77002 Needle localization by xray
What 77002 is
CMS fee schedule short descriptor: Needle localization by xray.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 77002 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.53 | 3.06 | 0.04 | 3.63 | $121.25 |
| Facility (hospital, ASC) | 0.53 | 3.06 | 0.04 | 3.63 | $121.25 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 77002 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 77002? These codes are bundled into it
77002 is a Column 1 code in 26 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0570T | Ttvr perq ea addl prosth | 1 - modifier may bypass | Check pair |
0571T | Insj/rplcmt icds ss eltrd | 1 - modifier may bypass | Check pair |
0572T | Insertion ss dfb electrode | 1 - modifier may bypass | Check pair |
0573T | Removal ss dfb electrode | 1 - modifier may bypass | Check pair |
0574T | Repos prev ss impl dfb eltrd | 1 - modifier may bypass | Check pair |
0581T | Abltj mal brst tum perq crtx | 1 - modifier may bypass | Check pair |
0582T | Trurl abltj mal prst8 tiss | 1 - modifier may bypass | Check pair |
0584T | Perq islet cell transplant | 1 - modifier may bypass | Check pair |
0585T | Laps islet cell transplant | 1 - modifier may bypass | Check pair |
0586T | Open islet cell transplant | 1 - modifier may bypass | Check pair |
0587T | Perq impltj/rplcmt isdns ptn | 1 - modifier may bypass | Check pair |
0588T | Revision/removal isdns ptn | 1 - modifier may bypass | Check pair |
0655T | Tprnl focal abltj mal prst8 | 1 - modifier may bypass | Check pair |
0901T | Plmt bone marrow smplg port | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
76000 | Fluoroscopy <1 hr phys/qhp | 1 - modifier may bypass | Check pair |
76125 | Cine/video x-rays add-on | 1 - modifier may bypass | Check pair |
77003 | Fluoroguide for spine inject | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99446 | Ntrprof ph1/ntrnet/ehr 5-10 | 1 - modifier may bypass | Check pair |
99447 | Ntrprof ph1/ntrnet/ehr 11-20 | 1 - modifier may bypass | Check pair |
99448 | Ntrprof ph1/ntrnet/ehr 21-30 | 1 - modifier may bypass | Check pair |
99449 | Ntrprof ph1/ntrnet/ehr 31/> | 1 - modifier may bypass | Check pair |
99451 | Ntrprof ph1/ntrnet/ehr 5/> | 1 - modifier may bypass | Check pair |
99452 | Ntrprof ph1/ntrnet/ehr rfrl | 1 - modifier may bypass | Check pair |
77002 is bundled into these codes
77002 appears as a Column 2 code in 2066 active edits. Reported with one of these Column 1 codes on the same date of service, 77002 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
00100 | Anes px salivary gland w/bx | 0 | Check pair |
00102 | Anes px plstc rpr cleft lip | 0 | Check pair |
00103 | Anes rcnstv px eyelid | 0 | Check pair |
00104 | Anes electroconvulsive ther | 0 | Check pair |
00120 | Anes px ear w/bx nos | 0 | Check pair |
00124 | Anes px ear otoscopy | 0 | Check pair |
00126 | Anes px ear tympanotomy | 0 | Check pair |
00140 | Anes procedures on eye nos | 0 | Check pair |
00142 | Anes px on eye lens surgery | 0 | Check pair |
00144 | Anes px eye corneal trnspl | 0 | Check pair |
00145 | Anes px eye vitreortnl surg | 0 | Check pair |
00147 | Anes px on eye iridectomy | 0 | Check pair |
00148 | Anes px eye ophthalmoscopy | 0 | Check pair |
00160 | Anes px nose&sinus nos | 0 | Check pair |
00162 | Anes px nose&sinus rad surg | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.