$75.87
Use 77402 when the treatment delivery meets the simpler-level criteria. The treatment site or diagnosis does not by itself make 77407 appropriate.
On this page
CMS RVU26D · Effective 2026-10-01
77407 Radiation delivery Medicare reimbursement rates in Indiana
Reports an intermediate-level external-beam radiation treatment delivery session, selected by the delivery’s CPT-defined complexity rather than the cancer site. Compare 77407 office and facility rates across CMS payment localities in Indiana.
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 77407 in Indiana?
Indiana 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
$286.45
1 of 1 localities have a supported rate.
Payment area: Indiana
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 77407: Intermediate-complexity radiation delivery
Reports an intermediate-level external-beam radiation treatment delivery session, selected by the delivery’s CPT-defined complexity rather than the cancer site.
Code 77407 represents the technical delivery of an intermediate-complexity external-beam radiation treatment. Radiation oncology teams commonly provide this service with a linear accelerator during a course of treatment for cancers such as breast, prostate, or head and neck cancer. The code describes a treatment delivery session, not the treatment plan or the physician’s ongoing management of the course. The tumor site alone does not determine the delivery level.
Select the level using the applicable CPT delivery criteria and document the treatment delivered, including the technical details that support intermediate-level classification. The record should make clear that a radiation treatment session occurred. CMS classifies 77407 as technical-component-only: it represents the technical service, while a separate code covers interpretation. It is not split into professional and technical portions for reporting. Do not use this level solely because it falls between the simpler and more complex levels; the documented delivery must meet its criteria.
CMS billing rules for 77407
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU9.22 · 99%
- Malpractice RVU0.06 · 1%
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.
77407 compared with similar codes
Office rates for Indiana, from the same CMS release.
$410.15
Use 77412 when the documented delivery meets the more complex-level criteria; 77407 is for the intermediate level.
77423
No office rateNeutron beam tx complex
77423 describes neutron-beam treatment delivery. Code 77407 is for an intermediate-level external-beam delivery session, not neutron-beam treatment.
Compare 77407 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
Indiana →
Office / nonfacility
$286.45
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 77407 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
9,098
- Code
- 77407
- Physician work
- 0.00
- Practice expense
- 9.22
- Malpractice
- 0.06
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 9.22 | × 0.927 | 8.5469 |
| Malpractice | 0.06 | × 0.486 | 0.0292 |
| Total RVUs | 8.5761 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$286.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 9.22 | 0.927 |
| Malpractice | 0.06 | 0.486 |
(0 × 1 + 9.22 × 0.927 + 0.06 × 0.486) × $33.4009 = $286.45
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.
77407 billing questions
How is 77407 distinguished from 77402 and 77412?
These codes represent different levels of radiation delivery complexity. Choose 77407 only when the documented delivery meets the intermediate-level CPT criteria; the diagnosis or body site alone does not establish the level.
Does 77407 include the physician’s interpretation?
No. CMS identifies 77407 as technical-component-only, and a separate code covers interpretation.
Should 77407 be split with modifier 26 and TC?
The CMS file classifies the code as technical-component-only rather than as a code with separately reported professional and technical portions. The interpretation is represented by a separate code.
What documentation supports reporting 77407?
Document that the radiation treatment delivery occurred and include the technical details supporting intermediate-level classification under the applicable CPT criteria.
Is 77407 reported for the treatment plan or weekly management?
No. It represents a treatment delivery session. Planning and management describe different services and should not be substituted for the delivery code.
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.
9,09577399,26,Unlisted px med radj physics,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,09677399,TC,Unlisted px med radj physics,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,09777402,,Radiation tx delivery lvl 1,A,,0.00,2.44,,2.44,NA,0.02,2.46,2.46,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,09877407,,Radiation tx delivery lvl 2,A,,0.00,9.22,,9.22,NA,0.06,9.28,9.28,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,09977412,,Radiation tx delivery lvl 3,A,,0.00,13.21,,13.21,NA,0.07,13.28,13.28,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10077417,,Ther radiology port image(s),B,+,0.00,0.00,,0.00,,0.02,0.02,0.02,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10177423,,Neutron beam tx complex,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915