{
    "code": "77427",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/77427/2014/B",
    "release_specific_url": "https://localishealth.com/cpt/77427/2014/D",
    "description": "The radiation oncologist's ongoing oversight of a patient partway through a course of radiotherapy, counted in blocks of five delivered treatments. The work includes examining the patient, checking treatment setup and port images, reviewing the dose delivered so far, managing side effects such as skin reaction or fatigue, and deciding whether the plan needs adjusting. It is the physician management layer, separate from the daily technical delivery of the beam.",
    "answer": {
        "question": "How much did Medicare pay for CPT 77427 in Q4 2014?",
        "text": "Medicare paid $186.28 for CPT 77427 in the office (non-facility) setting and $186.28 in a facility under the Q4 2014 Physician Fee Schedule, effective October 2014. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment."
    },
    "release": {
        "schedule": "pfs",
        "year": 2014,
        "quarter": "D",
        "label": "Q4 2014",
        "effective": "October 1 – December 31, 2014",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 186.28,
        "facility": 186.28,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.37,
        "practice_expense_non_facility": 1.57,
        "practice_expense_facility": 1.57,
        "malpractice": 0.26
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8228,
    "source": {
        "label": "Physician relative value file (Q4 2014)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu14d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2014/D",
        "file": "PPRRVU14_V0815_v5.csv",
        "row": 12323,
        "sha256": "9ff6da39ad421c38c816089ae3bed4bd754a642336efa8e8901e9cc38cca8705"
    },
    "modified_at": "2026-08-04T03:05:30+00:00"
}