{
    "code": "77427",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/77427/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/77427/2019/B",
    "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 Q2 2019?",
        "text": "Medicare paid $193.53 for CPT 77427 in the office (non-facility) setting and $193.53 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 1.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 193.53,
        "facility": 193.53,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.37,
        "practice_expense_non_facility": 1.76,
        "practice_expense_facility": 1.76,
        "malpractice": 0.24
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 13152,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}