$592.14
Use 77762 when the intracavitary application is documented at the intermediate level; 77761 is the simple-level sibling.
On this page
CMS RVU26D · Effective 2026-10-01
77761 Intracavitary brachytherapy Medicare reimbursement rates in Connecticut
Reports the simple-complexity application of an intracavitary radiation source, such as an applicator used for gynecologic brachytherapy. Compare 77761 office and facility rates across CMS payment localities in Connecticut.
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 77761 in Connecticut?
Connecticut 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
$450.74
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
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 Connecticut, from the same CMS release.
$839.02
Use 77763 for a documented complex intracavitary application, rather than the simple application represented by 77761.
$373.24
77770 describes remote afterloading HDR brachytherapy involving one channel. Choose based on the treatment technique and channel count, not the simple intracavitary application level.
Compare 77761 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
Connecticut →
Office / nonfacility
$450.74
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 77761 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
9,145
- Code
- 77761
- Physician work
- 3.75
- Practice expense
- 8.72
- Malpractice
- 0.23
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.75 | × 1.020 | 3.8250 |
| Practice expense | 8.72 | × 1.077 | 9.3914 |
| Malpractice | 0.23 | × 1.210 | 0.2783 |
| Total RVUs | 13.4947 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$450.74
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.75 | 1.02 |
| Practice expense | 8.72 | 1.077 |
| Malpractice | 0.23 | 1.21 |
(3.75 × 1.02 + 8.72 × 1.077 + 0.23 × 1.21) × $33.4009 = $450.74
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.
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.
9,14277750,,Infuse radioactive materials,A,,4.88,6.70,,6.70,NA,0.26,11.84,11.84,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,14377750,26,Infuse radioactive materials,A,,4.88,2.77,,2.77,,0.21,7.86,7.86,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,14477750,TC,Infuse radioactive materials,A,,0.00,3.93,,3.93,NA,0.05,3.98,3.98,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,14577761,,Apply intrcav radiat simple,A,,3.75,8.72,,8.72,NA,0.23,12.70,12.70,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,14677761,26,Apply intrcav radiat simple,A,,3.75,2.13,,2.13,,0.16,6.04,6.04,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,14777761,TC,Apply intrcav radiat simple,A,,0.00,6.59,,6.59,NA,0.07,6.66,6.66,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,14877762,,Apply intrcav radiat interm,A,,5.62,10.79,,10.79,NA,0.31,16.72,16.72,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808