{
    "code": "77427",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/77427/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/77427/2023/C",
    "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 Q3 2023?",
        "text": "Medicare paid $192.82 for CPT 77427 in the office (non-facility) setting and $192.82 in a facility under the Q3 2023 Physician Fee Schedule, effective July 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it increased 0.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "C",
        "label": "Q3 2023",
        "effective": "July 1 – September 30, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 192.82,
        "facility": 192.82,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.37,
        "practice_expense_non_facility": 2.06,
        "practice_expense_facility": 2.06,
        "malpractice": 0.26
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q3 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/C",
        "file": "PPRRVU23_JUL.csv",
        "row": 14169,
        "sha256": "64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37"
    },
    "modified_at": "2026-08-04T03:12:57+00:00"
}