77402 is the simple delivery level. Use 77412 only when the documented delivery supports the complex level.
On this page
CMS RVU26D · Effective 2026-10-01
77412 in Vallejo
Office / nonfacility
$582.61
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 77412: Complex external beam treatment delivery
Reports a complex external-beam radiation treatment delivery for a fraction when the documented treatment setup and delivery meet this level of complexity.
Code 77412 represents delivery of a complex external-beam radiation treatment fraction, commonly using a medical linear accelerator in an outpatient cancer center or hospital radiation department. Radiation therapists carry out the planned treatment under the radiation oncologist’s direction. The treatment record should establish the delivered fraction and the setup or delivery features supporting the complex level; the diagnosis or equipment alone does not establish that level.
Report the code for each qualifying treatment delivery, using the documented complexity to distinguish it from the simple and intermediate delivery levels. Retain the treatment plan and fraction record, including the relevant fields, ports, or delivery setup details. CMS classifies 77412 as a technical-component-only service: a separate code covers interpretation, so this code represents the technical delivery rather than the physician’s interpretation.
CMS billing rules for 77412
- 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) RVU13.21 · 99%
- Malpractice RVU0.07 · 1%
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.
77412 compared with similar codes
Office rates for Vallejo, from the same CMS release.
77407 describes intermediate delivery complexity; 77412 is the higher complexity level, based on the treatment setup and delivery documentation.
Ther radiology port image(s)
77417 represents treatment-related port imaging, not radiation delivery. It may be reported when that imaging service is performed and documented.
The same code, a different location
How does Vallejo compare?
In Bakersfield, the office rate for 77412 is $485.01—$97.60 lower than the $582.61 rate in Vallejo. Both use the same code, release and participation basis.
77412 across payment areas
Same release and payment basis · bars start at $0
Vallejo · This locality
$582.61
$485.01
$97.60 lower than Vallejo
$484.84
$97.77 lower than Vallejo
$484.85
$97.76 lower than Vallejo
$484.84
$97.77 lower than Vallejo
$484.84
$97.77 lower than Vallejo
$59.09 lower than Vallejo
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, 77412 ranges from $380.22 in Arkansas to $637.50 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 · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Merced
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Modesto
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Napa
California · 77412
Office
$582.72
Facility
Unavailable
$0.11 higher than Vallejo for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 77412
Office
$522.99
Facility
Unavailable
$59.62 lower than Vallejo for the office setting.
Redding
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Rest Of California
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Riverside-San Bernardino-Ontario
California · 77412
Office
$485.58
Facility
Unavailable
$97.03 lower than Vallejo for the office setting.
Sacramento-Roseville-Folsom
California · 77412
Office
$514.40
Facility
Unavailable
$68.21 lower than Vallejo for the office setting.
Salinas
California · 77412
Office
$512.63
Facility
Unavailable
$69.98 lower than Vallejo for the office setting.
San Diego-Chula Vista-Carlsbad
California · 77412
Office
$528.97
Facility
Unavailable
$53.64 lower than Vallejo for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 77412
Office
$623.20
Facility
Unavailable
$40.59 higher than Vallejo for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 77412
Office
$623.12
Facility
Unavailable
$40.51 higher than Vallejo for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 77412
Office
$637.50
Facility
Unavailable
$54.89 higher than Vallejo for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 77412
Office
$637.18
Facility
Unavailable
$54.57 higher than Vallejo for the office setting.
San Luis Obispo-Paso Robles
California · 77412
Office
$503.81
Facility
Unavailable
$78.80 lower than Vallejo for the office setting.
Santa Cruz-Watsonville
California · 77412
Office
$537.34
Facility
Unavailable
$45.27 lower than Vallejo for the office setting.
Santa Maria-Santa Barbara
California · 77412
Office
$515.72
Facility
Unavailable
$66.89 lower than Vallejo for the office setting.
Santa Rosa-Petaluma
California · 77412
Office
$543.08
Facility
Unavailable
$39.53 lower than Vallejo for the office setting.
