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77778 Apply interstit radiat compl

What 77778 is

CMS fee schedule short descriptor: Apply interstit radiat compl.

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 77778 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)8.5618.830.5427.93$932.89
Facility (hospital, ASC)8.5618.830.5427.93$932.89

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 (endoscopic or minor procedure: global period is the day of the procedure).

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Medically Unlikely Edit (MUE)

Medicare caps 77778 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 77778? These codes are bundled into it

77778 is a Column 1 code in 392 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
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0395THdr elctr ntrst/ntrcv brchtx0 - no modifier bypassCheck pair
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
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - 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
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair
12007Rpr s/n/ax/gen/trnk >30.0 cm1 - modifier may bypassCheck pair
12011Rpr f/e/e/n/l/m 2.5 cm/<1 - modifier may bypassCheck pair
12013Rpr f/e/e/n/l/m 2.6-5.0 cm1 - modifier may bypassCheck pair
12014Rpr f/e/e/n/l/m 5.1-7.5 cm1 - modifier may bypassCheck pair
12015Rpr f/e/e/n/l/m 7.6-12.5 cm1 - modifier may bypassCheck pair
12016Rpr fe/e/en/l/m 12.6-20.0 cm1 - modifier may bypassCheck pair
12017Rpr fe/e/en/l/m 20.1-30.0 cm1 - modifier may bypassCheck pair
12018Rpr f/e/e/n/l/m >30.0 cm1 - modifier may bypassCheck pair
12020Tx supfc wnd dehsn smpl clsr1 - modifier may bypassCheck pair
12021Tx supfc wnd dehsn w/packing1 - modifier may bypassCheck pair
12031Intmd rpr s/a/t/ext 2.5 cm/<1 - modifier may bypassCheck pair
12032Intmd rpr s/a/t/ext 2.6-7.51 - modifier may bypassCheck pair

Showing 30 of 392 column 2 codes. Use the pair checker for any specific combination.

77778 is bundled into these codes

77778 appears as a Column 2 code in 80 active edits. Reported with one of these Column 1 codes on the same date of service, 77778 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0868THi-res gastric ep mapping1Check pair
32701Thorax stereo rad targetw/tx0Check pair
37241Vasc embolize/occlude venous0Check pair
37242Vasc embolize/occlude artery0Check pair
37243Vasc embolize/occlude organ0Check pair
37244Vasc embolize/occlude bleed0Check pair
78015Thyroid met imaging1Check pair
78016Thyroid met imaging/studies1Check pair
78018Thyroid met imaging body1Check pair
78070Parathyroid planar imaging1Check pair
78075Adrenal cortex & medulla img1Check pair
78102Bone marrow imaging ltd1Check pair
78103Bone marrow imaging mult1Check pair
78104Bone marrow imaging body1Check pair
78110Plasma volume single1Check 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.