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CPT code 77071: Stress radiographs, interpretation and report2026 Medicare rate & RVUs in Santa Clara County, CA

Reports the professional interpretation of manually stressed joint radiographs used to assess instability or ligamentous laxity, including comparison views when obtained.

CMS RVU26DEffective Oct 1, 2026One payment locality8.5K Medicare services in 2024

In Santa Clara County, CA, Medicare pays $77.41 for 77071 in the office and $77.41 when it’s performed in a hospital or facility.

$77.41Office (non-facility)
$77.41Hospital or facility
+32.4%vs the national office rate ($58.45)

Check a contract rate as a % of Medicare · 77071 nationwide

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

We’ll open 77071 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 77071 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 77071 covers

77071 covers the professional interpretation and report of radiographs taken while manual stress is applied to a joint. Stress views can help assess abnormal joint opening or movement associated with instability or ligament injury. Ankle, knee, and wrist studies are familiar examples. Orthopedic or sports-medicine evaluations may lead to the examination, with a radiologist or other qualified practitioner providing the formal interpretation. Comparison views, when obtained, are part of the stress examination.

Report the code for the interpretation and report, not for image acquisition; CMS identifies a separate code for the technical portion. The report should identify the joint examined and describe the findings from the stress views. CMS prices this code as bilateral, so modifier 50 does not increase payment. When both sides are examined, the bilateral pricing is already reflected in the code’s payment treatment.

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 Santa Clara County, CA compares for 77071

Across 109 of 109 payment localities, the office rate for 77071 runs from $51.29 in Arkansas to $77.73 in San Benito County, CA. Santa Clara County, CA pays $77.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

77071 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$77.41
  2. Bakersfield, CA · California$61.90−$15.51
  3. Chico, CA · California$61.70−$15.71
  4. El Centro, CA · California$61.71−$15.70
  5. Fresno, CA · California$61.70−$15.71
  6. Hanford, CA · California$61.70−$15.71
  7. Los Angeles, CA · California$66.04−$11.37

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

77071 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$61.70$61.70
Merced, CACalifornia$61.70$61.70
Modesto, CACalifornia$61.70$61.70
Napa, CACalifornia$71.74$71.74
Oxnard, CACalifornia$65.73$65.73
Redding, CACalifornia$61.70$61.70
Rest of CaliforniaCalifornia$61.70$61.70
Riverside, CACalifornia$62.45$62.45

77071 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$51.29

$69.72

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
77071 office rate range by state
State / territoryOffice rate rangeLocalities
AK$66.861
AL$52.091
AR$51.291
AZ$56.791
CA$61.70–$77.7329
CO$60.841
CT$62.501
DC$67.051
DE$57.771
FL$57.75–$63.783
GA$54.28–$59.652
GU$63.321
HI$63.321
IA$53.411
ID$53.801
IL$56.05–$61.794
IN$54.131
KS$53.191
KY$53.511
LA$53.44–$56.252
MA$60.46–$67.042
MD$58.91–$67.053
ME$54.15–$57.202
MI$55.03–$58.562
MN$58.051
MO$52.49–$56.403
MS$51.901
MT$58.451
NC$54.741
ND$57.061
NE$53.711
NH$59.911
NJ$63.15–$66.292
NM$55.371
NV$58.101
NY$55.62–$69.395
OH$54.751
OK$53.361
OR$57.59–$62.812
PA$54.82–$60.902
PR$58.891
RI$59.861
SC$54.851
SD$56.901
TN$53.481
TX$54.44–$60.698
UT$55.651
VA$57.04–$67.052
VI$58.891
VT$56.871
WA$60.33–$68.402
WI$55.041
WV$53.861
WY$57.841

See 77071 in every payment locality

How the 77071 rate is calculated

Each of 77071’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.

How the rate is built · 77071

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.40

0.40 RVUs× 1.000 GPCI

Practice expense1.28

1.28 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.7500

Conversion factor

$33.4009

Medicare rate

$58.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,985

Code
77071
Physician work
0.40
Practice expense
1.28
Malpractice
0.07

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 77071 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work0.40× 1.1100.4440
Practice expense1.28× 1.4421.8458
Malpractice0.07× 0.3970.0278
Total RVUs2.3176
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$77.41

Office: (0.4 × 1.11 + 1.28 × 1.442 + 0.07 × 0.397) × $33.4009 = $77.41

Facility: (0.4 × 1.11 + 1.28 × 1.442 + 0.07 × 0.397) × $33.4009 = $77.41

Open 77071 in the RVU calculator

Payment rules and modifiers for 77071

The CMS indicators that decide how 77071 is paid alongside other services.

CMS payment indicators · 77071

Stress radiographs, interpretation and report

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical2Professional component only.