Stockton
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Visalia
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Yuba City
California · 77412
Office
$484.84
Facility
Unavailable
$97.77 lower than Vallejo for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 77412
Office
$522.37
Facility
Unavailable
$60.24 lower than Vallejo for the office setting.
Miami
Florida · 77412
Office
$465.23
Facility
Unavailable
$117.38 lower than Vallejo for the office setting.
Chicago
Illinois · 77412
Office
$448.80
Facility
Unavailable
$133.81 lower than Vallejo for the office setting.
Manhattan
New York · 77412
Office
$516.41
Facility
Unavailable
$66.20 lower than Vallejo for the office setting.
Alaska*
Alaska · 77412
Office
$471.19
Facility
Unavailable
$111.42 lower than Vallejo for the office setting.
Alabama
Alabama · 77412
Office
$387.40
Facility
Unavailable
$195.21 lower than Vallejo for the office setting.
Arkansas
Arkansas · 77412
Office
$380.22
Facility
Unavailable
$202.39 lower than Vallejo for the office setting.
Arizona
Arizona · 77412
Office
$429.55
Facility
Unavailable
$153.06 lower than Vallejo for the office setting.
Colorado
Colorado · 77412
Office
$471.29
Facility
Unavailable
$111.32 lower than Vallejo for the office setting.
Connecticut
Connecticut · 77412
Office
$478.03
Facility
Unavailable
$104.58 lower than Vallejo for the office setting.
Delaware
Delaware · 77412
Office
$438.03
Facility
Unavailable
$144.58 lower than Vallejo for the office setting.
Fort Lauderdale
Florida · 77412
Office
$451.19
Facility
Unavailable
$131.42 lower than Vallejo for the office setting.
Rest Of Florida
Florida · 77412
Office
$425.33
Facility
Unavailable
$157.28 lower than Vallejo for the office setting.
Atlanta
Georgia · 77412
Office
$451.09
Facility
Unavailable
$131.52 lower than Vallejo for the office setting.
Rest Of Georgia
Georgia · 77412
Office
$396.36
Facility
Unavailable
$186.25 lower than Vallejo for the office setting.
Hawaii, Guam
Hawaii · 77412
Office
$503.03
Facility
Unavailable
$79.58 lower than Vallejo for the office setting.
Iowa
Iowa · 77412
Office
$404.65
Facility
Unavailable
$177.96 lower than Vallejo for the office setting.
Idaho
Idaho · 77412
Office
$407.03
Facility
Unavailable
$175.58 lower than Vallejo for the office setting.
East St. Louis
Illinois · 77412
Office
$410.64
Facility
Unavailable
$171.97 lower than Vallejo for the office setting.
Rest Of Illinois
Illinois · 77412
Office
$406.49
Facility
Unavailable
$176.12 lower than Vallejo for the office setting.
Suburban Chicago
Illinois · 77412
Office
$457.28
Facility
Unavailable
$125.33 lower than Vallejo for the office setting.
Indiana
Indiana · 77412
Office
$410.15
Facility
Unavailable
$172.46 lower than Vallejo for the office setting.
Kansas
Kansas · 77412
Office
$400.05
Facility
Unavailable
$182.56 lower than Vallejo for the office setting.
Kentucky
Kentucky · 77412
Office
$394.39
Facility
Unavailable
$188.22 lower than Vallejo for the office setting.
New Orleans
Louisiana · 77412
Office
$417.85
Facility
Unavailable
$164.76 lower than Vallejo for the office setting.
Rest Of Louisiana
Louisiana · 77412
Office
$392.72
Facility
Unavailable
$189.89 lower than Vallejo for the office setting.
Metropolitan Boston
Massachusetts · 77412
Office
$528.90
Facility
Unavailable
$53.71 lower than Vallejo for the office setting.
Rest Of Massachusetts
Massachusetts · 77412
Office
$466.47
Facility
Unavailable
$116.14 lower than Vallejo for the office setting.
