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CMS RVU26D · Effective 2026-10-01

77316 Brachytherapy plan Medicare reimbursement rates in Michigan

Reports planning the dose distribution for a simple brachytherapy treatment, selected by the number of radioactive sources or calculation points. Compare 77316 office and facility rates across CMS payment localities in Michigan.

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 77316 in Michigan?

Michigan 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

$231.96–$244.38

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $12.42 per service.

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.

Find 77316 in your payment locality →

Radiation oncology

About 77316: Simple brachytherapy dose plan

Reports planning the dose distribution for a simple brachytherapy treatment, selected by the number of radioactive sources or calculation points.

A radiation oncology team uses this service to calculate and document how radiation from implanted or applicator-based radioactive sources will be distributed in the treated area. The plan accounts for source geometry and the prescribed dose; a radiation oncologist typically directs or reviews the plan, with dosimetry and physics staff supporting its preparation. Examples include planning for intracavitary or interstitial brachytherapy, rather than external-beam treatment.

Select this level when the plan falls in the simple category of one to four sources or calculation points; use the intermediate or complex sibling when the applicable count is higher. The record should support the selected category and include the prescription and resulting dose distribution. CMS recognizes professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the technical work, and no modifier represents the global service.

CMS billing rules for 77316

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 RVU1.37 · 18%
  • Practice expense (office) RVU5.97 · 80%
  • Malpractice RVU0.11 · 1%

3.6K

Medicare services in 2024 · #2065 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.

77316 compared with similar codes

Office rates for Michigan, from the same CMS release.

77317

Brachytherapy plan

Intermediate complexity

$303.74–$319.79

Both cover brachytherapy planning, but 77317 is the intermediate level for a higher source or calculation-point count than the simple category.

77318

Brachytherapy plan

Complex isodose plan

$432.26–$454.62

Use 77318 for the complex brachytherapy planning level; 77316 is limited to the simple category.

77306

Radiation plan

Simple teletherapy plan

$141.79–$148.57

77306 is for simple external-beam isodose planning. Use 77316 when the plan is for brachytherapy sources.

77300

Dosimetry calculation

Basic, per calculation

$63.33–$66.45

77300 reports a radiation dose calculation, not the brachytherapy isodose plan itself.

Compare 77316 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

Office and facility base rates · shared scale starting at $0

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77316 billing questions

How is the simple level distinguished from the intermediate level?

The simple category covers one to four sources or calculation points. The intermediate sibling, 77317, is for plans with a higher count.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical component involving equipment and staff. Without either modifier, the claim represents the global service.

Does this code report placement of the brachytherapy sources?

No. It reports the planning work that calculates the dose distribution; source placement or applicator insertion is a separate service.

What documentation supports the simple level?

Document the brachytherapy plan, prescription, resulting dose distribution, and source or calculation-point count supporting the simple category.

Should this be used for an external-beam isodose plan?

No. This code is for brachytherapy planning. External-beam isodose planning is represented by codes such as 77306 or 77307, depending on the plan's 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.

RVUs for 77316PPRRVU2026_Oct_nonQPP.csv, line 9,059 (RVU26D)