Billing code 77762: Intracavitary radiationMedicare rate & RVUs in Ohio
Reports intermediate-complexity placement of radioactive sources within a body cavity, commonly for brachytherapy delivered through an intracavitary applicator.
Medicare pays $527.19 for 77762 in the office in Ohio (Ohio). 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 77762 covers
A radiation oncologist reports this service for intermediate-complexity placement of radioactive sources inside a body cavity for brachytherapy. A common setting is treatment of gynecologic cancer, such as cervical cancer, using an intracavitary applicator placed in the uterus or vagina. The work centers on applying the source through the cavity-based approach; it is distinct from placing sources within tissue or delivering high-dose-rate treatment categorized by channel count.
Select the intermediate level based on the documented complexity of the intracavitary application, not simply the diagnosis or treatment site. The operative or procedure note should describe the applicator and source placement and support why the service is intermediate rather than simple or complex. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. The service may be billed globally or with modifier 26 for the professional interpretation portion and modifier TC for the technical equipment and staff portion. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.
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.
77762 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $527.19 | Unavailable |
How the 77762 rate is calculated
Each of 77762’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 · 77762
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.62Practice expense 10.79Malpractice 0.31
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 77762
77762 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 77762
Intracavitary radiation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| 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. |
| Split (54/55/56) | 0.00/0.00/0.00 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 77762
Intracavitary radiation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77762 without 26 · national office
$558.46
Intracavitary radiation
77762-26 · Professional component
$302.28
Pays only the interpretation and report.
77762 compared with similar codes
Compare codes
77762 vs 77761 vs 77763 vs 77770: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 77761Intracavitary brachytherapy
- Use 77761 when the intracavitary application is documented as simple. This code represents the intermediate level.
- 77763Brachytherapy application
- Use 77763 when the intracavitary application is documented as complex. This code represents the intermediate level.
- 77770HDR brachytherapy
- 77770 describes high-dose-rate brachytherapy delivery in a channel-count category. This code describes an intermediate-complexity intracavitary source application.
77762 billing questions
How does this differ from 77761 or 77763?
These codes distinguish simple, intermediate, and complex intracavitary applications. The operative documentation should support the level of application performed; the treatment site alone does not determine the level.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation portion, modifier TC identifies the technical equipment and staff portion, and billing without either modifier represents the global service.
Does this code have a global period?
Yes. CMS assigns a 90-day global period that includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can modifier 50 or an assistant surgeon be reported?
Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
What documentation supports the intermediate level?
Document the intracavitary approach, applicator and source placement, and the procedural details that support an intermediate rather than simple or complex application.
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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