Baltimore/Surr. Cntys
Maryland · 77412
Office
$476.33
Facility
Unavailable
$106.28 lower than Vallejo for the office setting.
Rest Of Maryland
Maryland · 77412
Office
$448.67
Facility
Unavailable
$133.94 lower than Vallejo for the office setting.
Rest Of Maine
Maine · 77412
Office
$407.38
Facility
Unavailable
$175.23 lower than Vallejo for the office setting.
Southern Maine
Maine · 77412
Office
$438.73
Facility
Unavailable
$143.88 lower than Vallejo for the office setting.
Detroit
Michigan · 77412
Office
$429.72
Facility
Unavailable
$152.89 lower than Vallejo for the office setting.
Rest Of Michigan
Michigan · 77412
Office
$405.48
Facility
Unavailable
$177.13 lower than Vallejo for the office setting.
Minnesota
Minnesota · 77412
Office
$454.71
Facility
Unavailable
$127.90 lower than Vallejo for the office setting.
Metropolitan Kansas City
Missouri · 77412
Office
$416.60
Facility
Unavailable
$166.01 lower than Vallejo for the office setting.
Metropolitan St. Louis
Missouri · 77412
Office
$422.39
Facility
Unavailable
$160.22 lower than Vallejo for the office setting.
Rest Of Missouri
Missouri · 77412
Office
$382.61
Facility
Unavailable
$200.00 lower than Vallejo for the office setting.
Mississippi
Mississippi · 77412
Office
$381.62
Facility
Unavailable
$200.99 lower than Vallejo for the office setting.
Montana**
Montana · 77412
Office
$443.56
Facility
Unavailable
$139.05 lower than Vallejo for the office setting.
North Carolina
North Carolina · 77412
Office
$413.16
Facility
Unavailable
$169.45 lower than Vallejo for the office setting.
North Dakota**
North Dakota · 77412
Office
$442.18
Facility
Unavailable
$140.43 lower than Vallejo for the office setting.
Nebraska
Nebraska · 77412
Office
$408.14
Facility
Unavailable
$174.47 lower than Vallejo for the office setting.
New Hampshire
New Hampshire · 77412
Office
$461.36
Facility
Unavailable
$121.25 lower than Vallejo for the office setting.
Northern Nj
New Jersey · 77412
Office
$514.32
Facility
Unavailable
$68.29 lower than Vallejo for the office setting.
Rest Of New Jersey
New Jersey · 77412
Office
$484.38
Facility
Unavailable
$98.23 lower than Vallejo for the office setting.
New Mexico
New Mexico · 77412
Office
$407.41
Facility
Unavailable
$175.20 lower than Vallejo for the office setting.
Nevada**
Nevada · 77412
Office
$443.61
Facility
Unavailable
$139.00 lower than Vallejo for the office setting.
Nyc Suburbs/Long Island
New York · 77412
Office
$528.96
Facility
Unavailable
$53.65 lower than Vallejo for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 77412
Office
$485.97
Facility
Unavailable
$96.64 lower than Vallejo for the office setting.
Queens
New York · 77412
Office
$524.90
Facility
Unavailable
$57.71 lower than Vallejo for the office setting.
Rest Of New York
New York · 77412
Office
$420.81
Facility
Unavailable
$161.80 lower than Vallejo for the office setting.
Ohio
Ohio · 77412
Office
$405.20
Facility
Unavailable
$177.41 lower than Vallejo for the office setting.
Oklahoma
Oklahoma · 77412
Office
$395.83
Facility
Unavailable
$186.78 lower than Vallejo for the office setting.
Portland
Oregon · 77412
Office
$491.94
Facility
Unavailable
$90.67 lower than Vallejo for the office setting.
Rest Of Oregon
Oregon · 77412
Office
$441.10
Facility
Unavailable
$141.51 lower than Vallejo for the office setting.
