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CMS RVU26D · Effective 2026-10-01

77370 Radiation physics consult Medicare reimbursement rates in Michigan

A medical physicist performs a physician-requested, case-specific analysis or measurement for unusual radiation treatment circumstances beyond routine planning and review. Compare 77370 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 77370 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

$138.92–$149.30

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $10.38 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 77370 in your payment locality →

Radiation oncology physics

About 77370: Special radiation physics consultation

A medical physicist performs a physician-requested, case-specific analysis or measurement for unusual radiation treatment circumstances beyond routine planning and review.

A radiation oncologist may request a medical physicist’s focused analysis when a patient’s treatment presents unusual technical circumstances. The physicist may perform case-specific calculations or measurements and assess how those findings affect the treatment setup or delivery. This work is distinct from routine dose planning and ongoing physics review during a course of radiation therapy.

Report 77370 for the special technical consultation, supported by the physician’s request and a written physicist report describing the unusual circumstance, work performed, and findings. The record should show why routine planning or review was insufficient. CMS classifies this as a technical-component-only code; a separate code covers interpretation. The fee schedule assigns no physician work RVUs to this code, reflecting that its reported service is the technical physics work rather than interpretation.

CMS billing rules for 77370

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) RVU4.37 · 97%
  • Malpractice RVU0.15 · 3%

12K

Medicare services in 2024 · #1374 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.

77370 compared with similar codes

Office rates for Michigan, from the same CMS release.

77336

Physics review

Per week of therapy

$84.67–$90.65

Choose 77370 for a special, physician-requested analysis tied to unusual treatment circumstances. Choose 77336 for ongoing physics review during the treatment course.

77300

Dosimetry calculation

Basic, per calculation

$63.33–$66.45

77300 represents radiation dose calculation work. 77370 represents a broader special physics consultation when unusual circumstances call for focused analysis or measurement.

77301

IMRT planning

Dose optimization and volume analysis

$1,817.44–$1,917.65

77301 is for IMRT treatment planning. It does not represent the separate special physics consultation that may be needed for unusual technical circumstances.

Compare 77370 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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77370 billing questions

How does 77370 differ from 77336?

Use 77370 for a physician-requested, case-specific physics analysis prompted by unusual treatment circumstances. Code 77336 represents ongoing physics review during a radiation treatment course.

Can routine dose calculation be reported as 77370?

No. A routine dose calculation is distinct from the special consultation reported with 77370; document the unusual circumstance and the additional physics work.

Does 77370 include the physician’s interpretation?

CMS identifies 77370 as technical-component-only. Interpretation is covered by a separate code.

What documentation supports 77370?

Keep the radiation oncologist’s request and the physicist’s report. The report should identify the unusual treatment issue, the calculations or measurements performed, and the resulting findings.

Is 77370 reported for every complex radiation plan?

No. Complexity alone is not the service; the record should support a distinct, physician-requested physics consultation beyond routine planning or review.

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 77370PPRRVU2026_Oct_nonQPP.csv, line 9,087 (RVU26D)