CPT 77387
Global XXX ActiveGuidance for radj tx dlvr
CPT 77387 Billing & Documentation Guide
CPT code 77387 (Guidance for radj tx dlvr) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.68, a non-facility practice expense RVU of 0.38, and a malpractice RVU of 0.03, a total non-facility RVU of 1.09 and facility RVU of 1.09. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $37.28, though rates vary from $34.13 to $48.14 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77387, 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 77387 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 77387 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 77387
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.68 | 0.68 |
| Practice Expense RVU | 0.38 | 0.38 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.09 | 1.09 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77387
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 | $39.09 | $39.09 | $37.55 - $44.05 | 29 |
| Florida | $37.4 | $37.4 | $36.35 - $38.46 | 3 |
| Georgia | $36.06 | $36.06 | $35.23 - $36.88 | 2 |
| Illinois | $36.97 | $36.97 | $35.87 - $37.93 | 4 |
| Michigan | $36.04 | $36.04 | $35.43 - $36.65 | 2 |
| North Carolina | $35.19 | $35.19 | $35.19 - $35.19 | 1 |
| New York | $39.31 | $39.31 | $35.47 - $41.12 | 5 |
| Ohio | $35.31 | $35.31 | $35.31 - $35.31 | 1 |
| Pennsylvania | $36.42 | $36.42 | $35.31 - $37.53 | 2 |
| Texas | $36.26 | $36.26 | $35.19 - $37.07 | 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 77387
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77387 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| G0463 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 32701 | Column 2 (secondary), bundled into primary | 9 | CPT Manual or CMS manual coding instruction |
| 61796 | Column 2 (secondary), bundled into primary | 9 | CPT Manual or CMS manual coding instruction |
| 61798 | Column 2 (secondary), bundled into primary | 9 | CPT Manual or CMS manual coding instruction |
| 63620 | Column 2 (secondary), bundled into primary | 9 | Mutually exclusive procedures |
| 77014 | Column 2 (secondary), bundled into primary | 9 | Mutually exclusive procedures |
| 77301 | Column 2 (secondary), bundled into primary | 9 | Misuse of Column Two code with Column One code |
| 77432 | Column 2 (secondary), bundled into primary | 9 | CPT Manual or CMS manual coding instruction |
| 77435 | Column 2 (secondary), bundled into primary | 9 | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 77387
What does CPT code 77387 mean? +
CPT code 77387 represents: Guidance for radj tx dlvr. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77387? +
The 2026 Medicare national average non-facility payment for CPT 77387 is $37.28. Rates range from $34.13 to $48.14 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77387? +
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 77387? +
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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