Metropolitan Philadelphia
Pennsylvania · 77412
Office
$462.11
Facility
Unavailable
$120.50 lower than Vallejo for the office setting.
Rest Of Pennsylvania
Pennsylvania · 77412
Office
$407.25
Facility
Unavailable
$175.36 lower than Vallejo for the office setting.
Puerto Rico
Puerto Rico · 77412
Office
$448.38
Facility
Unavailable
$134.23 lower than Vallejo for the office setting.
Rhode Island
Rhode Island · 77412
Office
$457.87
Facility
Unavailable
$124.74 lower than Vallejo for the office setting.
South Carolina
South Carolina · 77412
Office
$409.68
Facility
Unavailable
$172.93 lower than Vallejo for the office setting.
South Dakota**
South Dakota · 77412
Office
$442.01
Facility
Unavailable
$140.60 lower than Vallejo for the office setting.
Tennessee
Tennessee · 77412
Office
$402.33
Facility
Unavailable
$180.28 lower than Vallejo for the office setting.
Austin
Texas · 77412
Office
$468.89
Facility
Unavailable
$113.72 lower than Vallejo for the office setting.
Beaumont
Texas · 77412
Office
$403.69
Facility
Unavailable
$178.92 lower than Vallejo for the office setting.
Brazoria
Texas · 77412
Office
$439.08
Facility
Unavailable
$143.53 lower than Vallejo for the office setting.
Dallas
Texas · 77412
Office
$441.47
Facility
Unavailable
$141.14 lower than Vallejo for the office setting.
Fort Worth
Texas · 77412
Office
$437.09
Facility
Unavailable
$145.52 lower than Vallejo for the office setting.
Galveston
Texas · 77412
Office
$440.07
Facility
Unavailable
$142.54 lower than Vallejo for the office setting.
Houston
Texas · 77412
Office
$441.35
Facility
Unavailable
$141.26 lower than Vallejo for the office setting.
Rest Of Texas
Texas · 77412
Office
$420.83
Facility
Unavailable
$161.78 lower than Vallejo for the office setting.
Utah
Utah · 77412
Office
$416.85
Facility
Unavailable
$165.76 lower than Vallejo for the office setting.
Virginia
Virginia · 77412
Office
$435.38
Facility
Unavailable
$147.23 lower than Vallejo for the office setting.
Virgin Islands
United States Virgin Islands · 77412
Office
$448.38
Facility
Unavailable
$134.23 lower than Vallejo for the office setting.
Vermont
Vermont · 77412
Office
$438.00
Facility
Unavailable
$144.61 lower than Vallejo for the office setting.
Rest Of Washington
Washington · 77412
Office
$466.39
Facility
Unavailable
$116.22 lower than Vallejo for the office setting.
Seattle (King Cnty)
Washington · 77412
Office
$543.29
Facility
Unavailable
$39.32 lower than Vallejo for the office setting.
Wisconsin
Wisconsin · 77412
Office
$423.41
Facility
Unavailable
$159.20 lower than Vallejo for the office setting.
West Virginia
West Virginia · 77412
Office
$386.77
Facility
Unavailable
$195.84 lower than Vallejo for the office setting.
Wyoming**
Wyoming · 77412
Office
$442.96
Facility
Unavailable
$139.65 lower than Vallejo for the office setting.
