# CPT 77263

> Medicare paid $167.56 for CPT 77263 in the office (non-facility) setting and $167.56 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.5% increase from the previous quarter.

## What it is

The radiation oncologist's up-front planning work for a complicated course of radiotherapy: reviewing the diagnosis and imaging, defining the target and the nearby organs that must be spared, choosing beam arrangements, and setting the dose and how it will be divided over the course. Complex is the top tier of a three-level planning family - it applies when there are multiple treatment areas, tumors close to sensitive structures, or specialized beam shaping and shielding, as opposed to the simple and intermediate levels used for straightforward single-area cases. This is the physician's decision-making, done before any beam is turned on.

## Selected release

- Release: Q1 2016 (2016 A)
- Effective: January 1 – March 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $167.56
- Facility national allowed amount: $167.56
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.14
- Office (non-facility) practice expense RVU: 1.31
- Facility practice expense RVU: 1.31
- Malpractice RVU: 0.23
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip
- Parsed file: PPRRVU16_V0122.csv, row 12,508
- Canonical page: https://localishealth.com/cpt/77263/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/77263/2016/A
- Last significant update: 2026-08-04T03:06:29+00:00