Billing code 77432: Stereotactic managementMedicare rate & RVUs in Delaware
Report physician management for a complete, single-session stereotactic radiation course targeting one or more cranial lesions.
Medicare pays $421.67 for 77432 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 77432 covers
77432 represents physician management of a complete stereotactic radiation course delivered in one session to one or more cranial lesions. It is used in stereotactic radiosurgery, commonly for intracranial targets treated by a radiation oncology team. The code describes the physician’s professional work, not the equipment-based delivery of radiation.
Select this code when the cranial stereotactic treatment course is completed in one session; a different management code is used for stereotactic body radiation therapy. Documentation should identify the cranial target or targets, the single-session course, and the physician’s management, interpretation, and report. CMS classifies 77432 as professional-component-only: the physician claim covers interpretation and report, while a separate code covers the technical portion of treatment delivery.
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.
77432 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $421.67 | $421.67 |
How the 77432 rate is calculated
Each of 77432’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 77432
RVUs × geographic indexes × conversion factor
Work7.72
7.72 RVUs× 1.000 GPCI
Practice expense4.37
4.37 RVUs× 1.000 GPCI
Malpractice0.61
0.61 RVUs× 1.000 GPCI
Adjusted RVUs
12.7000
Conversion factor
$33.4009
Medicare rate
$424.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77432
The CMS indicators that decide how 77432 is paid alongside other services.
CMS payment indicators · 77432
Stereotactic management
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 2 | Professional component only. |
77432 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 77371Srs multisource
- 77371 represents technical radiation delivery for a single-session cranial stereotactic course; 77432 represents the physician’s professional management, interpretation, and report.
- 77372Stereotactic radiosurgery
- 77372 is associated with technical delivery for a multisession cranial stereotactic course. 77432 is for professional management of a complete course in one session.
- 77435SBRT management
- 77435 is used for stereotactic body radiation therapy management. 77432 is specific to management of a single-session course for cranial lesions.
77432 billing questions
When should 77432 be used instead of 77435?
Use 77432 for management of a complete, single-session stereotactic course for cranial lesions. 77435 is the management code associated with stereotactic body radiation therapy.
Is the radiation delivery included in 77432?
No. 77432 represents the professional interpretation and report; a separate code covers the technical treatment delivery.
Can 77432 be reported once for each cranial lesion?
The code describes management of the complete one-session course for one or more cranial lesions, not a separate unit for each lesion.
What documentation supports 77432?
Document the cranial target or targets, that the complete course was delivered in one session, and the physician’s management, interpretation, and report.
How does 77432 differ from 77371?
77432 is the professional management service. 77371 represents the technical delivery for a complete single-session cranial stereotactic radiosurgery course.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 77432 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →