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CPT 77417 Medicare payment status

Bundled / not separately paid

77417 · PFS Q1 2026 · Historical

Status B is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

CMS RVU26AJanuary 1 – March 31, 2026

PFS status evidence

Inspect PFS status evidence
Code
77417
Release
Q1 2026, revision 1
Result
Bundled / not separately paid

Citations

  • Shows this code’s PFS status (B). Result: Bundled / not separately paid.

    Physician relative value file (PPRRVU)CMS RVU26AJanuary 1 – March 31, 2026

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU2026_Jan_nonQPP.csv row 9,000 in rvu26a-updated-12-29-2025.zip

    In the CMS file

    Loading rows 8,998–9,002 of PPRRVU2026_Jan_nonQPP.csv…

    Download rvu26a-updated-12-29-2025.zip from CMS File fingerprint 9a15cb9cc117f079f5bbd41819bcad7c9ebf71fa8836ee186e079bc15b3269de

Plain-text summaryReport a problem

CPT 77417 has no published national rate. It carries status B (bundled) in the Q1 2026 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank amount means unpriced, not $0.

Why is there no national PFS amount for 77417?

Its status indicator is B (bundled). Medicare folds payment for this code into the service it is incident to, never onto its own line. Status B is not separately payable under the PFS.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

Other payment indicators (10)
Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.
Why would a Medicare claim for 77417 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is B (bundled)—Medicare folds payment for this code into the service it is incident to, never onto its own line. See status indicators

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.

What do commercial payers pay? Copy link

Which billing rules and modifiers apply? Copy link

Global period: what 77417's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 77417 →

How has it changed? Copy link

Rate history by release Copy link

National Office (non-facility) amount for 77417 across quarterly releases. +10.9% increase since Q1 2013 · peak $15.85 in Q1 2025

Q1 2013 · $14.29 Q2 2013 · $14.29 (0.0%) Q2 2014 · $13.97 (-2.2%) Q3 2014 · $13.97 (0.0%) Q4 2014 · $13.97 (0.0%) Q1 2015 · $10.73 (-23.2%) Q2 2015 · $10.73 (0.0%) Q3 2015 · $10.73 (0.0%) Q4 2015 · $10.78 (+0.5%) Q1 2016 · $11.10 (+3.0%) Q2 2016 · $11.10 (0.0%) Q3 2016 · $11.10 (0.0%) Q4 2016 · $11.10 (0.0%) Q1 2017 · $11.13 (+0.3%) Q2 2017 · $11.13 (0.0%) Q3 2017 · $11.13 (0.0%) Q4 2017 · $11.13 (0.0%) Q1 2018 · $11.52 (+3.5%) Q2 2018 · $11.52 (0.0%) Q3 2018 · $11.52 (0.0%) Q4 2018 · $11.52 (0.0%) Q1 2019 · $11.53 (+0.1%) Q2 2019 · $11.53 (0.0%) Q3 2019 · $11.53 (0.0%) Q4 2019 · $11.53 (0.0%) Q1 2020 · $11.55 (+0.2%) Q2 2020 · $11.55 (0.0%) Q3 2020 · $11.55 (0.0%) Q4 2020 · $11.55 (0.0%) Q1 2021 · $11.86 (+2.7%) Q2 2021 · $11.86 (0.0%) Q3 2021 · $11.86 (0.0%) Q4 2021 · $11.86 (0.0%) Q1 2022 · $12.80 (+7.9%) Q2 2022 · $12.80 (0.0%) Q3 2022 · $12.80 (0.0%) Q4 2022 · $12.80 (0.0%) Q1 2023 · $13.89 (+8.5%) Q2 2023 · $13.89 (0.0%) Q3 2023 · $13.89 (0.0%) Q4 2023 · $13.89 (0.0%) Q1 2024 · $14.73 (+6.0%) Q1 2024 · $14.98 (+1.7%) Q2 2024 · $14.98 (0.0%) Q3 2024 · $14.98 (0.0%) Q4 2024 · $14.98 (0.0%) Q1 2025 · $15.85 (+5.8%) Q2 2025 · $15.85 (0.0%) Q3 2025 · $15.85 (0.0%) Q4 2025 · $15.85 (0.0%)
Office (non-facility) Facility
Release Status Office Facility
Q4 2026 Oct 1, 2026 – present B — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 B — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 B — —
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 77417 rate last moved in Q1 2025. See its rate history.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Usage and related codes Copy link

How often 77417 is billed Copy link

Across Original Medicare in CY2024, 77417 ranked #2,547 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars. It repeats: a patient billed for it in 2024 was billed 2.7 times on average that year.

Beneficiaries
7,489
Office + facility beneficiaries combined
Services
19,955
Times it was billed
Allowed
$300,241
Total Medicare allowed dollars

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q1 2026 fee schedule above.

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q1 2026 release (effective January 2026). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 77417 National PFS baseline: No national PFS rate (Q1 2026; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU26A, PPRRVU2026_Jan_nonQPP.csv row 9,000. Localis. https://localishealth.com/cpt/77417/2026/A