# CPT 77469: Intraoperative radiation treatment delivery

Medicare CPT 77469 pays $266.54 in a non-facility setting and $266.54 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $250.32 in Arkansas to $357.82 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/77469-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $266.54 |
| National facility | $266.54 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $357.82 | $357.82 |
| District of Columbia | $289.79 | $289.79 |
| New York | $288.16 | $288.16 |
| New Jersey | $285.52 | $285.52 |
| Florida | $280.67 | $280.67 |
| Illinois | $278.41 | $278.41 |
| Washington | $278.37 | $278.37 |
| California | $278.34 | $278.34 |
| Connecticut | $278.34 | $278.34 |
| Massachusetts | $277.54 | $277.54 |
| Maryland | $272.86 | $272.86 |
| Rhode Island | $270.64 | $270.64 |
| Colorado | $269.69 | $269.69 |
| Hawaii | $269.18 | $269.18 |
| Michigan | $268.60 | $268.60 |
| Pennsylvania | $267.91 | $267.91 |
| Oregon | $267.43 | $267.43 |
| New Hampshire | $267.35 | $267.35 |
| Puerto Rico | $267.03 | $267.03 |
| Virgin Islands | $267.03 | $267.03 |
| Georgia | $266.75 | $266.75 |
| Montana | $266.51 | $266.51 |
| Texas | $265.53 | $265.53 |
| Delaware | $265.22 | $265.22 |
| West Virginia | $264.43 | $264.43 |
| Nevada | $264.15 | $264.15 |
| New Mexico | $264.14 | $264.14 |
| Wyoming | $262.72 | $262.72 |
| Arizona | $262.42 | $262.42 |
| Louisiana | $261.62 | $261.62 |
| Utah | $261.17 | $261.17 |
| Virginia | $261.12 | $261.12 |
| Ohio | $261.05 | $261.05 |
| Missouri | $261.00 | $261.00 |
| South Carolina | $259.44 | $259.44 |
| Vermont | $258.63 | $258.63 |
| Maine | $258.19 | $258.19 |
| Kentucky | $258.13 | $258.13 |
| Minnesota | $258.06 | $258.06 |
| North Dakota | $257.81 | $257.81 |
| North Carolina | $256.91 | $256.91 |
| South Dakota | $256.78 | $256.78 |
| Oklahoma | $256.36 | $256.36 |
| Indiana | $254.28 | $254.28 |
| Tennessee | $253.87 | $253.87 |
| Mississippi | $253.74 | $253.74 |
| Wisconsin | $253.66 | $253.66 |
| Idaho | $253.64 | $253.64 |
| Kansas | $253.06 | $253.06 |
| Nebraska | $252.43 | $252.43 |
| Iowa | $252.20 | $252.20 |
| Alabama | $252.10 | $252.10 |
| Arkansas | $250.32 | $250.32 |

## Related codes

- 76932: Ultrasound guidance for endomyocardial biopsy — https://www.med-reveal.com/rates/76932-cpt-fee-schedule
- 76936: Ultrasound guidance for vascular access compression repair — https://www.med-reveal.com/rates/76936-cpt-fee-schedule
- 76940: Ultrasound guidance for tissue ablation — https://www.med-reveal.com/rates/76940-cpt-fee-schedule
- 76941: Ultrasound guidance for intrauterine fetal transfusion or procedure — https://www.med-reveal.com/rates/76941-cpt-fee-schedule
- 76942: Ultrasound guidance for needle placement — https://www.med-reveal.com/rates/76942-cpt-fee-schedule
- 76965: Ultrasound guidance for interstitial radioelement application — https://www.med-reveal.com/rates/76965-cpt-fee-schedule
- 76975: Ultrasound guidance for gastrointestinal endoscopic procedure — https://www.med-reveal.com/rates/76975-cpt-fee-schedule
- 77001: Fluoroscopic guidance for central venous access device placement — https://www.med-reveal.com/rates/77001-cpt-fee-schedule

Commercial negotiated rates for 77469 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules