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CMS RVU26D · Effective 2026-10-01

77307 Isodose planning Medicare reimbursement rates in Ohio

Report complex teletherapy isodose planning when an external-beam radiation treatment plan requires the documented complexity of this planning level. Compare 77307 office and facility rates across CMS payment localities in Ohio.

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 77307 in Ohio?

Ohio 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

$273.73

1 of 1 localities have a supported rate.

Payment area: Ohio

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.

Find 77307 in your payment locality →

Radiation therapy planning

About 77307: Complex external beam isodose planning

Report complex teletherapy isodose planning when an external-beam radiation treatment plan requires the documented complexity of this planning level.

This service develops a dose-distribution plan for external-beam radiation therapy. The radiation oncologist establishes the prescription and treatment approach, with a medical dosimetrist or radiation physicist commonly carrying out planning calculations and preparing the isodose distribution. The plan uses treatment and anatomic information to shape how radiation beams cover the target while limiting exposure to nearby normal tissue. It is performed as part of radiation oncology treatment planning, rather than during delivery of each treatment fraction.

Select the complex planning level based on the documented features of the teletherapy plan, not simply the diagnosis or body site. The record should support the plan’s beam arrangement and complexity, dose calculations, and physician review. Basic dosimetry calculation is included in this planning service. CMS recognizes separately priced professional and technical portions: report modifier 26 for the professional interpretation and modifier TC for equipment and staff; without either modifier, the claim represents the global service.

CMS billing rules for 77307

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 RVU2.83 · 33%
  • Practice expense (office) RVU5.70 · 66%
  • Malpractice RVU0.16 · 2%

20.1K

Medicare services in 2024 · #1146 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.

77307 compared with similar codes

Office rates for Ohio, from the same CMS release.

77306

Radiation plan

Simple teletherapy plan

$141.46

Both cover teletherapy isodose planning; 77306 is the simple level, while 77307 is selected when the documented plan meets complex-level criteria.

77301

IMRT planning

Dose optimization and volume analysis

$1,814.61

77301 is for IMRT treatment planning. Use 77307 for complex teletherapy isodose planning when the service is not the IMRT planning service.

77300

Dosimetry calculation

Basic, per calculation

$63.17

77300 describes a basic dosimetry calculation, while 77307 covers the complex isodose plan and includes its basic dosimetry calculation.

77318

Brachytherapy plan

Complex isodose plan

$431.49

77318 is complex isodose planning for brachytherapy; 77307 is complex isodose planning for external-beam teletherapy.

Compare 77307 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

Office and facility base rates · shared scale starting at $0
  • Ohio →

    Office / nonfacility

    $273.73

    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 77307 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

9,056

Code
77307
Physician work
2.83
Practice expense
5.70
Malpractice
0.16

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office / nonfacility calculation for 77307 in Ohio
ComponentRVULocality factorAdjusted
Physician work2.83× 1.0002.8300
Practice expense5.70× 0.9135.2041
Malpractice0.16× 1.0080.1613
Total RVUs8.1954
Conversion factor× 33.4009

Office / nonfacility rate, Ohio$273.73

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.831
Practice expense5.70.913
Malpractice0.161.008

(2.83 × 1 + 5.7 × 0.913 + 0.16 × 1.008) × $33.4009 = $273.73

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.

77307 billing questions

How is 77307 distinguished from 77306?

Both describe teletherapy isodose planning, but 77307 is the complex level and 77306 is the simple level. Use the documented planning features and applicable CPT criteria to select the level.

Can 77300 be reported for the dosimetry calculation?

The basic dosimetry calculation is included in 77307. Do not separately report 77300 for that same calculation.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff. A claim without either modifier represents the global service.

Is 77307 used for IMRT planning?

Use 77301 for an IMRT treatment plan. Code 77307 describes complex teletherapy isodose planning rather than the IMRT planning service.

What documentation supports the complex planning level?

Document the treatment prescription, planning method and beam arrangement, dose calculations and distribution, and physician review. The record should show why the plan meets the complex 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.

RVUs for 77307PPRRVU2026_Oct_nonQPP.csv, line 9,056 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)