$324.95–$353.78
Both describe HDR radionuclide brachytherapy at the skin surface. Choose 77767 for one channel and 77768 for two or more channels.
On this page
CMS RVU26D · Effective 2026-10-01
77767 Skin brachytherapy Medicare reimbursement rates in Missouri
Report this service for high-dose-rate radionuclide brachytherapy delivered to a skin surface target through a single-channel applicator. Compare 77767 office and facility rates across CMS payment localities in Missouri.
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 77767 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$221.26–$240.59
3 of 3 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.
Where 77767 pays more and less in Missouri
3 payment localities
$221.26 to $240.59
Radiation oncology
About 77767: Single-channel skin surface HDR brachytherapy
Report this service for high-dose-rate radionuclide brachytherapy delivered to a skin surface target through a single-channel applicator.
This service covers high-dose-rate radionuclide brachytherapy delivered at the skin surface through a single-channel applicator. A radiation oncologist typically selects and positions the applicator over a localized target, such as a superficial skin cancer, and supervises the treatment in a radiation oncology setting. The service includes handling and loading the applicator when performed; it is distinct from brachytherapy delivered through interstitial or intracavitary sources.
Select this code when the skin-surface treatment uses one channel; use the related multiple-channel code when the applicator uses two or more channels. Document the treated site, applicator configuration, channel count, and treatment delivered. CMS recognizes separately priced professional and technical components: modifier 26 identifies the professional interpretation component, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.
CMS billing rules for 77767
- 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 RVU1.02 · 14%
- Practice expense (office) RVU6.40 · 85%
- Malpractice RVU0.09 · 1%
5.4K
Medicare services in 2024 · #1821 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.
77767 compared with similar codes
Office rates for Missouri, from the same CMS release.
$310.40–$335.87
This code is for skin-surface HDR treatment through a single-channel applicator; 77770 is for interstitial or intracavitary HDR brachytherapy.
$119.97–$128.45
77767 describes HDR skin-surface brachytherapy. 77789 describes surface application of a radionuclide using a different treatment technique.
Compare 77767 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$237.73
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$240.59
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$221.26
Facility
Unavailable
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77767 billing questions
How does this code differ from 77768?
The channel count distinguishes the two skin-surface HDR codes: 77767 is for one channel, while 77768 is for two or more. Record the applicator configuration in the treatment documentation.
Can the professional and technical portions be billed separately?
Yes. CMS separately prices modifier 26 for the professional component and modifier TC for the technical component; billing without either modifier represents the global service.
Does this code describe interstitial or intracavitary brachytherapy?
No. It describes HDR radionuclide treatment at the skin surface. Interstitial and intracavitary HDR treatments are represented by other codes in the brachytherapy family.
What documentation supports reporting 77767?
Document the skin target and site, the HDR radionuclide treatment, the applicator used, and that it has one channel. Include applicator handling and loading when performed.
Is applicator handling separately reported with this service?
Handling and loading of the applicator, when performed, are included in this service. Do not report them as separate services for the same treatment.
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.
9,15177763,,Apply intrcav radiat compl,A,,8.44,14.78,,14.78,NA,0.49,23.71,23.71,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,15277763,26,Apply intrcav radiat compl,A,,8.44,4.79,,4.79,,0.36,13.59,13.59,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,15377763,TC,Apply intrcav radiat compl,A,,0.00,9.99,,9.99,NA,0.13,10.12,10.12,1,090,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,15477767,,Hdr rdncl skn surf brachytx,A,,1.02,6.40,,6.40,NA,0.09,7.51,7.51,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,15577767,26,Hdr rdncl skn surf brachytx,A,,1.02,0.58,,0.58,,0.04,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,15677767,TC,Hdr rdncl skn surf brachytx,A,,0.00,5.82,,5.82,NA,0.05,5.87,5.87,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,15777768,,Hdr rdncl skn surf brachytx,A,,1.37,9.55,,9.55,NA,0.13,11.05,11.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00