    Facility

    Unavailable

    $69.02 lower than Modesto for the office setting.

  • Montana**

    Montana · 77761

    Office

    $424.18

    Facility

    Unavailable

    $26.54 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 77761

    Office

    $401.90

    Facility

    Unavailable

    $48.82 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 77761

    Office

    $419.63

    Facility

    Unavailable

    $31.09 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 77761

    Office

    $396.99

    Facility

    Unavailable

    $53.73 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 77761

    Office

    $435.17

    Facility

    Unavailable

    $15.55 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 77761

    Office

    $479.21

    Facility

    Unavailable

    $28.49 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 77761

    Office

    $456.74

    Facility

    Unavailable

    $6.02 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 77761

    Office

    $401.56

    Facility

    Unavailable

    $49.16 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 77761

    Office

    $423.20

    Facility

    Unavailable

    $27.52 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77761

    Office

    $493.84

    Facility

    Unavailable

    $43.12 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77761

    Office

    $459.11

    Facility

    Unavailable

    $8.39 higher than Modesto for the office setting.

  • Queens

    New York · 77761

    Office

    $488.61

    Facility

    Unavailable

    $37.89 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 77761

    Office

    $407.35

    Facility

    Unavailable

    $43.37 lower than Modesto for the office setting.

  • Ohio

    Ohio · 77761

    Office

    $398.91

    Facility

    Unavailable

    $51.81 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 77761

    Office

    $391.31

    Facility

    Unavailable

    $59.41 lower than Modesto for the office setting.

  • Portland

    Oregon · 77761

    Office

    $456.56

    Facility

    Unavailable

    $5.84 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 77761

    Office

    $420.74

    Facility

    Unavailable

    $29.98 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77761

    Office

    $439.87

    Facility

    Unavailable

    $10.85 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77761

    Office

    $399.89

    Facility

    Unavailable

    $50.83 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 77761

    Office

    $427.28

    Facility

    Unavailable

    $23.44 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 77761

    Office

    $435.35

    Facility

    Unavailable

    $15.37 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 77761

    Office

    $400.90

    Facility

    Unavailable

    $49.82 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 77761

    Office

    $419.09

    Facility

    Unavailable

    $31.63 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 77761

    Office

    $394.13

    Facility

    Unavailable

    $56.59 lower than Modesto for the office setting.

  • Austin

    Texas · 77761

    Office

    $440.46

    Facility

    Unavailable

    $10.26 lower than Modesto for the office setting.

  • Beaumont

    Texas · 77761

    Office

    $397.43

    Facility

    Unavailable

    $53.29 lower than Modesto for the office setting.

  • Brazoria

    Texas · 77761

    Office

    $420.88

    Facility

    Unavailable

    $29.84 lower than Modesto for the office setting.

  • Dallas

    Texas · 77761

    Office

    $423.06

    Facility

    Unavailable

    $27.66 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 77761

    Office

    $420.25

    Facility

    Unavailable

    $30.47 lower than Modesto for the office setting.

  • Galveston

    Texas · 77761

    Office

    $421.83

    Facility

    Unavailable

    $28.89 lower than Modesto for the office setting.

  • Houston

    Texas · 77761

    Office

    $426.04

    Facility

    Unavailable

    $24.68 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 77761

    Office

    $408.59

    Facility

    Unavailable

    $42.13 lower than Modesto for the office setting.

  • Utah

    Utah · 77761

    Office

    $405.93

    Facility

    Unavailable

    $44.79 lower than Modesto for the office setting.

  • Virginia

    Virginia · 77761

    Office

    $416.98

    Facility

    Unavailable

    $33.74 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77761

    Office

    $427.28

    Facility

    Unavailable

    $23.44 lower than Modesto for the office setting.

  • Vermont

    Vermont · 77761

    Office

    $417.48

    Facility

    Unavailable

    $33.24 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 77761

    Office

    $439.42

    Facility

    Unavailable

    $11.30 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 77761

    Office

    $495.16

    Facility

    Unavailable

    $44.44 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 77761

    Office

    $406.64

    Facility

    Unavailable

    $44.08 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 77761

    Office

    $389.35

    Facility

    Unavailable

    $61.37 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 77761

    Office

    $422.19

    Facility

    Unavailable

    $28.53 lower than Modesto for the office setting.

See how rates vary across the country

77761 · 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.

$379.40

$506.93

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$502.301
AL$384.451
AR$379.401
AZ$414.061
CA$450.72–$563.1429
CO$442.651
CT$450.741
DC$483.671
DE$420.551
FL$415.24–$447.883
GA$394.21–$430.772
GU$460.861
HI$460.861
IA$394.801
ID$396.841
IL$403.18–$438.864
IN$398.981
KS$392.421
KY$391.211
LA$390.37–$408.052
MA$440.07–$484.992
MD$428.31–$483.673
ME$397.99–$418.742
MI$399.84–$419.272
MN$427.231
MO$383.80–$410.233
MS$381.701
MT$424.181
NC$401.901
ND$419.631
NE$396.991
NH$435.171
NJ$456.74–$479.212
NM$401.561
NV$423.201
NY$407.35–$493.845
OH$398.911
OK$391.311
OR$420.74–$456.562
PA$399.89–$439.872
PR$427.281
RI$435.351
SC$400.901
SD$419.091
TN$394.131
TX$397.43–$440.468
UT$405.931
VA$416.98–$483.672
VI$427.281
VT$417.481
WA$439.42–$495.162
WI$406.641
WV$389.351
WY$422.191

Explore 77761 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 77761 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$495.79

$450.72 × 110% = $495.79

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.

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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 77761 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

9,145

Code
77761
Physician work
3.75
Practice expense
8.72
Malpractice
0.23

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77761 in Modesto
ComponentRVULocality factorAdjusted
Physician work3.75× 1.0173.8137
Practice expense8.72× 1.0969.5571
Malpractice0.23× 0.5360.1233
Total RVUs13.4941
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$450.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 77761 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.751.017
Practice expense8.721.096
Malpractice0.230.536

(3.75 × 1.017 + 8.72 × 1.096 + 0.23 × 0.536) × $33.4009 = $450.72

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

77761 · Office / nonfacility

$450.72

Effective 2026-10-01

The base rate is $11.63 higher than on 2025-10-01, moving from $439.09 to $450.72 (2.6%).

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

    $439.09changed to$450.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.85 changed to 3.75
    • Practice expense RVU 8.73 changed to 8.72
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $439.09

    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$450.72Not available in this settingRVU26D
2026-07-01$450.72Not available in this settingRVU26C
2026-04-01$450.72Not available in this settingRVU26B
2026-01-01$450.72Not available in this settingRVU26A
2025-10-01$439.09Not available in this settingRVU25D
2025-07-01$439.09Not available in this settingRVU25C
2025-04-01$439.09Not available in this settingRVU25B
2025-01-01$439.09Not available in this settingRVU25A

77761 billing questions

How is 77761 distinguished from 77762 or 77763?

These codes represent simple, intermediate, and complex application levels. Use the level supported by the documented procedure; do not select it based only on diagnosis or radiation dose.

Which modifiers identify the professional and technical portions?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion involving equipment and staff. The unmodified code represents the global service.

Does the 90-day global period include related follow-up care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports reporting the simple level?

Document the body cavity, applicator and source arrangement, procedure performed, and clinical details supporting simple rather than intermediate or complex application.

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 77761PPRRVU2026_Oct_nonQPP.csv, line 9,145 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet