$894.30
77373 reports SBRT treatment delivery by fraction. 77435 reports the physician’s professional management of the treatment course.
On this page
CMS RVU26D · Effective 2026-10-01
77435 SBRT management Medicare reimbursement rates in Ohio
Reports the radiation oncologist’s professional management of an SBRT treatment course, including oversight for one or more targeted lesions. Compare 77435 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 77435 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
$622.04
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$622.04
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
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 77435: Stereotactic body radiation management
Reports the radiation oncologist’s professional management of an SBRT treatment course, including oversight for one or more targeted lesions.
77435 represents the radiation oncologist’s management of a stereotactic body radiation therapy course, rather than delivery of each radiation fraction. The physician oversees treatment for one or more targeted lesions, reviews the patient’s progress and treatment information, and addresses clinical issues during the course. SBRT is commonly used for carefully targeted tumors, including lesions in the lung, liver, or spine. Radiation oncologists typically provide this service in hospital outpatient departments and freestanding radiation oncology centers.
Report 77435 once for the treatment course, not once per lesion or fraction. Documentation should identify the SBRT course and lesions treated and support the physician’s management of the patient during treatment. CMS classifies 77435 as professional-component-only: it represents the physician’s interpretation and report, while a separate code covers the technical service. The SBRT delivery service is reported separately with 77373 when appropriate; 77435 is not the fraction-by-fraction delivery code.
CMS billing rules for 77435
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU11.57 · 60%
- Practice expense (office) RVU6.71 · 35%
- Malpractice RVU0.92 · 5%
53.3K
Medicare services in 2024 · #757 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.
77435 compared with similar codes
Office rates for Ohio, from the same CMS release.
$411.66
77432 applies to management of a complete one-session stereotactic treatment for cranial lesions; 77435 describes SBRT course management.
$189.01
77427 is used for radiation management counted in five-treatment units. 77435 is specific to management of an SBRT course.
Compare 77435 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
Ohio →
Office / nonfacility
$622.04
Facility
$622.04
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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 77435 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
9,107
- Code
- 77435
- Physician work
- 11.57
- Practice expense
- 6.71
- Malpractice
- 0.92
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.57 | × 1.000 | 11.5700 |
| Practice expense | 6.71 | × 0.913 | 6.1262 |
| Malpractice | 0.92 | × 1.008 | 0.9274 |
| Total RVUs | 18.6236 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$622.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.57 | 1 |
| Practice expense | 6.71 | 0.913 |
| Malpractice | 0.92 | 1.008 |
(11.57 × 1 + 6.71 × 0.913 + 0.92 × 1.008) × $33.4009 = $622.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.57 | 1 |
| Practice expense | 6.71 | 0.913 |
| Malpractice | 0.92 | 1.008 |
(11.57 × 1 + 6.71 × 0.913 + 0.92 × 1.008) × $33.4009 = $622.04
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.
77435 billing questions
Is 77435 reported per fraction or per treatment course?
Report it for the SBRT treatment course, not for each delivery fraction. The number of lesions treated does not create additional units of 77435.
How does 77435 differ from 77373?
77435 represents the radiation oncologist’s professional management of the course. 77373 reports SBRT treatment delivery by fraction.
Should modifier 26 be appended to 77435?
No. CMS identifies 77435 as professional-component-only, so modifier 26 is not needed to designate its professional service. The technical service is reported separately.
Can 77435 be reported for a single-session cranial stereotactic treatment?
Compare the clinical service with 77432, which describes management of a complete one-session stereotactic treatment for cranial lesions. 77435 is for SBRT course management.
When would 77427 be considered instead?
77427 describes radiation treatment management in a five-treatment unit for conventional radiation therapy. Use 77435 for management of an SBRT course, not routine management counted in five-treatment units.
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.
9,10477427,,Radiation tx management x5,A,,3.37,2.22,,2.22,,0.26,5.85,5.85,2,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10577431,,Radiation therapy management,A,,1.76,1.29,,1.29,,0.14,3.19,3.19,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10677432,,Stereotactic radiation trmt,A,,7.72,4.37,,4.37,,0.61,12.70,12.70,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10777435,,Sbrt management,A,,11.57,6.71,,6.71,,0.92,19.20,19.20,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10877436,,Surf radj ther tx planning,A,,0.77,1.54,,1.54,NA,0.04,2.35,2.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,10977436,26,Surf radj ther tx planning,A,,0.77,0.45,,0.45,,0.03,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11077436,TC,Surf radj ther tx planning,A,,0.00,1.09,,1.09,NA,0.01,1.10,1.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703