Unable to determine from available CMS sources
77412 · PFS Q1 2025 · Historical
No national PFS rate in Q1 2025
Status I is not separately payable under the PFS.
CMS RVU25AJanuary 1 – March 31, 2025
PFS status evidence
Inspect PFS status evidence
- Code
- 77412
- Release
- Q1 2025, revision 1
- Result
- Unable to determine from available CMS sources
Citations
-
Shows this code’s PFS status (I). Result: Unable to determine from available CMS sources.
Physician relative value file (PPRRVU)CMS RVU25AJanuary 1 – March 31, 2025
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU25_JAN.csv row 14,835 in rvu25a-updated-01-10-2025.zip
In the CMS file
Loading rows 14,833–14,837 of PPRRVU25_JAN.csv…
Download rvu25a-updated-01-10-2025.zip from CMS File fingerprint
c0539b47cbc042fd1b69798e6dd911219f4893bb5be793ae1d1771e7a7151a54
CPT 77412 has no published national rate. It carries status I (not valid) in the Q1 2025 release. Medicare uses a different code to report and pay for this service. The blank amount means unpriced, not $0.
Why is there no national PFS amount for 77412?
Its status indicator is I (not valid). Medicare uses a different code to report and pay for this service. Status I is not separately payable under the PFS.
Contract rate as % of Medicare Copy link
Arbitration outcomes for 77412 are coming Join the waitlist →
Which billing rules and modifiers apply? Copy link
CMS indicators that apply to 77412: PCTC 3 (technical component only).
Technical component only
PCTC
3
Only a technical component exists for this code—there is no corresponding professional-component amount to bill.
Global surgery period XXX (does not apply).
Why would a Medicare claim for 77412 be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- Its status indicator is I (not valid)—Medicare uses a different code to report and pay for this service. See status indicators
- Only a technical component exists for 77412—there is no professional-component amount to bill. See billing policy
- Bilateral surgery: no bilateral adjustment. See billing policy
- Assistant at surgery: restricted without documentation. See billing policy
- Co-surgeons: not permitted. See billing policy
- Team surgery: not permitted. See billing policy
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
CMS RVU25AJanuary 1 – March 31, 2025
Can you bill it with another code? Copy link
Why a 77412 line may not pay separately Copy link
What to check (4)
CMS publishes no separately payable amount for 77412 in this release, so reconciling the line means establishing which status governed the date of service rather than chasing a fee-schedule difference.
- Confirm the status that governed the date of service before working this line as a short payment—CMS publishes no separately payable fee-schedule amount for it in this release.
- Only a technical-component amount is published for this code, so a professional charge billed on it has no fee-schedule amount behind it.
- Check for documentation on file before appealing an assistant-at-surgery denial: payment on the -80 or -AS line is restricted for this procedure unless medical necessity is established.
- Reprice the line against the release, locality, setting, modifier and participation status that applied to the date of service before treating any difference as an underpayment.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Medicare Physician Fee Schedule Relative Value Files (status indicator field); CMS Medicare Claims Processing Manual (Pub. 100-04); 42 USC 1395w-4(i)(2) (SSA §1848(i)(2))—Assistants-at-surgery.
Source & method Copy link
-
01 PPRRVU25_JAN.csv · Q1 2025 (RVU25A) · row 14,835—status I, RVUs limits
- Effective
- January 1 – March 31, 2025
- Locator
- PPRRVU25_JAN.csv in rvu25a-updated-01-10-2025.zip · row 14,835 of 18,865 · via CMS
- Fields read
-
Status I (col 4)SHA-256 c0539b47cbc042fd…
- Doesn’t establish
- A locality-adjusted allowed amount, or the payment after sequestration. National baselines use GPCI 1.000 and exclude sequestration.
- Note
- Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero.
Cite this rate
CPT 77412 National PFS baseline: No national PFS rate (Q1 2025; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU25A, PPRRVU25_JAN.csv row 14,835. Localis. https://localishealth.com/cpt/77412/2025/A
Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON
How has it changed? Copy link
$443.56 Office (non-facility) and $443.56 Facility since Jan 1, 2026, after a +83.7% increase in the Office (non-facility) amount. +84.7% increase since Q1 2013; peak $443.56 in Q1 2026.
