Home / Medicare fees / 77318

77318 Brachytx isodose complex

What 77318 is

CMS fee schedule short descriptor: Brachytx isodose complex.

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 77318 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)2.8310.840.1913.86$462.94
Facility (hospital, ASC)2.8310.840.1913.86$462.94

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: Global concept does not apply.

Advertisement

Medically Unlikely Edit (MUE)

Medicare caps 77318 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: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 77318? These codes are bundled into it

77318 is a Column 1 code in 220 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 codeShort descriptionModifier indicator
0591THlth&wb coaching indiv 1st1 - modifier may bypassCheck pair
0592THlth&wb coaching indiv f-up1 - modifier may bypassCheck pair
0593THlth&wb coaching group1 - modifier may bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj0 - no modifier bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt0 - no modifier bypassCheck pair
0694T3d vol img&rcnstj brst/ax0 - no modifier bypassCheck pair
0944T3d cntr simula trgt lvr les1 - modifier may bypassCheck pair
11920Correct skin color 6.0 cm/<0 - no modifier bypassCheck pair
11921Correct skn color 6.1-20.0cm0 - no modifier bypassCheck pair
16000Initial treatment of burn(s)0 - no modifier bypassCheck pair
16020Dress/debrid p-thick burn s0 - no modifier bypassCheck pair
16025Dress/debrid p-thick burn m0 - no modifier bypassCheck pair
16030Dress/debrid p-thick burn l0 - no modifier bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36425Venipuncture cutdown 1 yr/>0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
51701Insert bladder catheter0 - no modifier bypassCheck pair
51702Insert temp bladder cath0 - no modifier bypassCheck pair
51703Insert bladder cath complex0 - no modifier bypassCheck pair
763763d render w/intrp postproces0 - no modifier bypassCheck pair
763773d render w/intrp postproces0 - no modifier bypassCheck pair
77300Radiation therapy dose plan0 - no modifier bypassCheck pair
77316Brachytx isodose plan simple1 - modifier may bypassCheck pair
77317Brachytx isodose intermed0 - no modifier bypassCheck pair
77336Radiation physics consult1 - modifier may bypassCheck pair
90832Psytx w pt 30 minutes0 - no modifier bypassCheck pair
90833Psytx w pt w e/m 30 min0 - no modifier bypassCheck pair
90834Psytx w pt 45 minutes0 - no modifier bypassCheck pair

Showing 30 of 220 column 2 codes. Use the pair checker for any specific combination.

77318 is bundled into these codes

77318 appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, 77318 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0395THdr elctr ntrst/ntrcv brchtx0Check pair
32701Thorax stereo rad targetw/tx0Check pair
61796Srs cranial lesion simple0Check pair
61798Srs cranial lesion complex0Check pair
63620Srs spinal lesion1Check pair
772953-d radiotherapy plan1Check pair
77301Radiotherapy dose plan imrt0Check pair
77371Srs multisource1Check pair
77372Srs linear based1Check pair
77373Strtctc bdy rad ther tx dlvr1Check pair
G0339Robot lin-radsurg com, first1Check pair
G0340Robt lin-radsurg fractx 2-51Check 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.