# CPT 77290

> Medicare paid $501.41 for CPT 77290 in the office (non-facility) setting and $501.41 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it decreased 1.3%.

## What it is

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.

## Selected release

- Release: Q4 2021 (2021 D)
- Effective: October 1 – December 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $501.41
- Facility national allowed amount: $501.41
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.56
- Office (non-facility) practice expense RVU: 12.74
- Facility practice expense RVU: 12.74
- Malpractice RVU: 0.07
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21d.zip
- Parsed file: PPRRVU21_OCT.csv, row 13,446
- Canonical page: https://localishealth.com/cpt/77290/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/77290/2021/D
- Last significant update: 2026-08-04T03:10:59+00:00