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CPT 77435 — Sbrt management

CPT code 77435 (Sbrt management) carries 11.57 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 19.2 in a non-facility setting and 19.2 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $641.30 and $641.30 respectively.

11.57
Work RVU
19.2
Total RVU (non-facility)
$641.30
Medicare, non-facility
$641.30
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 77435

ComponentRVUsWhat it covers
Work RVU11.57Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)6.71Office overhead, staff, supplies.
Practice expense RVU (facility)6.71Overhead when performed in a hospital.
Malpractice RVU0.92Professional liability cost.
Total RVU (non-facility)19.2Work + non-facility PE + malpractice.
Total RVU (facility)19.2Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 77435 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility19.2$33.40$641.30
Facility19.2$33.40$641.30

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 77435

Global period
Global concept does not apply to this code.
Multiple procedure reduction
No multiple-procedure payment reduction applies.
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

77432 · 7.72 wRVU

Questions about CPT 77435

How many work RVUs is CPT 77435?

CPT 77435 is assigned 11.57 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 77435?

At the 2026 national conversion factor of $33.40, CPT 77435 pays approximately $641.30 in a non-facility setting and $641.30 in a facility setting before geographic adjustment.

What is the global period for CPT 77435?

Global concept does not apply to this code.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.