CPT 77762Radiology

Apply intrcav radiat interm

CPT 77762 covers the application of intermediate complexity intracavitary radiation therapy, where radioactive sources are placed inside body cavities to treat cancer from within.

Showing rates for

National Average

Base Medicare rate

$545.04

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

5.76

PE RVU (NF)

10.78

MP RVU

0.31

Total RVU

16.85

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

Loading bundling edits…

Billing tips

Verify that dosimetry calculations and treatment planning (CPT 77316-77318) are documented and billed separately, as these are not included in 77762
Impact: Prevents revenue loss of $150-400 per treatment course by capturing separately reimbursable planning services
Document the number of sources, channels, and dwell positions used to support intermediate complexity designation versus simple (77761) or complex (77763)
Impact: Proper complexity coding difference: 77761 ($463.89) vs 77762 ($545.04) vs 77763 ($626.19) - up to $162.30 difference
Bill per fraction/application, not per treatment course; each separate intracavitary insertion and removal constitutes a billable application
Impact: Typical cervical cancer protocol involves 3-5 fractions at $545.04 each = $1,635-2,725 total revenue if properly separated
Ensure imaging guidance codes (76965, 77002) are billed separately when ultrasound or fluoroscopy is used for applicator placement verification
Impact: Additional $50-150 per application for separately reimbursable imaging guidance when medically necessary and documented
For hospital billing, verify that both professional and technical components are captured, as identical facility/non-facility rates suggest global billing structure
Impact: Prevents 50% revenue loss from missing either component; full $545.04 payment requires complete service documentation
Coordinate billing with anesthesia services when conscious sedation or general anesthesia is used; do not report separate sedation codes 99151-99153
Prevents denials for bundled services; anesthesia professional bills separately while facility captures full technical component

Live Field Datano reports yet

Real billers contribute denial patterns and appeal strategies for this code. Once 5+ reports come in, you’ll see live aggregated data here — the only place this exists, free.

Working with CPT 77762?

Get the free Revenue Protection Toolkit — the denial triggers, modifier pitfalls, and bundling conflicts that quietly cost you reimbursement. Instant download.

Help build the field knowledge

MedPayIQ gets smarter as billers contribute. If you've had this code denied, share what happened so others learn from it. Anonymous, no patient info.

Related actions

Frequently asked questions

What is the Medicare reimbursement rate for CPT 77762 in 2025?

The 2025 Medicare national average reimbursement for CPT 77762 is $545.04 for both facility and non-facility settings, based on 16.85 total RVUs and the conversion factor of $32.3465.

How many times can CPT 77762 be billed per patient?

CPT 77762 can be billed for each separate intracavitary application/fraction, typically 3-5 times per treatment course for gynecologic malignancies. Each application (insertion and removal of sources) is separately billable with appropriate documentation of medical necessity.

What is the difference between CPT 77761, 77762, and 77763?

These codes differ by complexity of intracavitary brachytherapy: 77761 is simple (1-4 sources), 77762 is intermediate (4-12 sources with moderate complexity), and 77763 is complex (>12 sources or highly complex geometry). Complexity is determined by number of sources, channels, and treatment planning difficulty.

Can CPT 77762 be billed with treatment planning codes on the same day?

Yes, treatment planning codes (77316-77318) are separately reportable from application code 77762, even on the same date of service, as they represent distinct services. However, clear documentation of both services must be maintained to prevent bundling denials.

Does CPT 77762 include imaging guidance for applicator placement?

No, imaging guidance (ultrasound 76965, fluoroscopy 77002, or CT 77014) used during applicator placement is separately reportable and not included in CPT 77762. Documentation must support medical necessity of imaging for proper reimbursement.

What RVU value does CPT 77762 have for 2025?

CPT 77762 has a total RVU of 16.85 for 2025, consisting of 5.76 work RVUs, 10.78 practice expense RVUs (both facility and non-facility), and 0.31 malpractice RVUs.

Is CPT 77762 subject to multiple procedure payment reduction?

No, CPT 77762 is typically not subject to MPPR when billed multiple times on the same day, as each application represents a separate, distinct procedure. However, modifier 59 or 76 may be required to demonstrate separate sessions or medical necessity for multiple same-day applications.