CPT 77761
Global 090 ActiveApply intrcav radiat simple
CPT 77761 Billing & Documentation Guide
CPT code 77761 (Apply intrcav radiat simple) is classified under Radiology with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.75, a non-facility practice expense RVU of 8.72, and a malpractice RVU of 0.23, a total non-facility RVU of 12.7 and facility RVU of 12.7. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $438.36, though rates vary from $379.4 to $563.14 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77761, 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 77761 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 77761 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 77761
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.75 | 3.75 |
| Practice Expense RVU | 8.72 | 8.72 |
| Malpractice RVU | 0.23 | 0.23 |
| Total RVU | 12.7 | 12.7 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77761
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 | $478.55 | $478.55 | $450.72 - $563.14 | 29 |
| Florida | $432.43 | $432.43 | $415.24 - $447.88 | 3 |
| Georgia | $412.49 | $412.49 | $394.21 - $430.77 | 2 |
| Illinois | $421.8 | $421.8 | $403.18 - $438.86 | 4 |
| Michigan | $409.55 | $409.55 | $399.84 - $419.27 | 2 |
| North Carolina | $401.9 | $401.9 | $401.9 - $401.9 | 1 |
| New York | $466.56 | $466.56 | $407.35 - $493.84 | 5 |
| Ohio | $398.91 | $398.91 | $398.91 - $398.91 | 1 |
| Pennsylvania | $419.88 | $419.88 | $399.89 - $439.87 | 2 |
| Texas | $419.82 | $419.82 | $397.43 - $440.46 | 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 77761
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77761 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0182T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0213T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0216T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0394T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0395T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 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 |
Frequently Asked Questions, CPT 77761
What does CPT code 77761 mean? +
CPT code 77761 represents: Apply intrcav radiat simple. It's in the Radiology category with a global period of 090.
What is the Medicare reimbursement for CPT 77761? +
The 2026 Medicare national average non-facility payment for CPT 77761 is $438.36. Rates range from $379.4 to $563.14 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77761? +
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 77761? +
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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