$74.04–$76.65
Use 77261 when the clinical treatment-planning work is simple; 77262 reflects intermediate planning complexity.
On this page
CMS RVU26D · Effective 2026-10-01
77262 Radiation planning Medicare reimbursement rates in New Jersey
Reports physician planning of an intermediate-complexity radiation treatment course, based on the documented clinical work needed to select the treatment approach. Compare 77262 office and facility rates across CMS payment localities in New Jersey.
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 77262 in New Jersey?
New Jersey 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
$113.71–$117.69
2 of 2 localities have a supported rate.
Facility setting
$113.71–$117.69
2 of 2 localities have a 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.
Radiation oncology
About 77262: Intermediate radiation treatment planning
Reports physician planning of an intermediate-complexity radiation treatment course, based on the documented clinical work needed to select the treatment approach.
A radiation oncologist reviews the patient’s clinical information and relevant imaging, defines the treatment target and considers nearby normal structures, then establishes the treatment approach. Planning decisions may address treatment modality, dose, and fractionation. This service is used in radiation oncology for planning an individual course of treatment; the treatment site alone does not determine its complexity level.
Choose the intermediate level when the documented planning work supports that degree of complexity, rather than the simpler or more complex levels. The record should show the clinical information reviewed and the reasoning behind the treatment approach and complexity assigned. CMS identifies this as a professional-component-only code: it represents the physician’s interpretation and report, while a separate code covers the technical portion. Simulation and treatment planning describe distinct work; report a simulation service separately when performed.
CMS billing rules for 77262
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU1.95 · 61%
- Practice expense (office) RVU1.14 · 36%
- Malpractice RVU0.12 · 4%
3.6K
Medicare services in 2024 · #2056 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.
77262 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$178.55–$184.62
Use 77263 when the documented clinical planning is complex. 77262 is for an intermediate level of planning work.
$492.82–$521.89
77285 describes intermediate-complexity simulation, not treatment planning. The two codes represent different work even when part of the same radiation treatment course.
$522.75–$548.65
77295 describes a three-dimensional radiotherapy plan. It is not the intermediate-complexity level in the 77261–77263 planning series.
Compare 77262 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
Northern Nj →
Office / nonfacility
$117.69
Facility
$117.69
Rest Of New Jersey →
Office / nonfacility
$113.71
Facility
$113.71
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77262 billing questions
How is 77262 distinguished from 77261 or 77263?
The levels distinguish the complexity of the clinical treatment planning. Select the intermediate level when the physician’s documented planning work supports it; the treatment site by itself does not establish the level.
Is simulation included in 77262?
No. Treatment planning and simulation are distinct services. Simulation codes, such as 77285 for intermediate-complexity simulation, describe simulation work rather than the physician’s treatment-planning decisions.
Does 77262 represent the professional or technical service?
It represents the professional component: the physician’s interpretation and report. CMS identifies a separate code for the technical portion.
Should modifier 26 be appended?
No. This is already a professional-component-only code; it does not represent a global service that needs modifier 26 to identify the professional portion.
What documentation supports the intermediate level?
Document the clinical information and imaging reviewed, the treatment approach selected, and the reasoning supporting intermediate planning complexity. A diagnosis or anatomic site alone does not establish the level.
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.
9,02477091,,Tbs techl calculation only,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
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