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CMS RVU26D · Effective 2026-10-01

77772 HDR brachytherapy Medicare reimbursement rates in Arkansas

Reports complex high-dose-rate brachytherapy delivered through interstitial or intracavitary applicators when treatment uses more than 12 channels. Compare 77772 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 77772 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

$806.19

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.

Find 77772 in your payment locality →

Radiation oncology

About 77772: Complex HDR interstitial or intracavitary brachytherapy

Reports complex high-dose-rate brachytherapy delivered through interstitial or intracavitary applicators when treatment uses more than 12 channels.

A radiation oncologist uses a remotely afterloaded radioactive source with catheters or an intracavitary applicator to deliver high-dose-rate treatment to a defined target. Common settings include hospital radiation oncology departments and outpatient cancer centers; treatment sites can include the cervix or prostate. This level is distinguished by treatment involving more than 12 channels. Basic dosimetry is included when performed.

Select this code when the documented channel count supports the complex level, rather than the lower channel-count levels. Records should identify the treatment site, applicator or catheter arrangement, channel count, and delivered treatment. CMS lists separately priced professional and technical components: modifier 26 identifies the professional interpretation, while modifier TC identifies equipment and staff; without either modifier, the code represents the global service.

CMS billing rules for 77772

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 RVU5.27 · 19%
  • Practice expense (office) RVU21.73 · 79%
  • Malpractice RVU0.39 · 1%

2.9K

Medicare services in 2024 · #2191 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.

77772 compared with similar codes

Office rates for Arkansas, from the same CMS release.

77770

HDR brachytherapy

Single channel, per fraction

$307.57

Both cover HDR interstitial or intracavitary brachytherapy. Use 77772 when treatment involves more than 12 channels; 77770 is the lower channel-count level.

77771

HDR brachytherapy

Interstitial or intracavitary, intermediate

$539.14

Both are in the HDR interstitial or intracavitary family. The channel count must support the complex level for 77772 rather than the intermediate level represented by 77771.

77767

Skin brachytherapy

One channel

$219.24

77767 is for HDR brachytherapy delivered to a skin surface. Use 77772 for interstitial or intracavitary treatment involving more than 12 channels.

77778

Interstitial brachytherapy

Complex source application

$835.46

77778 describes complex interstitial radiation application, while 77772 is the complex HDR interstitial or intracavitary treatment level selected by channel count.

Compare 77772 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

Office and facility base rates · shared scale starting at $0

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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 77772 in Arkansas.

PPRRVU2026_Oct_nonQPP.csv

9,166

Code
77772
Physician work
5.27
Practice expense
21.73
Malpractice
0.39

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office / nonfacility calculation for 77772 in Arkansas
ComponentRVULocality factorAdjusted
Physician work5.27× 1.0005.2700
Practice expense21.73× 0.85918.6661
Malpractice0.39× 0.5150.2009
Total RVUs24.1369
Conversion factor× 33.4009

Office / nonfacility rate, Arkansas$806.19

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.271
Practice expense21.730.859
Malpractice0.390.515

(5.27 × 1 + 21.73 × 0.859 + 0.39 × 0.515) × $33.4009 = $806.19

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.

77772 billing questions

How is this code distinguished from 77770 and 77771?

The channel count determines the level: 77772 is for treatment involving more than 12 channels. The lower codes cover fewer channels.

Can basic dosimetry be billed separately?

Basic dosimetry is included when performed as part of this service. The code covers complex HDR interstitial or intracavitary treatment, not a separate dosimetry-only service.

When should modifier 26 or TC be used?

CMS identifies modifier 26 for the professional interpretation and TC for the technical equipment and staff component. Report the code without either modifier for the global service.

What documentation supports the complex level?

Document the treatment site, applicator or catheter configuration, channel count, and treatment delivered. The record should support use of more than 12 channels.

Is this the right code for HDR treatment of a skin surface site?

No. This code is for interstitial or intracavitary treatment; HDR skin-surface treatment is represented by a different code family, including 77767 and 77768.

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 77772PPRRVU2026_Oct_nonQPP.csv, line 9,166 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)