CPT code 77075: Skeletal survey, complete examination2026 Medicare rate & RVUs in Maryland

A complete skeletal survey uses radiographs of the axial and appendicular skeleton to assess disorders such as multiple myeloma or suspected skeletal metastases.

CMS RVU26DEffective Oct 1, 20263 payment localities22.3K Medicare services in 2024

Medicare pays $98.85–$112.94 for 77075 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.

$98.85–$112.94Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Maryland
  2. What 77075 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 77075 covers

This examination is a coordinated set of radiographs covering the skull, spine, pelvis, ribs, and long bones. It is commonly ordered when hematology or oncology teams evaluate multiple myeloma, suspected skeletal metastases, or another disorder requiring a broad survey of the skeleton. Radiologic technologists acquire the images, and a qualified physician interprets them. The service may be performed in a hospital imaging department or an outpatient radiology facility.

Report the complete survey as one examination rather than billing separately for each image or body area. The order and imaging documentation should support the need for a complete survey and show that the requested skeletal regions were examined. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and reporting 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.

Where 77075 pays more and less in Maryland

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

3 payment localities

$98.85 to $112.94

$98.85$105.89$112.94
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
77075 office and facility rates by payment locality
Payment localityOfficeFacility
Baltimore area, MD$104.25Unavailable
Rest of Maryland$98.85Unavailable
Washington, DC area$112.94Unavailable

How the 77075 rate is calculated

Each of 77075’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 · 77075

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense2.34

2.34 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

2.9300

Conversion factor

$33.4009

Medicare rate

$97.86

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

Payment rules and modifiers for 77075

The CMS indicators that decide how 77075 is paid alongside other services.

CMS payment indicators · 77075

Skeletal survey, complete 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

77075 without 26 · national office

$97.86

Skeletal survey, complete examination

77075-26 · Professional component

$25.72

Pays only the interpretation and report.

When to use modifier 26

77075 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 77075

    Skeletal survey, complete examination0.54 wRVU

    $97.86

  • 77074

    Skeletal survey, limited examination0.43 wRVU

    $64.80−$33.06

  • 77076

    Skeletal survey, infant0.68 wRVU

    $104.88+$7.02

  • 78306

    Bone imaging, whole body0.84 wRVU

    $259.19+$161.33

How to choose

77074Skeletal surveyLimited examination
Use 77075 for a complete survey of the skeleton; 77074 is for a limited survey. The documented scope of the radiographic examination determines the choice.
77076Skeletal surveyInfant
77076 is the infant skeletal survey code. Use 77075 for the complete survey in a non-infant patient.
78306Bone imagingWhole body
78306 is a whole-body nuclear medicine bone scan, not a series of skeletal radiographs. The ordering clinician's imaging method determines which service is performed.

77075 billing questions

When should the complete survey be chosen over the limited survey?

Choose the complete survey when the clinical request calls for broad skeletal imaging, including the skull, spine, pelvis, ribs, and long bones. Use the limited survey when the examination is restricted to a more limited set of skeletal areas.

Can the images and interpretation be billed separately?

Yes. Modifier TC identifies the technical portion, and modifier 26 identifies the professional interpretation. Without either modifier, the claim represents the global service.

Should each imaged region be reported as a separate unit?

No. The complete survey is reported as one examination, not as separate services for the individual images or skeletal regions.

What documentation supports reporting a complete survey?

The record should support the indication for broad skeletal imaging, such as evaluation for multiple myeloma or suspected skeletal metastases, and document the regions included in the examination.

How does this code differ from the infant skeletal survey?

This code represents the complete survey for a non-infant patient. The infant survey is reported with 77076.

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 77075PPRRVU2026_Oct_nonQPP.csv, line 8,995 (RVU26D)

Open CMS sourceHow we calculate rates

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