$107.56–$114.91
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 Florida
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 Florida.
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 Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$69.88–$74.41
3 of 3 localities have a supported rate.
Facility setting
$69.88–$74.41
3 of 3 localities have a 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.
Where 77261 pays more and less in Florida
3 payment localities
$69.88 to $74.41
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 Florida, from the same CMS release.
$169.82–$182.98
Use 77263 for complex treatment planning. 77261 represents the simple level and should not be selected when the record supports complex planning.
$259.42–$281.65
77280 reports simple radiation field simulation, which establishes treatment setup geometry. 77261 reports the physician’s treatment-planning work, not the simulation procedure.
$474.67–$511.91
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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$72.02
Facility
$72.02
Miami →
Office / nonfacility
$74.41
Facility
$74.41
Rest Of Florida →
Office / nonfacility
$69.88
Facility
$69.88
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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