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CMS RVU26D · Effective 2026-10-01

77432 Stereotactic management Medicare reimbursement rates in Oklahoma

Report physician management for a complete, single-session stereotactic radiation course targeting one or more cranial lesions. Compare 77432 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 77432 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

$404.03

1 of 1 localities have a supported rate.

Payment area: Oklahoma

One mapped payment locality.

Facility setting

$404.03

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 77432 in your payment locality →

Radiation oncology

About 77432: Single-session cranial stereotactic management

Report physician management for a complete, single-session stereotactic radiation course targeting one or more cranial lesions.

77432 represents physician management of a complete stereotactic radiation course delivered in one session to one or more cranial lesions. It is used in stereotactic radiosurgery, commonly for intracranial targets treated by a radiation oncology team. The code describes the physician’s professional work, not the equipment-based delivery of radiation.

Select this code when the cranial stereotactic treatment course is completed in one session; a different management code is used for stereotactic body radiation therapy. Documentation should identify the cranial target or targets, the single-session course, and the physician’s management, interpretation, and report. CMS classifies 77432 as professional-component-only: the physician claim covers interpretation and report, while a separate code covers the technical portion of treatment delivery.

CMS billing rules for 77432

Professional and technical components
Professional-component-only code: interpretation and report; a separate code covers the technical portion.

Where the value comes from

  • Work RVU7.72 · 61%
  • Practice expense (office) RVU4.37 · 34%
  • Malpractice RVU0.61 · 5%

9.6K

Medicare services in 2024 · #1493 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.

77432 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

77371

Srs multisource

No office rate

77371 represents technical radiation delivery for a single-session cranial stereotactic course; 77432 represents the physician’s professional management, interpretation, and report.

77372

Stereotactic radiosurgery

Linear accelerator, one session

$833.15

77372 is associated with technical delivery for a multisession cranial stereotactic course. 77432 is for professional management of a complete course in one session.

77435

SBRT management

Per treatment course

$610.46

77435 is used for stereotactic body radiation therapy management. 77432 is specific to management of a single-session course for cranial lesions.

Compare 77432 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

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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 77432 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

9,106

Code
77432
Physician work
7.72
Practice expense
4.37
Malpractice
0.61

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office / nonfacility calculation for 77432 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work7.72× 1.0007.7200
Practice expense4.37× 0.8933.9024
Malpractice0.61× 0.7770.4740
Total RVUs12.0964
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$404.03

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.721
Practice expense4.370.893
Malpractice0.610.777

(7.72 × 1 + 4.37 × 0.893 + 0.61 × 0.777) × $33.4009 = $404.03

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.721
Practice expense4.370.893
Malpractice0.610.777

(7.72 × 1 + 4.37 × 0.893 + 0.61 × 0.777) × $33.4009 = $404.03

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.

77432 billing questions

When should 77432 be used instead of 77435?

Use 77432 for management of a complete, single-session stereotactic course for cranial lesions. 77435 is the management code associated with stereotactic body radiation therapy.

Is the radiation delivery included in 77432?

No. 77432 represents the professional interpretation and report; a separate code covers the technical treatment delivery.

Can 77432 be reported once for each cranial lesion?

The code describes management of the complete one-session course for one or more cranial lesions, not a separate unit for each lesion.

What documentation supports 77432?

Document the cranial target or targets, that the complete course was delivered in one session, and the physician’s management, interpretation, and report.

How does 77432 differ from 77371?

77432 is the professional management service. 77371 represents the technical delivery for a complete single-session cranial stereotactic radiosurgery course.

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 77432PPRRVU2026_Oct_nonQPP.csv, line 9,106 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)