77424
No office rateIo rad tx delivery by x-ray
77424 represents intraoperative radiation delivery by x-ray. Use 77469 for the physician’s management service, not as a substitute for the delivery code.
On this page
CMS RVU26D · Effective 2026-10-01
77469 IORT management Medicare reimbursement rates in Ohio
Reports physician management of intraoperative radiation treatment delivered during surgery, distinct from the separate code for delivering the radiation beam. Compare 77469 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 77469 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
No supported rate
Facility setting
$261.05
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 77469: Intraoperative radiation treatment management
Reports physician management of intraoperative radiation treatment delivered during surgery, distinct from the separate code for delivering the radiation beam.
This service represents the radiation oncologist’s management of radiation delivered in the operating room during a surgical procedure. Intraoperative radiation therapy may be used to treat a tumor bed or other selected target while the area is exposed during surgery. The radiation oncologist coordinates and manages the treatment in the operative setting with the surgical team; this is different from the technical act of delivering the beam.
Report 77469 for the management service when intraoperative radiation treatment is performed, and distinguish it from the modality-specific delivery service, such as intraoperative x-ray or electron treatment. Documentation should identify the operative treatment, the physician’s management work, and the relationship to the surgical procedure and radiation delivery. The code is not the selection for routine fraction-based radiation management or for stereotactic treatment management; those services have their own codes. CMS fee schedule data assigns work and practice expense values to this service.
Where the value comes from
- Work RVU5.61 · 70%
- Practice expense (office) RVU1.93 · 24%
- Malpractice RVU0.44 · 6%
354
Medicare services in 2024 · #3848 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.
77469 compared with similar codes
Office rates for Ohio, from the same CMS release.
77425
No office rateIo rad tx deliver by elctrns
77425 represents intraoperative radiation delivery by electrons. It identifies the delivery modality, while 77469 represents management.
$189.01
77427 is radiation treatment management counted in groups of five treatments. 77469 is specific to management of treatment delivered during surgery.
$138.42
77470 represents a special radiation treatment procedure, whereas 77469 specifically identifies management of intraoperative radiation treatment.
Compare 77469 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
Unavailable
Facility
$261.05
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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 77469 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
9,116
- Code
- 77469
- Physician work
- 5.61
- Practice expense
- 1.93
- Malpractice
- 0.44
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.61 | × 1.000 | 5.6100 |
| Practice expense | 1.93 | × 0.913 | 1.7621 |
| Malpractice | 0.44 | × 1.008 | 0.4435 |
| Total RVUs | 7.8156 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$261.05
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.61 | 1 |
| Practice expense | 1.93 | 0.913 |
| Malpractice | 0.44 | 1.008 |
(5.61 × 1 + 1.93 × 0.913 + 0.44 × 1.008) × $33.4009 = $261.05
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.
77469 billing questions
Is 77469 the code for delivering the intraoperative radiation beam?
No. It reports the physician’s management of intraoperative radiation treatment. The x-ray or electron delivery is represented by its modality-specific delivery code when applicable.
Can 77469 be reported with an intraoperative radiation delivery code?
They describe different services: physician management and radiation delivery. The record should support the management work separately from the delivery.
How is 77469 different from 77427?
77469 is specific to management of radiation treatment delivered during surgery. 77427 describes management for a course of radiation treatment counted in groups of five treatments.
What documentation supports 77469?
Document the intraoperative radiation treatment, the physician’s management involvement, and how the service relates to the operative treatment and beam delivery.
Does 77469 identify x-ray or electron treatment?
No. The management code does not specify the delivery modality. The applicable delivery code distinguishes intraoperative x-ray treatment from electron treatment.
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.
9,11377439,,Surf rad thr img gdn us plmt,A,,0.30,0.18,,0.18,NA,0.00,0.48,0.48,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11477439,26,Surf rad thr img gdn us plmt,A,,0.30,0.18,,0.18,,0.00,0.48,0.48,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11577439,TC,Surf rad thr img gdn us plmt,B,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11677469,,Io radiation tx management,A,,5.61,1.93,NA,1.93,,0.44,7.98,7.98,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11777470,,Special radiation treatment,A,,1.98,2.26,,2.26,NA,0.10,4.34,4.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11877470,26,Special radiation treatment,A,,1.98,1.12,,1.12,,0.08,3.18,3.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,11977470,TC,Special radiation treatment,A,,0.00,1.14,,1.14,NA,0.02,1.16,1.16,1,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