CPT 77402
Global XXX ActiveRadiation tx delivery lvl 1
This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.
CPT 77402 Billing & Documentation Guide
CPT code 77402 (Radiation tx delivery lvl 1) is classified under Radiology with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.
When billing 77402, 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 77402 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 2 units of 77402 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
2026 Medicare Reimbursement by State, CPT 77402
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 | $96.8 | $96.8 | $89.68 - $117.88 | 29 |
| Florida | $83.07 | $83.07 | $78.92 - $86.53 | 3 |
| Georgia | $78.54 | $78.54 | $73.49 - $83.6 | 2 |
| Illinois | $80.02 | $80.02 | $75.45 - $84.88 | 4 |
| Michigan | $77.47 | $77.47 | $75.16 - $79.77 | 2 |
| North Carolina | $76.46 | $76.46 | $76.46 - $76.46 | 1 |
| New York | $91.83 | $91.83 | $77.89 - $98.14 | 5 |
| Ohio | $75.08 | $75.08 | $75.08 - $75.08 | 1 |
| Pennsylvania | $80.55 | $80.55 | $75.45 - $85.64 | 2 |
| Texas | $80.86 | $80.86 | $74.78 - $86.82 | 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 77402
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77402 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 | No | 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 |
| 16015 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 16020 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 16025 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 77402
What does CPT code 77402 mean? +
CPT code 77402 represents: Radiation tx delivery lvl 1. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77402? +
The 2026 Medicare national average non-facility payment for CPT 77402 is $85.63. Rates range from $70.35 to $117.88 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77402? +
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 77402? +
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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