CPT 77002
Global ZZZ ActiveNeedle localization by xray
CPT 77002 Billing & Documentation Guide
CPT code 77002 (Needle localization by xray) is classified under Radiology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.53, a non-facility practice expense RVU of 3.06, and a malpractice RVU of 0.04, a total non-facility RVU of 3.63 and facility RVU of 3.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $125.87, though rates vary from $106.19 to $167.75 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77002, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 77002 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 77002 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 77002
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.53 | 0.53 |
| Practice Expense RVU | 3.06 | 3.06 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 3.63 | 3.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77002
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $140 | $140 | $130.74 - $167.75 | 29 |
| Florida | $122.85 | $122.85 | $117.42 - $127.48 | 3 |
| Georgia | $116.83 | $116.83 | $110.46 - $123.2 | 2 |
| Illinois | $119.07 | $119.07 | $113.11 - $125.16 | 4 |
| Michigan | $115.56 | $115.56 | $112.53 - $118.58 | 2 |
| North Carolina | $113.92 | $113.92 | $113.92 - $113.92 | 1 |
| New York | $134.38 | $134.38 | $115.74 - $142.84 | 5 |
| Ohio | $112.36 | $112.36 | $112.36 - $112.36 | 1 |
| Pennsylvania | $119.4 | $119.4 | $112.79 - $126.01 | 2 |
| Texas | $119.66 | $119.66 | $111.95 - $127.06 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 77002
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77002 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01922 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0548T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0570T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0571T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0572T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0573T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0574T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0581T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0582T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0584T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 77002
What does CPT code 77002 mean? +
CPT code 77002 represents: Needle localization by xray. It's in the Radiology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 77002? +
The 2026 Medicare national average non-facility payment for CPT 77002 is $125.87. Rates range from $106.19 to $167.75 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77002? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 77002? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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