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CPT code 77074: Skeletal survey, limited examination2026 Medicare rate & RVUs in Nevada

A limited series of skeletal radiographs evaluates selected bones, commonly when a clinician is assessing known or suspected metastatic bone disease.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In Nevada, Medicare pays $64.62 for 77074 in the office.

$64.62Office (non-facility)
Not available in this settingHospital or facility
−0.3%vs the national office rate ($64.80)

Check a contract rate as a % of Medicare · 77074 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 77074 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 77074 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 77074 covers

This service uses plain X-rays of selected skeletal regions to assess a focused bone question, such as known or suspected metastatic involvement. A radiologic technologist obtains the images, and a radiologist typically interprets them. It may be performed in a hospital or outpatient imaging department when the clinical request calls for a limited survey rather than a comprehensive review of the skeleton.

Choose this code when the ordered and performed examination is limited in scope; a complete skeletal survey is a different service. The imaging order and report should identify the clinical reason and the regions examined, with the interpretation supporting the findings. The professional component is the radiologist’s interpretation and is reported with modifier 26; the technical component covers equipment and staff and is reported with modifier TC. Without either modifier, the claim 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 Nevada compares for 77074

Across 109 of 109 payment localities, the office rate for 77074 runs from $57.23 in Arkansas to $87.46 in San Benito County, CA. Nevada pays $64.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

77074 in Nevada vs other payment areas
  1. Nevada · this page$64.62
  2. Los Angeles, CA · California$73.92+$9.30
  3. Washington, DC area · District of Columbia$74.46+$9.84
  4. Miami, FL · Florida$68.85+$4.23
  5. Chicago, IL · Illinois$66.87+$2.25
  6. Manhattan, NY · New York$74.45+$9.83
  7. Alaska · Alaska$74.57+$9.95

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

Every other payment area

77074 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$58.08—
ArkansasArkansas$57.23—
ArizonaArizona$63.08—
Bakersfield, CACalifornia$69.26—
Chico, CACalifornia$69.14—
El Centro, CACalifornia$69.14—
Fresno, CACalifornia$69.14—
Hanford, CACalifornia$69.14—

77074 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.

$57.23

$78.30

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

View every state and territory as a table
77074 office rate range by state
State / territoryOffice rate rangeLocalities
AK$74.571
AL$58.081
AR$57.231
AZ$63.081
CA$69.14–$87.4629
CO$67.821
CT$69.151
DC$74.461
DE$64.151
FL$63.31–$68.853
GA$59.75–$65.892
GU$70.961
HI$70.961
IA$59.821
ID$60.171
IL$61.28–$67.264
IN$60.531
KS$59.421
KY$59.231
LA$59.10–$62.082
MA$67.36–$74.762
MD$65.42–$74.463
ME$60.36–$63.862
MI$60.70–$64.002
MN$65.281
MO$57.99–$62.443
MS$57.621
MT$64.801
NC$61.031
ND$64.001
NE$60.191
NH$66.641
NJ$70.02–$73.652
NM$60.991
NV$64.621
NY$61.95–$76.145
OH$60.541
OK$59.251
OR$64.20–$70.142
PA$60.70–$67.332
PR$65.321
RI$66.551
SC$60.871
SD$63.911
TN$59.711
TX$60.28–$67.528
UT$61.721
VA$63.57–$74.462
VI$65.321
VT$63.651
WA$67.27–$76.422
WI$61.811
WV$58.941
WY$64.451

See 77074 in every payment locality

How the 77074 rate is calculated

Each of 77074’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 · 77074

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.43

0.43 RVUs× 1.000 GPCI

Practice expense1.47

1.47 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.9400

Conversion factor

$33.4009

Medicare rate

$64.80

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,992

Code
77074
Physician work
0.43
Practice expense
1.47
Malpractice
0.04

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 77074 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.43× 1.0000.4300
Practice expense1.47× 1.0011.4715
Malpractice0.04× 0.8330.0333
Total RVUs1.9348
Conversion factor× 33.4009

Office rate, Nevada$64.62

Office: (0.43 × 1 + 1.47 × 1.001 + 0.04 × 0.833) × $33.4009 = $64.62

Open 77074 in the RVU calculator

Payment rules and modifiers for 77074

The CMS indicators that decide how 77074 is paid alongside other services.

CMS payment indicators · 77074

Skeletal survey, limited examination

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

77074 without 26 · national office

$64.80

Skeletal survey, limited examination

77074-26 · Professional component

$20.71

Pays only the interpretation and report.

When to use modifier 26

Codes related to 77074

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

Codes related to 77074
CodeHow it relatesOffice range, Nevada
Same family
77075Skeletal survey, complete examinationComplete skeletal survey; distinguish it from the limited scope reported with 77074.$97.66
77076Skeletal survey, infantSkeletal survey code designated for an infant examination.$104.62
Used instead
78306Bone imaging, whole bodyWhole-body bone scintigraphy evaluates skeletal disease with radiotracer imaging rather than radiographs.$258.97

How 77074 has changed in Nevada

77074 · Office / nonfacility

$64.62

Effective 2026-10-01

The base rate is $1.37 higher than on 2025-10-01, moving from $63.25 to $64.62 (2.2%).

