$65.72
77261 is for simple treatment planning. Choose 77263 only when the documented planning decisions and work support the complex level.
On this page
CMS RVU26D · Effective 2026-10-01
77263 Treatment planning Medicare reimbursement rates in Mississippi
Reports a radiation oncologist’s complex treatment-planning work, including decisions about treatment approach, target coverage, and dose delivery for a radiation course. Compare 77263 office and facility rates across CMS payment localities in Mississippi.
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 77263 in Mississippi?
Mississippi 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
$158.17
1 of 1 localities have a supported rate.
Payment area: Mississippi
One mapped payment locality.
Facility setting
$158.17
1 of 1 localities have a supported rate.
Payment area: Mississippi
One mapped payment locality.
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 77263: Complex radiation treatment planning
Reports a radiation oncologist’s complex treatment-planning work, including decisions about treatment approach, target coverage, and dose delivery for a radiation course.
A radiation oncologist uses this service to develop a complex external-beam radiation treatment plan. The work can include reviewing the patient’s clinical history and diagnostic studies, defining the treatment target, selecting the treatment approach, and determining how dose will be delivered across the planned course. It is reported when the physician’s planning work is complex, such as when multiple treatment areas, modalities, or demanding dose and field-shaping decisions require substantial analysis. Complexity is supported by the documented planning work, not by the diagnosis or body site alone.
Report 77263 for the physician’s planning service, not for each radiation fraction delivered. The record should describe the treatment approach and the specific factors that make the planning complex, such as the areas treated, modalities considered, and dose or field decisions. CMS identifies this as a professional-component-only code for interpretation and report; a separate code covers the technical portion. Simulation and three-dimensional planning are distinct services and should be reported separately when performed and supported by their own documentation.
CMS billing rules for 77263
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU3.06 · 61%
- Practice expense (office) RVU1.74 · 35%
- Malpractice RVU0.24 · 5%
292.3K
Medicare services in 2024 · #316 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.
77263 compared with similar codes
Office rates for Mississippi, from the same CMS release.
$100.88
77262 represents intermediate planning; 77263 represents complex planning. The record should explain the planning demands supporting the higher level.
$386.83
77290 reports radiation simulation, which establishes treatment setup and geometry. 77263 reports the physician’s complex treatment-planning work.
$436.24
77295 reports a three-dimensional radiotherapy plan. It is distinct from the complex treatment-planning service reported with 77263.
Compare 77263 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
Mississippi →
Office / nonfacility
$158.17
Facility
$158.17
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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 77263 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
9,028
- Code
- 77263
- Physician work
- 3.06
- Practice expense
- 1.74
- Malpractice
- 0.24
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.06 | × 1.000 | 3.0600 |
| Practice expense | 1.74 | × 0.861 | 1.4981 |
| Malpractice | 0.24 | × 0.739 | 0.1774 |
| Total RVUs | 4.7355 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Mississippi$158.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.06 | 1 |
| Practice expense | 1.74 | 0.861 |
| Malpractice | 0.24 | 0.739 |
(3.06 × 1 + 1.74 × 0.861 + 0.24 × 0.739) × $33.4009 = $158.17
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.06 | 1 |
| Practice expense | 1.74 | 0.861 |
| Malpractice | 0.24 | 0.739 |
(3.06 × 1 + 1.74 × 0.861 + 0.24 × 0.739) × $33.4009 = $158.17
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.
77263 billing questions
How does 77263 differ from 77261 and 77262?
These codes represent different levels of treatment-planning complexity. Use 77263 when the documented planning work is complex rather than simple or intermediate; the diagnosis or treatment site alone does not establish the level.
Is 77263 the same service as radiation simulation?
No. Treatment planning determines the approach and dose strategy; simulation establishes treatment geometry and setup. Report simulation separately when performed and documented.
Does 77263 include a three-dimensional radiotherapy plan?
The planning service and a three-dimensional radiotherapy plan are distinct. When a separate 3D plan is performed and documented, code 77295 may also be reported.
Should 77263 be billed for every treatment fraction?
No. It reports planning work, not each delivered fraction. Documentation should support the complex planning service for the radiation course.
How should the professional and technical work be reported?
CMS identifies 77263 as professional-component-only for interpretation and report. A separate code covers the technical portion; the record should support the physician’s planning work.
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.
9,02577092,,Tbs i&r fx rsk qhp,A,,0.20,0.09,,0.09,,0.01,0.30,0.30,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02677261,,Ther radiology tx plng smpl,A,,1.27,0.75,,0.75,,0.07,2.09,2.09,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02777262,,Ther radiology tx plng intrm,A,,1.95,1.14,,1.14,,0.12,3.21,3.21,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02877263,,Ther radiology tx plng cplx,A,,3.06,1.74,,1.74,,0.24,5.04,5.04,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02977280,,Ther rad simulaj field smpl,A,,0.68,7.35,,7.35,NA,0.04,8.07,8.07,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03077280,26,Ther rad simulaj field smpl,A,,0.68,0.40,,0.40,,0.03,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03177280,TC,Ther rad simulaj field smpl,A,,0.00,6.95,,6.95,NA,0.01,6.96,6.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974