Use 77436 for planning. Code 77437 reports superficial radiation delivery at up to 150 kV.
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CMS RVU26D · Effective 2026-10-01
77436 Radiation planning Medicare reimbursement rates in Maine
Planning for superficial radiation therapy is reported when the treatment approach for a superficial target is developed before radiation delivery. Compare 77436 office and facility rates across CMS payment localities in Maine.
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 77436 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$73.87–$77.54
2 of 2 localities have a supported rate.
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 77436: Superficial radiation treatment planning
Planning for superficial radiation therapy is reported when the treatment approach for a superficial target is developed before radiation delivery.
This service covers planning for superficial radiation therapy, used when radiation is directed at a target near the body surface. A radiation oncologist typically determines the treatment approach for the target; the planning work may involve the radiation oncology team in an outpatient cancer center. It is distinct from delivering a treatment fraction or providing treatment management during a course of radiation.
Report the planning service when the record supports a plan for superficial radiation treatment, with documentation identifying the target and the planned approach. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service.
CMS billing rules for 77436
- 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 RVU0.77 · 33%
- Practice expense (office) RVU1.54 · 66%
- Malpractice RVU0.04 · 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.
77436 compared with similar codes
Office rates for Maine, from the same CMS release.
Use 77436 for planning. Code 77438 reports superficial radiation delivery above 150 kV through 500 kV.
Code 77439 represents ultrasound image guidance for superficial radiation delivery; it does not describe the planning service reported with 77436.
Compare 77436 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$73.87
Facility
Unavailable
Southern Maine →
Office / nonfacility
$77.54
Facility
Unavailable
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77436 billing questions
How is this different from codes 77437 and 77438?
Code 77436 is for planning. Codes 77437 and 77438 describe superficial radiation treatment delivery, distinguished by the treatment energy.
Can the professional and technical portions be billed separately?
Yes. CMS lists modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff. Without a modifier, the service is billed globally.
What documentation supports reporting 77436?
The record should identify the superficial treatment target and document the treatment approach developed for it.
Is 77439 the same service as this planning code?
No. Code 77439 is for ultrasound image guidance associated with superficial radiation treatment delivery; 77436 represents planning.
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.