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

    $63.25changed to$64.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.44 changed to 0.43
    • Practice expense RVU 1.49 changed to 1.47
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $65.09changed to$63.25

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $64.03changed to$65.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $66.18changed to$64.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.48 changed to 1.49
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $67.92changed to$66.18

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $66.74changed to$67.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.43 changed to 1.48

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $64.44changed to$66.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.31 changed to 1.43
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $69.61changed to$64.44

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 0.45 changed to 0.44
    • Practice expense RVU 1.42 changed to 1.31
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $66.23changed to$69.61

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.33 changed to 1.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $66.93changed to$66.23

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $67.27changed to$66.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.32 changed to 1.33
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $66.78changed to$67.27

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.31 changed to 1.32
    • Malpractice RVU 0.03 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $66.45changed to$66.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $75.55changed to$66.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.53 changed to 1.31
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $74.94changed to$75.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.61 changed to 1.53
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$74.94

  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$64.62Not available in this settingRVU26D
2026-07-01$64.62Not available in this settingRVU26C
2026-04-01$64.62Not available in this settingRVU26B
2026-01-01$64.62Not available in this settingRVU26A
2025-10-01$63.25Not available in this settingRVU25D
2025-07-01$63.25Not available in this settingRVU25C
2025-04-01$63.25Not available in this settingRVU25B
2025-01-01$63.25Not available in this settingRVU25A
2024-10-01$65.09Not available in this settingRVU24D
2024-07-01$65.09Not available in this settingRVU24C
2024-04-01$65.09Not available in this settingRVU24B
2024-03-09$65.09Not available in this settingRVU24AR
2024-01-01$64.03Not available in this settingRVU24A
2023-10-01$66.18Not available in this settingRVU23D
2023-07-01$66.18Not available in this settingRVU23C
2023-04-01$66.18Not available in this settingRVU23B
2023-01-01$66.18Not available in this settingRVU23A
2022-10-01$67.92Not available in this settingRVU22D
2022-07-01$67.92Not available in this settingRVU22C
2022-04-01$67.92Not available in this settingRVU22B
2022-01-01$67.92Not available in this settingRVU22A
2021-10-01$66.74Not available in this settingRVU21D
2021-07-01$66.74Not available in this settingRVU21C
2021-04-01$66.74Not available in this settingRVU21B
2021-01-01$66.74Not available in this settingRVU21A
2020-10-01$64.44Not available in this settingRVU20D
2020-07-01$64.44Not available in this settingRVU20C
2020-04-01$64.44Not available in this settingRVU20B
2020-01-01$64.44Not available in this settingRVU20A
2019-10-01$69.61Not available in this settingRVU19D
2019-07-01$69.61Not available in this settingRVU19C
2019-04-01$69.61Not available in this settingRVU19B
2019-01-01$69.61Not available in this settingRVU19A
2018-10-01$66.23Not available in this settingRVU18D
2018-07-01$66.23Not available in this settingRVU18C
2018-04-01$66.23Not available in this settingRVU18B
2018-01-01$66.23Not available in this settingRVU18AR1
2017-10-01$66.93Not available in this settingRVU17D
2017-07-01$66.93Not available in this settingRVU17C
2017-04-01$66.93Not available in this settingRVU17B
2017-01-01$66.93Not available in this settingRVU17A
2016-10-01$67.27Not available in this settingRVU16D
2016-07-01$67.27Not available in this settingRVU16C
2016-04-01$67.27Not available in this settingRVU16B
2016-01-01$67.27Not available in this settingRVU16A
2015-10-01$66.78Not available in this settingRVU15D
2015-07-01$66.78Not available in this settingRVU15C
2015-04-01$66.45Not available in this settingRVU15B
2015-01-01$66.45Not available in this settingRVU15A
2014-10-01$75.55Not available in this settingRVU14D
2014-07-01$75.55Not available in this settingRVU14C
2014-04-01$75.55Not available in this settingRVU14B
2014-01-01$75.55Not available in this settingRVU14A
2013-10-01$74.94Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 77074 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

77074 billing questions

When should 77074 be used instead of 77075?

Use 77074 for a limited skeletal survey of selected regions. Use 77075 when the examination is a complete skeletal survey.

How should the professional and technical services be billed?

Report modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Without a modifier, the code represents the global service.

Should each radiographic view be reported as a separate unit?

The code represents the limited survey, not individual images. The documentation should show the regions examined and support the scope of the survey.

What documentation supports reporting the limited survey?

Keep the order and imaging report showing the clinical reason, the skeletal regions examined, and the radiologist’s interpretation.

Is 77074 the appropriate code for an infant skeletal survey?

No. The infant skeletal survey is represented by 77076; 77074 is for a limited survey.

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 77074PPRRVU2026_Oct_nonQPP.csv, line 8,992 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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