$99.90
Use 77262 when the documented physician planning work is intermediate in complexity rather than simple. The distinction rests on the complexity of the planning service, not field count alone.
On this page
CMS RVU26D · Effective 2026-10-01
77261 Radiation planning Medicare reimbursement rates in Arkansas
Reports the radiation oncologist’s professional planning work for a simple radiation treatment approach after review of the patient’s clinical and tumor information. Compare 77261 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 77261 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$65.14
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$65.14
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiation oncology
About 77261: Simple radiation treatment planning
Reports the radiation oncologist’s professional planning work for a simple radiation treatment approach after review of the patient’s clinical and tumor information.
A radiation oncologist uses this service to develop a simple external-beam radiation treatment approach after reviewing relevant clinical information, such as the cancer diagnosis, disease extent, imaging, and prior treatment. Planning may include defining the treatment approach and determining the intended dose and beam arrangement. It is performed in radiation oncology practices and hospital-based cancer centers as part of preparing a patient’s course of treatment.
Select the simple level based on the documented complexity of the physician’s planning work; do not infer the level from a field count alone. The record should support the clinical information reviewed and the treatment decisions made. CMS identifies 77261 as a professional-component-only service: it represents the physician’s interpretation and report, while a separate code accounts for the technical portion. Field simulation and dosimetry calculations are distinct services when performed and documented; this planning code does not itself describe those services.
CMS billing rules for 77261
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU1.27 · 61%
- Practice expense (office) RVU0.75 · 36%
- Malpractice RVU0.07 · 3%
13.6K
Medicare services in 2024 · #1313 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.
77261 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$156.26
Use 77263 for complex treatment planning. 77261 represents the simple level and should not be selected when the record supports complex planning.
$234.28
77280 reports simple radiation field simulation, which establishes treatment setup geometry. 77261 reports the physician’s treatment-planning work, not the simulation procedure.
$433.70
77295 is for a three-dimensional radiotherapy plan. 77261 represents simple clinical treatment planning rather than a 3D plan.
Compare 77261 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$65.14
Facility
$65.14
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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 77261 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
9,026
- Code
- 77261
- Physician work
- 1.27
- Practice expense
- 0.75
- Malpractice
- 0.07
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.27 | × 1.000 | 1.2700 |
| Practice expense | 0.75 | × 0.859 | 0.6442 |
| Malpractice | 0.07 | × 0.515 | 0.0361 |
| Total RVUs | 1.9503 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$65.14
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 0.75 | 0.859 |
| Malpractice | 0.07 | 0.515 |
(1.27 × 1 + 0.75 × 0.859 + 0.07 × 0.515) × $33.4009 = $65.14
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 0.75 | 0.859 |
| Malpractice | 0.07 | 0.515 |
(1.27 × 1 + 0.75 × 0.859 + 0.07 × 0.515) × $33.4009 = $65.14
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.
77261 billing questions
How does 77261 differ from 77262?
77261 is for simple treatment planning, while 77262 is for intermediate planning. Choose the level supported by the physician’s documented planning complexity rather than relying on a field count alone.
Is treatment simulation included in 77261?
No. Simulation, such as setting up treatment geometry, is a distinct service. Code 77280 describes simple radiation field simulation when that service is performed and documented.
Does 77261 include the technical portion of planning?
No. CMS identifies 77261 as professional-component-only for the physician’s interpretation and report; a separate code covers the technical portion.
What documentation supports the simple planning level?
Document the clinical information reviewed and the physician’s treatment-planning decisions. The record should support why the planning work meets the simple level.
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.
9,02377090,,Tbs techl prep&transmis data,A,,0.00,0.08,,0.08,NA,0.01,0.09,0.09,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.36,2.36,0.30
9,02477091,,Tbs techl calculation only,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
9,02577092,,Tbs i&r fx rsk qhp,A,,0.20,0.09,,0.09,,0.01,0.30,0.30,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02677261,,Ther radiology tx plng smpl,A,,1.27,0.75,,0.75,,0.07,2.09,2.09,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02777262,,Ther radiology tx plng intrm,A,,1.95,1.14,,1.14,,0.12,3.21,3.21,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02877263,,Ther radiology tx plng cplx,A,,3.06,1.74,,1.74,,0.24,5.04,5.04,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02977280,,Ther rad simulaj field smpl,A,,0.68,7.35,,7.35,NA,0.04,8.07,8.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541