See how rates vary across the country
77412 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$380.22
$561.17
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $471.19 | 1 |
| AL | $387.40 | 1 |
| AR | $380.22 | 1 |
| AZ | $429.55 | 1 |
| CA | $484.84–$637.50 | 29 |
| CO | $471.29 | 1 |
| CT | $478.03 | 1 |
| DC | $522.37 | 1 |
| DE | $438.03 | 1 |
| FL | $425.33–$465.23 | 3 |
| GA | $396.36–$451.09 | 2 |
| GU | $503.03 | 1 |
| HI | $503.03 | 1 |
| IA | $404.65 | 1 |
| ID | $407.03 | 1 |
| IL | $406.49–$457.28 | 4 |
| IN | $410.15 | 1 |
| KS | $400.05 | 1 |
| KY | $394.39 | 1 |
| LA | $392.72–$417.85 | 2 |
| MA | $466.47–$528.90 | 2 |
| MD | $448.67–$522.37 | 3 |
| ME | $407.38–$438.73 | 2 |
| MI | $405.48–$429.72 | 2 |
| MN | $454.71 | 1 |
| MO | $382.61–$422.39 | 3 |
| MS | $381.62 | 1 |
| MT | $443.56 | 1 |
| NC | $413.16 | 1 |
| ND | $442.18 | 1 |
| NE | $408.14 | 1 |
| NH | $461.36 | 1 |
| NJ | $484.38–$514.32 | 2 |
| NM | $407.41 | 1 |
| NV | $443.61 | 1 |
| NY | $420.81–$528.96 | 5 |
| OH | $405.20 | 1 |
| OK | $395.83 | 1 |
| OR | $441.10–$491.94 | 2 |
| PA | $407.25–$462.11 | 2 |
| PR | $448.38 | 1 |
| RI | $457.87 | 1 |
| SC | $409.68 | 1 |
| SD | $442.01 | 1 |
| TN | $402.33 | 1 |
| TX | $403.69–$468.89 | 8 |
| UT | $416.85 | 1 |
| VA | $435.38–$522.37 | 2 |
| VI | $448.38 | 1 |
| VT | $438.00 | 1 |
| WA | $466.39–$543.29 | 2 |
| WI | $423.41 | 1 |
| WV | $386.77 | 1 |
| WY | $442.96 | 1 |
Where does this rate apply?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 77412 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$640.87
$582.61 × 110% = $640.87
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.
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 77412 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
9,099
- Code
- 77412
- Physician work
- 0.00
- Practice expense
- 13.21
- Malpractice
- 0.07
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.063 | 0.0000 |
| Practice expense | 13.21 | × 1.318 | 17.4108 |
| Malpractice | 0.07 | × 0.459 | 0.0321 |
| Total RVUs | 17.4429 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vallejo$582.61
Open 77412 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.063 |
| Practice expense | 13.21 | 1.318 |
| Malpractice | 0.07 | 0.459 |
(0 × 1.063 + 13.21 × 1.318 + 0.07 × 0.459) × $33.4009 = $582.61
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
77412 · Office / nonfacility
$582.61
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.
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
January 1, 2026
RVU26A
No ratechanged to$582.61
Held through RVU26B, RVU26C, RVU26D.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $582.61 | Not available in this setting | RVU26D |
| 2026-07-01 | $582.61 | Not available in this setting | RVU26C |
| 2026-04-01 | $582.61 | Not available in this setting | RVU26B |
| 2026-01-01 | $582.61 | Not available in this setting | RVU26A |
| 2025-10-01 | Separate payment rules apply | Separate payment rules apply | RVU25D |
| 2025-07-01 | Separate payment rules apply | Separate payment rules apply | RVU25C |
| 2025-04-01 | Separate payment rules apply | Separate payment rules apply | RVU25B |
| 2025-01-01 | Separate payment rules apply | Separate payment rules apply | RVU25A |
77412 billing questions
How is 77412 distinguished from 77407?
Select the level supported by the documented treatment-delivery complexity. The treatment record should support why the session meets the complex level rather than the intermediate level.
Is 77412 reported for each treatment fraction?
Report it for each qualifying complex treatment delivery. The record should identify the date and fraction delivered.
Does 77412 include the physician’s interpretation?
No. CMS identifies 77412 as technical-component-only; a separate code covers interpretation.
Can 77412 be used for IMRT delivery?
When the service is IMRT delivery, consider the IMRT-specific delivery code, such as 77386, rather than selecting 77412 solely because the treatment is complex.
What documentation supports the complex level?
Keep the treatment plan and delivery record showing the fraction and the setup or delivery details that support complex treatment delivery.
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.
