CPT 77435
Global XXX ActiveSbrt management
CPT 77435 Billing & Documentation Guide
CPT code 77435 (Sbrt management) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 11.57, a non-facility practice expense RVU of 6.71, and a malpractice RVU of 0.92, a total non-facility RVU of 19.2 and facility RVU of 19.2. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $654.55, though rates vary from $594.79 to $835.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77435, 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 77435 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 77435 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 77435
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 11.57 | 11.57 |
| Practice Expense RVU | 6.71 | 6.71 |
| Malpractice RVU | 0.92 | 0.92 |
| Total RVU | 19.2 | 19.2 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77435
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 | $682.15 | $682.15 | $655.12 - $768.61 | 29 |
| Florida | $671.13 | $671.13 | $646.89 - $697.47 | 3 |
| Georgia | $637.61 | $637.61 | $622.99 - $652.22 | 2 |
| Illinois | $663.08 | $663.08 | $639.1 - $684.92 | 4 |
| Michigan | $640.15 | $640.15 | $625.76 - $654.53 | 2 |
| North Carolina | $615.19 | $615.19 | $615.19 - $615.19 | 1 |
| New York | $696.57 | $696.57 | $620.96 - $734.72 | 5 |
| Ohio | $622.04 | $622.04 | $622.04 - $622.04 | 1 |
| Pennsylvania | $642.3 | $642.3 | $621.23 - $663.37 | 2 |
| Texas | $637.76 | $637.76 | $618.94 - $654.37 | 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 77435
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77435 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 |
| 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 |
| 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 77435
What does CPT code 77435 mean? +
CPT code 77435 represents: Sbrt management. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77435? +
The 2026 Medicare national average non-facility payment for CPT 77435 is $654.55. Rates range from $594.79 to $835.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77435? +
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 77435? +
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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