Billing code 77306: Radiation planMedicare rate & RVUs in Nevada
Reports a simple external-beam radiation dose plan for one treatment area using a limited beam arrangement, with professional and technical billing options.
Medicare pays $149.96 for 77306 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 77306 covers
This service covers development of an isodose plan for external-beam radiation therapy. A radiation oncologist directs the prescription and plan, with dosimetrists and medical physicists commonly supporting the calculations and planning work. The simple level is associated with one treatment area and a straightforward arrangement, typically one or two opposed beams. It is used in radiation oncology practices and treatment centers to plan the intended dose distribution before treatment delivery.
Select this code when the documented plan meets the simple-level criteria; a more involved arrangement or multiple treatment areas may point to 77307 instead. The record should support the treatment area, beam arrangement, prescribed dose, and resulting plan. Report it for the planning service, not for each treatment fraction. CMS lists separately priced professional and technical components: modifier 26 identifies the professional portion, modifier TC the technical portion, and billing without either modifier represents the global service.
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.
77306 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $149.96 | Unavailable |
How the 77306 rate is calculated
Each of 77306’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 77306
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense3.05
3.05 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
4.5000
Conversion factor
$33.4009
Medicare rate
$150.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77306
The CMS indicators that decide how 77306 is paid alongside other services.
CMS payment indicators · 77306
Radiation plan
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77306 without 26 · national office
$150.30
Radiation plan
77306-26 · Professional component
$73.82
Pays only the interpretation and report.
77306 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 77307Isodose planning
- Choose 77306 for a simple plan with one treatment area and a straightforward beam arrangement. Use 77307 when the plan's arrangement or treatment areas meet the complex-level criteria.
- 77301IMRT planning
- 77306 describes simple teletherapy isodose planning; 77301 is for IMRT planning, a distinct planning approach.
- 77316Brachytherapy plan
- 77316 is for simple brachytherapy isodose planning, while 77306 is for external-beam teletherapy planning.
- 77321Radiation plan
- 77321 concerns a special teletherapy port plan. It is not the code for the basic simple isodose plan described by 77306.
77306 billing questions
How is 77306 distinguished from 77307?
Use 77306 for a simple plan involving one treatment area and a straightforward beam arrangement, typically one or two opposed beams. A more complex arrangement or multiple treatment areas may support 77307.
Is this code reported for each radiation treatment?
No. It represents development of the isodose plan, rather than delivery of each treatment fraction.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional portion and modifier TC identifies the technical portion; billing without either modifier represents the global service.
What documentation supports the simple plan level?
Document the treatment area, beam arrangement, prescribed dose, and planned dose distribution so the simple-level selection is supported.
Is 77306 used for brachytherapy planning?
No. This code is for teletherapy planning. Brachytherapy isodose planning is represented by codes such as 77316, 77317, or 77318, depending on plan complexity.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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