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CPT code 77071: Stress radiographs, interpretation and report2026 Medicare rate & RVUs in North Dakota

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 North Dakota, Medicare pays $57.06 for 77071 in the office and $57.06 when it’s performed in a hospital or facility.

$57.06Office (non-facility)
$57.06Hospital or facility
−2.4%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 North Dakota
  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 North Dakota 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. North Dakota pays $57.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

77071 in North Dakota vs other payment areas
  1. North Dakota · this page$57.06
  2. Los Angeles, CA · California$66.04+$8.98
  3. Washington, DC area · District of Columbia$67.05+$9.99
  4. Miami, FL · Florida$63.78+$6.72
  5. Chicago, IL · Illinois$61.79+$4.73
  6. Manhattan, NY · New York$67.60+$10.54
  7. Alaska · Alaska$66.86+$9.80

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

Every other payment area

77071 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$52.09$52.09
ArkansasArkansas$51.29$51.29
ArizonaArizona$56.79$56.79
Bakersfield, CACalifornia$61.90$61.90
Chico, CACalifornia$61.70$61.70
El Centro, CACalifornia$61.71$61.71
Fresno, CACalifornia$61.70$61.70
Hanford, CACalifornia$61.70$61.70

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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 77071 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.40× 1.0000.4000
Practice expense1.28× 1.0001.2800
Malpractice0.07× 0.4060.0284
Total RVUs1.7084
Conversion factor× 33.4009

Office rate, North Dakota$57.06

Office: (0.4 × 1 + 1.28 × 1 + 0.07 × 0.406) × $33.4009 = $57.06

Facility: (0.4 × 1 + 1.28 × 1 + 0.07 × 0.406) × $33.4009 = $57.06

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, North Dakota
Used instead
77077Joint survey, one view, one or two jointsA single-view joint survey is a different examination from manually stressed joint radiographs.$46.83
73610Ankle X-ray, complete, at least three viewsRoutine ankle radiographs use this code when standard views, rather than stress views, are performed.$36.68
73562Knee X-ray, three views, one kneeRoutine three-view knee radiographs are distinct from manually stressed knee views.$42.02

How 77071 has changed in North Dakota

77071 · Office / nonfacility

$57.06

Effective 2026-10-01

The base rate is $5.27 higher than on 2025-10-01, moving from $51.79 to $57.06 (10.2%).

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

    $51.79changed to$57.06

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $53.80changed to$51.79

    • 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

    $52.92changed to$53.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $54.33changed to$52.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.16 changed to 1.17
    • Malpractice GPCI 0.474 changed to 0.517

  5. January 1, 2023

    RVU23A

    $55.52changed to$54.33

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.08 changed to 0.07
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $54.64changed to$55.52

    • 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

    $52.65changed to$54.64

    • 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
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $50.38changed to$52.65

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $48.16changed to$50.38

    • 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

    $48.03changed to$48.16

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $47.58changed to$48.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.88 changed to 0.89
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $47.75changed to$47.58

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $47.51changed to$47.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $50.42changed to$47.51

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.96 changed to 0.88
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $51.25changed to$50.42

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.06 changed to 0.96
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $51.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$57.06$57.06RVU26D
2026-07-01$57.06$57.06RVU26C
2026-04-01$57.06$57.06RVU26B
2026-01-01$57.06$57.06RVU26A
2025-10-01$51.79$51.79RVU25D
2025-07-01$51.79$51.79RVU25C
2025-04-01$51.79$51.79RVU25B
2025-01-01$51.79$51.79RVU25A
2024-10-01$53.80$53.80RVU24D
2024-07-01$53.80$53.80RVU24C
2024-04-01$53.80$53.80RVU24B
2024-03-09$53.80$53.80RVU24AR
2024-01-01$52.92$52.92RVU24A
2023-10-01$54.33$54.33RVU23D
2023-07-01$54.33$54.33RVU23C
2023-04-01$54.33$54.33RVU23B
2023-01-01$54.33$54.33RVU23A
2022-10-01$55.52$55.52RVU22D
2022-07-01$55.52$55.52RVU22C
2022-04-01$55.52$55.52RVU22B
2022-01-01$55.52$55.52RVU22A
2021-10-01$54.64$54.64RVU21D
2021-07-01$54.64$54.64RVU21C
2021-04-01$54.64$54.64RVU21B
2021-01-01$54.64$54.64RVU21A
2020-10-01$52.65$52.65RVU20D
2020-07-01$52.65$52.65RVU20C
2020-04-01$52.65$52.65RVU20B
2020-01-01$52.65$52.65RVU20A
2019-10-01$50.38$50.38RVU19D
2019-07-01$50.38$50.38RVU19C
2019-04-01$50.38$50.38RVU19B
2019-01-01$50.38$50.38RVU19A
2018-10-01$48.16$48.16RVU18D
2018-07-01$48.16$48.16RVU18C
2018-04-01$48.16$48.16RVU18B
2018-01-01$48.16$48.16RVU18AR1
2017-10-01$48.03$48.03RVU17D
2017-07-01$48.03$48.03RVU17C
2017-04-01$48.03$48.03RVU17B
2017-01-01$48.03$48.03RVU17A
2016-10-01$47.58$47.58RVU16D
2016-07-01$47.58$47.58RVU16C
2016-04-01$47.58$47.58RVU16B
2016-01-01$47.58$47.58RVU16A
2015-10-01$47.75$47.75RVU15D
2015-07-01$47.75$47.75RVU15C
2015-04-01$47.51$47.51RVU15B
2015-01-01$47.51$47.51RVU15A
2014-10-01$50.42$50.42RVU14D
2014-07-01$50.42$50.42RVU14C
2014-04-01$50.42$50.42RVU14B
2014-01-01$50.42$50.42RVU14A
2013-10-01$51.25$51.25RVU13D
2013-07-01$51.25$51.25RVU13C
2013-04-01$51.25$51.25RVU13B
2013-01-01$51.25$51.25RVU13AR

Price 77071 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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