Codes related to 77071

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

Codes related to 77071
CodeHow it relatesOffice range, Santa Clara County, CA
Used instead
77077Joint survey, one view, one or two jointsA single-view joint survey is a different examination from manually stressed joint radiographs.$63.80
73610Ankle X-ray, complete, at least three viewsRoutine ankle radiographs use this code when standard views, rather than stress views, are performed.$50.88
73562Knee X-ray, three views, one kneeRoutine three-view knee radiographs are distinct from manually stressed knee views.$58.47

How 77071 has changed in Santa Clara County, CA

77071 · Office / nonfacility

$77.41

Effective 2026-10-01

The base rate is $8.16 higher than on 2025-10-01, moving from $69.25 to $77.41 (11.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $69.25changed to$77.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.41 changed to 0.40
    • Practice expense RVU 1.16 changed to 1.28
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $71.88changed to$69.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.17 changed to 1.16
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $70.71changed to$71.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $71.63changed to$70.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.16 changed to 1.17
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $72.21changed to$71.63

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $71.08changed to$72.21

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.13 changed to 1.16
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $67.17changed to$71.08

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.01 changed to 1.13
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $63.34changed to$67.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.95 changed to 1.01
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $60.34changed to$63.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.89 changed to 0.95

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $60.14changed to$60.34

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $59.46changed to$60.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.88 changed to 0.89
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $59.67changed to$59.46

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $59.37changed to$59.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $63.23changed to$59.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.96 changed to 0.88
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $64.47changed to$63.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.06 changed to 0.96
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$64.47

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$77.41$77.41RVU26D
2026-07-01$77.41$77.41RVU26C
2026-04-01$77.41$77.41RVU26B
2026-01-01$77.41$77.41RVU26A
2025-10-01$69.25$69.25RVU25D
2025-07-01$69.25$69.25RVU25C
2025-04-01$69.25$69.25RVU25B
2025-01-01$69.25$69.25RVU25A
2024-10-01$71.88$71.88RVU24D
2024-07-01$71.88$71.88RVU24C
2024-04-01$71.88$71.88RVU24B
2024-03-09$71.88$71.88RVU24AR
2024-01-01$70.71$70.71RVU24A
2023-10-01$71.63$71.63RVU23D
2023-07-01$71.63$71.63RVU23C
2023-04-01$71.63$71.63RVU23B
2023-01-01$71.63$71.63RVU23A
2022-10-01$72.21$72.21RVU22D
2022-07-01$72.21$72.21RVU22C
2022-04-01$72.21$72.21RVU22B
2022-01-01$72.21$72.21RVU22A
2021-10-01$71.08$71.08RVU21D
2021-07-01$71.08$71.08RVU21C
2021-04-01$71.08$71.08RVU21B
2021-01-01$71.08$71.08RVU21A
2020-10-01$67.17$67.17RVU20D
2020-07-01$67.17$67.17RVU20C
2020-04-01$67.17$67.17RVU20B
2020-01-01$67.17$67.17RVU20A
2019-10-01$63.34$63.34RVU19D
2019-07-01$63.34$63.34RVU19C
2019-04-01$63.34$63.34RVU19B
2019-01-01$63.34$63.34RVU19A
2018-10-01$60.34$60.34RVU18D
2018-07-01$60.34$60.34RVU18C
2018-04-01$60.34$60.34RVU18B
2018-01-01$60.34$60.34RVU18AR1
2017-10-01$60.14$60.14RVU17D
2017-07-01$60.14$60.14RVU17C
2017-04-01$60.14$60.14RVU17B
2017-01-01$60.14$60.14RVU17A
2016-10-01$59.46$59.46RVU16D
2016-07-01$59.46$59.46RVU16C
2016-04-01$59.46$59.46RVU16B
2016-01-01$59.46$59.46RVU16A
2015-10-01$59.67$59.67RVU15D
2015-07-01$59.67$59.67RVU15C
2015-04-01$59.37$59.37RVU15B
2015-01-01$59.37$59.37RVU15A
2014-10-01$63.23$63.23RVU14D
2014-07-01$63.23$63.23RVU14C
2014-04-01$63.23$63.23RVU14B
2014-01-01$63.23$63.23RVU14A
2013-10-01$64.47$64.47RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 77071 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

77071 billing questions

Is 77071 for the images or the interpretation?

It represents the professional interpretation and report. The technical portion is covered by a separate code.

Should modifier 50 be appended for both sides?

CMS prices 77071 as bilateral, and modifier 50 does not increase payment.

Are comparison views separately reported?

Comparison views, when performed, are included in the stress examination described by 77071.

Can routine ankle or knee radiographs also be reported?

77071 describes manually stressed joint views, not routine nonstress radiographs. A separate routine examination requires its own documentation and code.

What documentation supports 77071?

Document the joint examined, that stress views were obtained, and the interpretation and findings. The professional report supports this code; image acquisition is represented separately.

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

Show the CMS file lines behind this rate
RVUs for 77071PPRRVU2026_Oct_nonQPP.csv, line 8,985 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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