{
    "code": "77263",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/77263/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/77263/2021/A",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 77263 in Q1 2021?",
        "text": "Medicare paid $169.93 for CPT 77263 in the office (non-facility) setting and $169.93 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.5% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "A",
        "label": "Q1 2021",
        "effective": "January 1 – March 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 169.93,
        "facility": 169.93,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.14,
        "practice_expense_non_facility": 1.51,
        "practice_expense_facility": 1.51,
        "malpractice": 0.22
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q1 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/A",
        "file": "PPRRVU21_JAN.csv",
        "row": 13340,
        "sha256": "8e6212d64ca58c6a20c44ea319d2148c49156b1fe63a6b68e64a5b0695b0e674"
    },
    "modified_at": "2026-08-04T03:10:16+00:00"
}