$157.69–$178.74
Use 77336 for recurring weekly physics review during therapy. Use 77370 for a separately requested, case-specific physics consultation.
On this page
CMS RVU26D · Effective 2026-10-01
77336 Physics review Medicare reimbursement rates in Massachusetts
Reports a medical physicist’s recurring review of radiation treatment records and delivery parameters during a course of therapy, counted by week. Compare 77336 office and facility rates across CMS payment localities in Massachusetts.
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 77336 in Massachusetts?
Massachusetts 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
$96.47–$109.36
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 77336: Weekly medical physics review
Reports a medical physicist’s recurring review of radiation treatment records and delivery parameters during a course of therapy, counted by week.
A medical physicist performs this recurring technical review during external-beam radiation therapy. The work can include checking treatment documentation, patient-specific parameters, dosimetry, and quality assurance for treatment delivery. It is distinct from creating the initial treatment plan and from the radiation oncologist’s treatment-management service.
Report the service by week of therapy, rather than by treatment fraction or each chart item reviewed. Documentation should support the week’s review and identify the treatment records or parameters assessed. CMS classifies 77336 as technical-component-only, with no physician-work RVU; a separate code covers interpretation. The technical review and any separately reported physician service must represent distinct documented work.
CMS billing rules for 77336
- 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) RVU2.69 · 97%
- Malpractice RVU0.07 · 3%
350.6K
Medicare services in 2024 · #282 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.
77336 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$69.61–$76.69
77300 represents a dose calculation; 77336 represents the physicist’s recurring review of treatment records and parameters.
$199.36–$213.44
77427 represents the radiation oncologist’s treatment-management service. It is distinct from 77336’s technical physics review.
Compare 77336 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
Metropolitan Boston →
Office / nonfacility
$109.36
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$96.47
Facility
Unavailable
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77336 billing questions
Is 77336 reported per treatment fraction?
No. It is reported per week of therapy, based on the documented weekly physics review rather than the number of fractions delivered.
How does 77336 differ from 77370?
77336 represents recurring physics review during treatment. 77370 is for a separately requested, special medical physics consultation addressing a specific problem.
Can 77336 be billed with radiation treatment management?
Yes, the weekly physics review is a distinct technical service from the radiation oncologist’s treatment-management service, reported separately when each service is performed and documented.
Should modifier 26 be appended to 77336?
No. CMS identifies 77336 as technical-component-only; a separate code covers interpretation.
What documentation supports 77336?
Record the week of therapy reviewed and the treatment documentation, parameters, dosimetry, or delivery quality checks assessed by the medical physicist.
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.
9,08077334,,Radiation treatment aid(s),A,,1.12,2.60,,2.60,NA,0.06,3.78,3.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,08177334,26,Radiation treatment aid(s),A,,1.12,0.63,,0.63,,0.05,1.80,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,08277334,TC,Radiation treatment aid(s),A,,0.00,1.97,,1.97,NA,0.01,1.98,1.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,08377336,,Radiation physics consult,A,,0.00,2.69,,2.69,NA,0.07,2.76,2.76,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,08477338,,Design mlc device for imrt,A,,4.18,9.79,,9.79,NA,0.25,14.22,14.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,08577338,26,Design mlc device for imrt,A,,4.18,2.38,,2.38,,0.18,6.74,6.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,08677338,TC,Design mlc device for imrt,A,,0.00,7.41,,7.41,NA,0.07,7.48,7.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00