$112.54
77002 covers fluoroscopic needle placement, such as for biopsy, aspiration, injection, or localization. Use 77001 for guidance associated with central venous access device placement or replacement.
On this page
CMS RVU26D · Effective 2026-10-01
77001 Fluoroscopic guidance Medicare reimbursement rates in Nebraska
Reports fluoroscopic guidance and interpretation during central venous access device placement or replacement, alongside the primary access procedure. Compare 77001 office and facility rates across CMS payment localities in Nebraska.
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 77001 in Nebraska?
Nebraska 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
$90.99
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
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.
Vascular access imaging
About 77001: Fluoroscopic guidance for central access
Reports fluoroscopic guidance and interpretation during central venous access device placement or replacement, alongside the primary access procedure.
This service uses real-time X-ray imaging to guide placement or replacement of a central venous access device, such as a central catheter or implanted port. A physician performing the access procedure may use fluoroscopy to follow the wire and catheter and assess device position; radiology personnel may provide the imaging equipment and technical support. It is commonly performed in hospitals, procedure suites, and other settings where central venous access devices are placed or replaced.
Report 77001 only with a primary procedure for central venous access device placement or replacement; it is not a standalone service. The record should identify the associated access procedure, the fluoroscopic guidance provided, and the physician’s interpretation. CMS treats the service as having professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service. Payment for this add-on is within the primary procedure’s global period.
CMS billing rules for 77001
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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 RVU0.37 · 13%
- Practice expense (office) RVU2.53 · 86%
- Malpractice RVU0.05 · 2%
225K
Medicare services in 2024 · #361 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.
77001 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$97.10
77003 is for fluoroscopic guidance and localization during spine or paraspinous injection procedures. 77001 is tied to a central venous access device procedure.
$885.73
36561 reports placement of a tunneled central venous access device with a subcutaneous port in a patient age 5 or older. 77001 reports the associated fluoroscopic guidance, not the device placement itself.
Compare 77001 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
Nebraska →
Office / nonfacility
$90.99
Facility
Unavailable
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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 77001 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
8,925
- Code
- 77001
- Physician work
- 0.37
- Practice expense
- 2.53
- Malpractice
- 0.05
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.000 | 0.3700 |
| Practice expense | 2.53 | × 0.923 | 2.3352 |
| Malpractice | 0.05 | × 0.378 | 0.0189 |
| Total RVUs | 2.7241 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$90.99
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1 |
| Practice expense | 2.53 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.37 × 1 + 2.53 × 0.923 + 0.05 × 0.378) × $33.4009 = $90.99
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.
77001 billing questions
Can 77001 be reported by itself?
No. It is an add-on for fluoroscopic guidance associated with a primary central venous access device procedure and must be billed with that primary procedure.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation when professional and technical services are split. Use TC for the equipment and staff; without either modifier, the line represents the global service.
Is 77001 the code for placing the catheter or port?
No. The primary procedure code describes the central venous access device placement or replacement. 77001 reports the associated fluoroscopic guidance.
How does 77001 differ from 77002?
77001 is for fluoroscopic guidance associated with central venous access device placement or replacement. 77002 is used for fluoroscopic guidance for needle placement, such as for biopsy, aspiration, injection, or localization.
What documentation supports reporting 77001?
Document the primary central venous access procedure, the use of fluoroscopy to guide the device procedure, and the physician’s interpretation. The add-on must be linked to the primary procedure.
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.
8,92276999,,Echo examination procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,92376999,26,Echo examination procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,92476999,TC,Echo examination procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,92577001,,Fluoroguide for vein device,A,,0.37,2.53,,2.53,NA,0.05,2.95,2.95,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,92677001,26,Fluoroguide for vein device,A,,0.37,0.12,,0.12,,0.04,0.53,0.53,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,92777001,TC,Fluoroguide for vein device,A,,0.00,2.41,,2.41,NA,0.01,2.42,2.42,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,92877002,,Needle localization by xray,A,,0.53,3.06,,3.06,NA,0.04,3.63,3.63,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068