`77435` Sbrt management

What 77435 is

CMS fee schedule short descriptor: Sbrt management.

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 77435 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	11.57	6.71	0.92	19.20	$641.30
Facility (hospital, ASC)	11.57	6.71	0.92	19.20	$641.30

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.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 77435 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 77435? These codes are bundled into it

77435 is a Column 1 code in 230 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
`0591T`	Hlth&wb coaching indiv 1st	1 - modifier may bypass	Check pair
`0592T`	Hlth&wb coaching indiv f-up	1 - modifier may bypass	Check pair
`0593T`	Hlth&wb coaching group	1 - modifier may bypass	Check pair
`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
`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
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	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
`61781`	Scan proc cranial intra	0 - no modifier bypass	Check pair
`61782`	Scan proc cranial extra	0 - no modifier bypass	Check pair
`61783`	Scan proc spinal	0 - no modifier bypass	Check pair
`77427`	Radiation tx management x5	0 - no modifier bypass	Check pair
`77431`	Radiation therapy management	0 - no modifier bypass	Check pair
`77432`	Stereotactic radiation trmt	0 - no modifier bypass	Check pair
`77469`	Io radiation tx management	0 - no modifier bypass	Check pair
`77470`	Special radiation treatment	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

Showing 30 of 230 column 2 codes. Use the pair checker for any specific combination.

77435 is bundled into these codes

77435 appears as a Column 2 code in 8 active edits. Reported with one of these Column 1 codes on the same date of service, 77435 is the code that denies.

Column 1 code	Short description	Modifier indicator
`0395T`	Hdr elctr ntrst/ntrcv brchtx	0	Check pair
`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	1	Check pair
`77301`	Radiotherapy dose plan imrt	1	Check pair
`77371`	Srs multisource	0	Check pair
`77372`	Srs linear based	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.