CPT code 77003: Fluoroscopic guidance, spinal or paraspinal injection2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $102.89 for 77003 in the office.

Check a contract rate as a % of Medicare · 77003 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 77003 covers

This service uses fluoroscopy to guide a needle or catheter during a spinal or paraspinal injection, helping the practitioner advance and position it at the intended site. It is commonly performed by pain medicine physicians, anesthesiologists, radiologists, and other clinicians performing image-guided spine procedures in office or facility settings. Examples include guidance for an epidural injection or an injection near spinal structures when the associated procedure code does not include imaging guidance.

Report 77003 only as an add-on to an eligible primary procedure; CMS places its payment within that procedure’s global period. The primary code must describe the injection, and its coding rules must permit separate reporting of guidance. Documentation should identify the spinal or paraspinal target, the fluoroscopic guidance performed, and support the service with saved images and a written report. CMS separately prices professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Vermont compares for 77003

Across 109 of 109 payment localities, the office rate for 77003 runs from $92.01 in Arkansas to $142.70 in San Benito County, CA. Vermont pays $102.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

77003 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 77003 in every payment locality

How the 77003 rate is calculated

Each of 77003’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 77003

The CMS indicators that decide how 77003 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 77003

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 77003 has changed in Vermont

Price 77003 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates