{
    "code": "77290",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/77290/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/77290/2016/B",
    "description": "The most involved level of the radiotherapy setup session, in which the patient is positioned and the treatment geometry is verified and documented before treatment begins. Complex applies to cases with several treatment areas, tumors sitting near critical organs, or setups needing custom immobilization devices, elaborate blocking, or contrast to define the target. Compared with the simple and intermediate levels, the difference is the number of fields and the amount of custom shaping and positioning work involved, not the equipment used.",
    "answer": {
        "question": "How much did Medicare pay for CPT 77290 in Q2 2016?",
        "text": "Medicare paid $520.59 for CPT 77290 in the office (non-facility) setting and $520.59 in a facility under the Q2 2016 Physician Fee Schedule, effective April 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it increased 1.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "B",
        "label": "Q2 2016",
        "effective": "April 1 – June 30, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 520.59,
        "facility": 520.59,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.56,
        "practice_expense_non_facility": 12.9,
        "practice_expense_facility": 12.9,
        "malpractice": 0.08
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q2 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/B",
        "file": "PPRRVU16_April_V0202.csv",
        "row": 12526,
        "sha256": "a6f009bac8359a1f7d870e6b668dd2e69d1658423373dbb0ca0c267cdae773b9"
    },
    "modified_at": "2026-08-04T03:06:42+00:00"
}