$234.28
Use 77280 for a simple simulation setup; 77290 requires documentation supporting a complex setup and field arrangement.
On this page
CMS RVU26D · Effective 2026-10-01
77290 Radiation simulation Medicare reimbursement rates in Arkansas
Reports complex radiation treatment simulation used to establish patient positioning and treatment fields before delivery of a radiation therapy course. Compare 77290 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 77290 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
$385.31
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
No supported rate
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 77290: Complex radiation treatment simulation
Reports complex radiation treatment simulation used to establish patient positioning and treatment fields before delivery of a radiation therapy course.
The radiation oncology team uses simulation to reproduce the treatment position and define the fields for a planned course of radiation therapy. The patient is positioned as they will be for treatment, and imaging and setup devices help the team identify and document the treatment geometry. This complex level is selected when the simulation and field arrangement require greater complexity than a simple or intermediate setup; the treating site and arrangement of fields support that distinction.
Report 77290 for the simulation service, not as a substitute for the separate work of evaluating treatment-planning complexity or developing a three-dimensional plan. The record should support the complexity of the setup, including the positioning, imaging, devices, and field arrangement used. CMS recognizes separately priced professional and technical components: bill modifier 26 for the professional interpretation, modifier TC for the equipment and staff portion, or no component modifier for the global service.
CMS billing rules for 77290
- 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 RVU1.52 · 11%
- Practice expense (office) RVU11.60 · 88%
- Malpractice RVU0.10 · 1%
160.1K
Medicare services in 2024 · #434 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.
77290 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$393.17
Use 77285 for intermediate simulation complexity. Choose 77290 when the documented simulation and field arrangement meet the complex level.
$433.70
77290 covers simulation and treatment-field setup; 77295 describes development of a three-dimensional radiation treatment plan.
$156.26
77263 represents complex treatment-planning evaluation, whereas 77290 reports the simulation used to establish the treatment setup and fields.
Compare 77290 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
$385.31
Facility
Unavailable
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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 77290 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
9,035
- Code
- 77290
- Physician work
- 1.52
- Practice expense
- 11.60
- Malpractice
- 0.10
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.52 | × 1.000 | 1.5200 |
| Practice expense | 11.60 | × 0.859 | 9.9644 |
| Malpractice | 0.10 | × 0.515 | 0.0515 |
| Total RVUs | 11.5359 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$385.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.52 | 1 |
| Practice expense | 11.6 | 0.859 |
| Malpractice | 0.1 | 0.515 |
(1.52 × 1 + 11.6 × 0.859 + 0.1 × 0.515) × $33.4009 = $385.31
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.
77290 billing questions
How does 77290 differ from 77280 or 77285?
The three codes distinguish simulation complexity. Use 77290 when the documented setup and field arrangement are complex rather than simple or intermediate.
Does 77290 include three-dimensional treatment planning?
No. 77290 describes the simulation service, while 77295 represents three-dimensional treatment planning. Report each when its distinct work is performed and documented.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports the complex level?
Document the patient setup, imaging or positioning aids, and treatment-field arrangement that make the simulation complex. The record should show why the setup is beyond a simple or intermediate simulation.
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.
9,03277285,,Ther rad simulaj field intrm,A,,1.02,12.48,,12.48,NA,0.06,13.56,13.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03377285,26,Ther rad simulaj field intrm,A,,1.02,0.61,,0.61,,0.04,1.67,1.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03477285,TC,Ther rad simulaj field intrm,A,,0.00,11.87,,11.87,NA,0.02,11.89,11.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03577290,,Ther rad simulaj field cplx,A,,1.52,11.60,,11.60,NA,0.10,13.22,13.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03677290,26,Ther rad simulaj field cplx,A,,1.52,0.86,,0.86,,0.07,2.45,2.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03777290,TC,Ther rad simulaj field cplx,A,,0.00,10.74,,10.74,NA,0.03,10.77,10.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03877293,,Respirator motion mgmt simul,A,,1.95,9.98,,9.98,NA,0.10,12.03,12.03,1,ZZZ,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