$399.36
77290 describes complex radiation treatment simulation. Use 77293 for the additional respiratory-motion assessment used to plan motion-managed delivery.
On this page
CMS RVU26D · Effective 2026-10-01
77293 Radiation simulation Medicare reimbursement rates in Oklahoma
Reports respiratory-motion imaging, such as 4D CT or gated acquisition, used to account for tumor movement when planning radiation treatment delivery. Compare 77293 office and facility rates across CMS payment localities in Oklahoma.
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 77293 in Oklahoma?
Oklahoma 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
$365.40
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Radiation oncology
About 77293: Respiratory motion management simulation
Reports respiratory-motion imaging, such as 4D CT or gated acquisition, used to account for tumor movement when planning radiation treatment delivery.
This add-on captures simulation work to assess how breathing moves a target and to support planning for motion-managed radiation delivery. A radiation oncology team may use 4D CT or gated image acquisition for tumors that move with respiration, such as lung or upper-abdominal targets. The radiation oncologist uses the resulting motion information in treatment planning; technical staff perform the imaging and related acquisition work.
Report 77293 with an eligible primary planning procedure, commonly 77295 for a 3D radiotherapy plan or 77301 for an IMRT plan. Documentation should identify the respiratory-motion assessment and the imaging or acquisition performed to guide motion management. CMS treats the code as an add-on paid within the primary procedure’s global period. It has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.
CMS billing rules for 77293
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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 RVU1.95 · 16%
- Practice expense (office) RVU9.98 · 83%
- Malpractice RVU0.10 · 1%
39.3K
Medicare services in 2024 · #877 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.
77293 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$447.36
77295 represents a 3D radiotherapy plan; 77293 captures respiratory-motion simulation work reported as an add-on to an eligible planning procedure.
$1,775.68
77301 is the IMRT planning service. 77293 describes respiratory-motion simulation and may be paired with the IMRT plan when appropriate.
Compare 77293 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
Oklahoma →
Office / nonfacility
$365.40
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 77293 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
9,038
- Code
- 77293
- Physician work
- 1.95
- Practice expense
- 9.98
- Malpractice
- 0.10
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.000 | 1.9500 |
| Practice expense | 9.98 | × 0.893 | 8.9121 |
| Malpractice | 0.10 | × 0.777 | 0.0777 |
| Total RVUs | 10.9398 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$365.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 9.98 | 0.893 |
| Malpractice | 0.1 | 0.777 |
(1.95 × 1 + 9.98 × 0.893 + 0.1 × 0.777) × $33.4009 = $365.40
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.
77293 billing questions
When is 77293 appropriate instead of 77290?
Use 77293 for simulation work that evaluates respiratory motion to plan motion-managed treatment delivery. Code 77290 describes complex radiation treatment simulation, not the respiratory-motion management service itself.
Which primary planning codes can be reported with 77293?
Common pairings include 77295 for a 3D radiotherapy plan and 77301 for an IMRT plan. Report 77293 as an add-on with an eligible primary procedure.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 77293?
Document the respiratory-motion assessment, the imaging or acquisition method, and how the resulting information supports motion-management treatment planning. The record should support the paired primary planning procedure as well.
How does the add-on status affect payment?
77293 must be billed with a primary procedure and is paid within that procedure’s global period. It is not reported as a stand-alone service.
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.
9,03577290,,Ther rad simulaj field cplx,A,,1.52,11.60,,11.60,NA,0.10,13.22,13.22,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03677290,26,Ther rad simulaj field cplx,A,,1.52,0.86,,0.86,,0.07,2.45,2.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03777290,TC,Ther rad simulaj field cplx,A,,0.00,10.74,,10.74,NA,0.03,10.77,10.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03877293,,Respirator motion mgmt simul,A,,1.95,9.98,,9.98,NA,0.10,12.03,12.03,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,03977293,26,Respirator motion mgmt simul,A,,1.95,1.10,,1.10,,0.07,3.12,3.12,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,04077293,TC,Respirator motion mgmt simul,A,,0.00,8.88,,8.88,NA,0.03,8.91,8.91,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,04177295,,3-d radiotherapy plan,A,,4.18,10.10,,10.10,NA,0.25,14.53,14.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193