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CPT code 77077: Joint survey, one view, one or two joints2026 Medicare rate & RVUs in Nevada

Reports a single-view radiographic survey of one or two joints, such as comparative hand or foot imaging for an inflammatory joint condition.

CMS RVU26DEffective Oct 1, 2026One payment locality36.8K Medicare services in 2024

In Nevada, Medicare pays $47.30 for 77077 in the office.

$47.30Office (non-facility)
Not available in this settingHospital or facility
−0.3%vs the national office rate ($47.43)

Check a contract rate as a % of Medicare · 77077 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 77077 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 77077 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 77077 covers

This service captures a single radiographic projection that surveys one or two joints. It may be used when a clinician needs a broad joint assessment, for example when evaluating hands or feet for inflammatory arthritis. A radiologic technologist performs the imaging, and a radiologist or other qualified physician interprets the images. The service may be furnished in an office imaging department or a hospital radiology department.

Select this code when the study covers one or two joints in a single view; focused imaging with multiple views of a specific joint is coded according to that examination instead. Documentation should identify the joints imaged, the number of views, the clinical reason for the survey, and the interpretation. The professional component may be reported with modifier 26, the technical component with modifier TC, or the complete service without either modifier. CMS separately prices the 26 and TC components.

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 77077

Across 109 of 109 payment localities, the office rate for 77077 runs from $41.90 in Arkansas to $63.94 in San Benito County, CA. Nevada pays $47.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

77077 in Nevada vs other payment areas
  1. Nevada · this page$47.30
  2. Los Angeles, CA · California$54.07+$6.77
  3. Washington, DC area · District of Columbia$54.48+$7.18
  4. Miami, FL · Florida$50.43+$3.13
  5. Chicago, IL · Illinois$48.98+$1.68
  6. Manhattan, NY · New York$54.49+$7.19
  7. Alaska · Alaska$54.65+$7.35

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

Every other payment area

77077 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$42.53—
ArkansasArkansas$41.90—
ArizonaArizona$46.18—
Bakersfield, CACalifornia$50.67—
Chico, CACalifornia$50.58—
El Centro, CACalifornia$50.58—
Fresno, CACalifornia$50.58—
Hanford, CACalifornia$50.58—

77077 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.

$41.90

$57.26

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

View every state and territory as a table
77077 office rate range by state
State / territoryOffice rate rangeLocalities
AK$54.651
AL$42.531
AR$41.901
AZ$46.181
CA$50.58–$63.9429
CO$49.631
CT$50.611
DC$54.481
DE$46.951
FL$46.36–$50.433
GA$43.76–$48.232
GU$51.901
HI$51.901
IA$43.791
ID$44.041
IL$44.88–$49.244
IN$44.311
KS$43.501
KY$43.381
LA$43.28–$45.462
MA$49.29–$54.692
MD$47.88–$54.483
ME$44.19–$46.742
MI$44.45–$46.872
MN$47.761
MO$42.47–$45.723
MS$42.201
MT$47.431
NC$44.671
ND$46.831
NE$44.051
NH$48.771
NJ$51.24–$53.892
NM$44.661
NV$47.301
NY$45.34–$55.735
OH$44.331
OK$43.381
OR$46.99–$51.312
PA$44.44–$49.282
PR$47.811
RI$48.701
SC$44.561
SD$46.761
TN$43.711
TX$44.14–$49.418
UT$45.181
VA$46.53–$54.482
VI$47.811
VT$46.581
WA$49.22–$55.892
WI$45.231
WV$43.181
WY$47.171

See 77077 in every payment locality

How the 77077 rate is calculated

Each of 77077’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 · 77077

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.32

0.32 RVUs× 1.000 GPCI

Practice expense1.07

1.07 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.4200

Conversion factor

$33.4009

Medicare rate

$47.43

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

9,001

Code
77077
Physician work
0.32
Practice expense
1.07
Malpractice
0.03

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 77077 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.32× 1.0000.3200
Practice expense1.07× 1.0011.0711
Malpractice0.03× 0.8330.0250
Total RVUs1.4161
Conversion factor× 33.4009

Office rate, Nevada$47.30

Office: (0.32 × 1 + 1.07 × 1.001 + 0.03 × 0.833) × $33.4009 = $47.30

Open 77077 in the RVU calculator

Payment rules and modifiers for 77077

The CMS indicators that decide how 77077 is paid alongside other services.

CMS payment indicators · 77077

Joint survey, one view, one or two joints

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

77077 without 26 · national office

$47.43

Joint survey, one view, one or two joints

77077-26 · Professional component

$16.37

Pays only the interpretation and report.

When to use modifier 26

Codes related to 77077

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

Codes related to 77077
CodeHow it relatesOffice range, Nevada
Used instead
73130Hand X-ray, minimum of three viewsFocused hand imaging with multiple views may be selected instead of a single-view joint survey.$38.00
73630Foot X-ray, complete, at least three viewsFocused foot imaging with multiple views may be selected instead of a single-view joint survey.$33.99
77071Stress radiographs, interpretation and reportUsed for joint radiography with manually applied stress rather than a survey view.$58.10

How 77077 has changed in Nevada

77077 · Office / nonfacility

$47.30

Effective 2026-10-01

The base rate is $2.49 higher than on 2025-10-01, moving from $44.81 to $47.30 (5.6%).

