CPT 77290
Global XXX ActiveTher rad simulaj field cplx
CPT 77290 Billing & Documentation Guide
CPT code 77290 (Ther rad simulaj field cplx) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.52, a non-facility practice expense RVU of 11.6, and a malpractice RVU of 0.1, a total non-facility RVU of 13.22 and facility RVU of 13.22. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $459.02, though rates vary from $385.31 to $616.85 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77290, 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 77290 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 77290 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 77290
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.52 | 1.52 |
| Practice Expense RVU | 11.6 | 11.6 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 13.22 | 13.22 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77290
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 | $512.86 | $512.86 | $478.07 - $616.85 | 29 |
| Florida | $446.01 | $446.01 | $426.19 - $462.55 | 3 |
| Georgia | $424.47 | $424.47 | $400.36 - $448.58 | 2 |
| Illinois | $431.7 | $431.7 | $409.73 - $454.95 | 4 |
| Michigan | $419.28 | $419.28 | $408.28 - $430.29 | 2 |
| North Carolina | $414.39 | $414.39 | $414.39 - $414.39 | 1 |
| New York | $489.96 | $489.96 | $421.2 - $520.9 | 5 |
| Ohio | $407.88 | $407.88 | $407.88 - $407.88 | 1 |
| Pennsylvania | $434.31 | $434.31 | $409.61 - $459 | 2 |
| Texas | $435.6 | $435.6 | $406.45 - $463.75 | 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 77290
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77290 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0591T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0592T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0593T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0596T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0694T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11920 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 11921 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 16000 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 16010 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 77290
What does CPT code 77290 mean? +
CPT code 77290 represents: Ther rad simulaj field cplx. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77290? +
The 2026 Medicare national average non-facility payment for CPT 77290 is $459.02. Rates range from $385.31 to $616.85 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77290? +
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 77290? +
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 June 1, 2026.
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