77402 Radiation tx delivery lvl 1
What 77402 is
CMS fee schedule short descriptor: Radiation tx delivery lvl 1.
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 77402 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.00 | 2.44 | 0.02 | 2.46 | $82.17 |
| Facility (hospital, ASC) | 0.00 | 2.44 | 0.02 | 2.46 | $82.17 |
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.
Medically Unlikely Edit (MUE)
Medicare caps 77402 at 2 units 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 77402? These codes are bundled into it
77402 is a Column 1 code in 108 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 | |
|---|---|---|---|
0596T | Temp fml iu vlv-pmp 1st insj | 0 - no modifier bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 0 - no modifier bypass | Check pair |
0694T | 3d vol img&rcnstj brst/ax | 0 - no modifier bypass | Check pair |
11920 | Correct skin color 6.0 cm/< | 0 - no modifier bypass | Check pair |
11921 | Correct skn color 6.1-20.0cm | 0 - no modifier bypass | Check pair |
16000 | Initial treatment of burn(s) | 0 - no modifier bypass | Check pair |
16020 | Dress/debrid p-thick burn s | 0 - no modifier bypass | Check pair |
16025 | Dress/debrid p-thick burn m | 0 - no modifier bypass | Check pair |
16030 | Dress/debrid p-thick burn l | 0 - no modifier bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36425 | Venipuncture cutdown 1 yr/> | 0 - no modifier bypass | Check pair |
51701 | Insert bladder catheter | 0 - no modifier bypass | Check pair |
51702 | Insert temp bladder cath | 0 - no modifier bypass | Check pair |
51703 | Insert bladder cath complex | 0 - no modifier bypass | Check pair |
76376 | 3d render w/intrp postproces | 0 - no modifier bypass | Check pair |
76377 | 3d render w/intrp postproces | 0 - no modifier bypass | Check pair |
90832 | Psytx w pt 30 minutes | 0 - no modifier bypass | Check pair |
90833 | Psytx w pt w e/m 30 min | 0 - no modifier bypass | Check pair |
90834 | Psytx w pt 45 minutes | 0 - no modifier bypass | Check pair |
90836 | Psytx w pt w e/m 45 min | 0 - no modifier bypass | Check pair |
90837 | Psytx w pt 60 minutes | 0 - no modifier bypass | Check pair |
90838 | Psytx w pt w e/m 60 min | 0 - no modifier bypass | Check pair |
90839 | Psytx crisis initial 60 min | 0 - no modifier bypass | Check pair |
90846 | Family psytx w/o pt 50 min | 0 - no modifier bypass | Check pair |
90847 | Family psytx w/pt 50 min | 0 - no modifier bypass | Check pair |
96360 | Hydration iv infusion init | 0 - no modifier bypass | Check pair |
96361 | Hydrate iv infusion add-on | 0 - no modifier bypass | Check pair |
96365 | Ther/proph/diag iv inf init | 0 - no modifier bypass | Check pair |
96366 | Ther/proph/diag iv inf addon | 0 - no modifier bypass | Check pair |
Showing 30 of 108 column 2 codes. Use the pair checker for any specific combination.
77402 is bundled into these codes
77402 appears as a Column 2 code in 19 active edits. Reported with one of these Column 1 codes on the same date of service, 77402 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
32701 | Thorax stereo rad targetw/tx | 0 | Check pair |
61796 | Srs cranial lesion simple | 0 | Check pair |
61798 | Srs cranial lesion complex | 0 | Check pair |
63620 | Srs spinal lesion | 0 | Check pair |
77301 | Radiotherapy dose plan imrt | 1 | Check pair |
77371 | Srs multisource | 0 | Check pair |
77372 | Srs linear based | 0 | Check pair |
77373 | Strtctc bdy rad ther tx dlvr | 0 | Check pair |
77407 | Radiation tx delivery lvl 2 | 1 | Check pair |
77412 | Radiation tx delivery lvl 3 | 1 | Check pair |
77423 | Neutron beam tx complex | 1 | Check pair |
77520 | Proton trmt simple w/o comp | 0 | Check pair |
77522 | Proton trmt simple w/comp | 0 | Check pair |
77523 | Proton trmt intermediate | 0 | Check pair |
77525 | Proton treatment complex | 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.