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

    $44.81changed to$47.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.33 changed to 0.32
    • Practice expense RVU 1.03 changed to 1.07
    • 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

    $46.78changed to$44.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.05 changed to 1.03

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $46.02changed to$46.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $47.88changed to$46.02

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $48.87changed to$47.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.04 changed to 1.05
    • 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

    $48.23changed to$48.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.01 changed to 1.04

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $46.74changed to$48.23

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.93 changed to 1.01
    • 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

    $39.67changed to$46.74

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 0.31 changed to 0.33
    • Practice expense RVU 0.75 changed to 0.93
    • 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

    $38.16changed to$39.67

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.71 changed to 0.75

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $38.54changed to$38.16

    • 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

    $38.93changed to$38.54

    • Conversion factor 35.8043 changed to 35.8887
    • 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

    $39.40changed to$38.93

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.70 changed to 0.71
    • Malpractice RVU 0.05 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $39.20changed to$39.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $42.58changed to$39.20

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.78 changed to 0.70
    • 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

    $43.60changed to$42.58

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.86 changed to 0.78
    • 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$43.60

  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$47.30Not available in this settingRVU26D
2026-07-01$47.30Not available in this settingRVU26C
2026-04-01$47.30Not available in this settingRVU26B
2026-01-01$47.30Not available in this settingRVU26A
2025-10-01$44.81Not available in this settingRVU25D
2025-07-01$44.81Not available in this settingRVU25C
2025-04-01$44.81Not available in this settingRVU25B
2025-01-01$44.81Not available in this settingRVU25A
2024-10-01$46.78Not available in this settingRVU24D
2024-07-01$46.78Not available in this settingRVU24C
2024-04-01$46.78Not available in this settingRVU24B
2024-03-09$46.78Not available in this settingRVU24AR
2024-01-01$46.02Not available in this settingRVU24A
2023-10-01$47.88Not available in this settingRVU23D
2023-07-01$47.88Not available in this settingRVU23C
2023-04-01$47.88Not available in this settingRVU23B
2023-01-01$47.88Not available in this settingRVU23A
2022-10-01$48.87Not available in this settingRVU22D
2022-07-01$48.87Not available in this settingRVU22C
2022-04-01$48.87Not available in this settingRVU22B
2022-01-01$48.87Not available in this settingRVU22A
2021-10-01$48.23Not available in this settingRVU21D
2021-07-01$48.23Not available in this settingRVU21C
2021-04-01$48.23Not available in this settingRVU21B
2021-01-01$48.23Not available in this settingRVU21A
2020-10-01$46.74Not available in this settingRVU20D
2020-07-01$46.74Not available in this settingRVU20C
2020-04-01$46.74Not available in this settingRVU20B
2020-01-01$46.74Not available in this settingRVU20A
2019-10-01$39.67Not available in this settingRVU19D
2019-07-01$39.67Not available in this settingRVU19C
2019-04-01$39.67Not available in this settingRVU19B
2019-01-01$39.67Not available in this settingRVU19A
2018-10-01$38.16Not available in this settingRVU18D
2018-07-01$38.16Not available in this settingRVU18C
2018-04-01$38.16Not available in this settingRVU18B
2018-01-01$38.16Not available in this settingRVU18AR1
2017-10-01$38.54Not available in this settingRVU17D
2017-07-01$38.54Not available in this settingRVU17C
2017-04-01$38.54Not available in this settingRVU17B
2017-01-01$38.54Not available in this settingRVU17A
2016-10-01$38.93Not available in this settingRVU16D
2016-07-01$38.93Not available in this settingRVU16C
2016-04-01$38.93Not available in this settingRVU16B
2016-01-01$38.93Not available in this settingRVU16A
2015-10-01$39.40Not available in this settingRVU15D
2015-07-01$39.40Not available in this settingRVU15C
2015-04-01$39.20Not available in this settingRVU15B
2015-01-01$39.20Not available in this settingRVU15A
2014-10-01$42.58Not available in this settingRVU14D
2014-07-01$42.58Not available in this settingRVU14C
2014-04-01$42.58Not available in this settingRVU14B
2014-01-01$42.58Not available in this settingRVU14A
2013-10-01$43.60Not 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 77077 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

77077 billing questions

When should this code be chosen over a standard hand or foot X-ray?

Use this code for a single-view survey of one or two joints. A focused examination of a hand or foot with multiple views is reported with the code for that examination.

How are the professional and technical services reported?

Report modifier 26 for the physician's interpretation and modifier TC for the imaging equipment and staff. Without either modifier, the claim represents the global service.

What details should the imaging report support?

Document the joint or joints examined, the single view obtained, the clinical indication, and the physician's image interpretation.

Can this code describe several views of one joint?

No. It describes a single-view survey covering one or two joints; use the applicable focused-joint imaging code when multiple views are obtained.

Is this the same as stress radiography of a joint?

No. This code is for a joint survey; code 77071 describes radiography involving manually applied stress to a joint.

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 77077PPRRVU2026_Oct_nonQPP.csv, line 9,001 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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