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Jan 1, 2026 – present
- Office
- $443.56 (+83.7% increase)
- Facility
- $443.56 (+83.7% increase)
Q1 2026 Jan 1, 2026 – Mar 31, 2026 · Q2 2026 Apr 1, 2026 – Jun 30, 2026 · Q3 2026 Jul 1, 2026 – Sep 30, 2026 · Q4 2026 Oct 1, 2026 – present
-
Jan 1, 2024 – Mar 8, 2024 · Superseded revision
Q1 2024 rev 1
Revision 1, later corrected by CMS- Office
- —
- Facility
- —
-
Jan 1, 2015 – Dec 31, 2025
- Office
- —
- Facility
- —
Q1 2015 Jan 1, 2015 – Mar 31, 2015 · Q2 2015 Apr 1, 2015 – Jun 30, 2015 · Q3 2015 Jul 1, 2015 – Sep 30, 2015 · Q4 2015 Oct 1, 2015 – Dec 31, 2015 · Q1 2016 Jan 1, 2016 – Mar 31, 2016 · Q2 2016 Apr 1, 2016 – Jun 30, 2016 · Q3 2016 Jul 1, 2016 – Sep 30, 2016 · Q4 2016 Oct 1, 2016 – Dec 31, 2016 · Q1 2017 Jan 1, 2017 – Mar 31, 2017 · Q2 2017 Apr 1, 2017 – Jun 30, 2017 · Q3 2017 Jul 1, 2017 – Sep 30, 2017 · Q4 2017 Oct 1, 2017 – Dec 31, 2017 · Q1 2018 Jan 1, 2018 – Mar 31, 2018 · Q2 2018 Apr 1, 2018 – Jun 30, 2018 · Q3 2018 Jul 1, 2018 – Sep 30, 2018 · Q4 2018 Oct 1, 2018 – Dec 31, 2018 · Q1 2019 Jan 1, 2019 – Mar 31, 2019 · Q2 2019 Apr 1, 2019 – Jun 30, 2019 · Q3 2019 Jul 1, 2019 – Sep 30, 2019 · Q4 2019 Oct 1, 2019 – Dec 31, 2019 · Q1 2020 Jan 1, 2020 – Mar 31, 2020 · Q2 2020 Apr 1, 2020 – Jun 30, 2020 · Q3 2020 Jul 1, 2020 – Sep 30, 2020 · Q4 2020 Oct 1, 2020 – Dec 31, 2020 · Q1 2021 Jan 1, 2021 – Mar 31, 2021 · Q2 2021 Apr 1, 2021 – Jun 30, 2021 · Q3 2021 Jul 1, 2021 – Sep 30, 2021 · Q4 2021 Oct 1, 2021 – Dec 31, 2021 · Q1 2022 Jan 1, 2022 – Mar 31, 2022 · Q2 2022 Apr 1, 2022 – Jun 30, 2022 · Q3 2022 Jul 1, 2022 – Sep 30, 2022 · Q4 2022 Oct 1, 2022 – Dec 31, 2022 · Q1 2023 Jan 1, 2023 – Mar 31, 2023 · Q2 2023 Apr 1, 2023 – Jun 30, 2023 · Q3 2023 Jul 1, 2023 – Sep 30, 2023 · Q4 2023 Oct 1, 2023 – Dec 31, 2023 · Q1 2024 Mar 9, 2024 – Mar 31, 2024 · Q2 2024 Apr 1, 2024 – Jun 30, 2024 · Q3 2024 Jul 1, 2024 – Sep 30, 2024 · Q4 2024 Oct 1, 2024 – Dec 31, 2024 · Q1 2025 Jan 1, 2025 – Mar 31, 2025 · Q2 2025 Apr 1, 2025 – Jun 30, 2025 · Q3 2025 Jul 1, 2025 – Sep 30, 2025 · Q4 2025 Oct 1, 2025 – Dec 31, 2025
-
Apr 1, 2014 – Dec 31, 2014
Q2 2014
3 releases at this rate- Office
- $241.45 (+$1.25, +0.5% increase)
- Facility
- $241.45 (+$1.25, +0.5% increase)
Q2 2014 Apr 1, 2014 – Jun 30, 2014 · Q3 2014 Jul 1, 2014 – Sep 30, 2014 · Q4 2014 Oct 1, 2014 – Dec 31, 2014
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Jan 1, 2013 – Jun 30, 2013
Q1 2013
2 releases at this rate- Office
- $240.20
- Facility
- $240.20
Q1 2013 Jan 1, 2013 – Mar 31, 2013 · Q2 2013 Apr 1, 2013 – Jun 30, 2013
Earliest release in this history.
National baseline (GPCI 1.000), before sequestration.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
The 77412 rate last moved in Q1 2026. See its rate history.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
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Usage and related codes Copy link
Localis groups related codes for payment research; the grouping isn't the AMA's code families.