CPT code 77080: DXA bone density scan, axial skeleton, spine or hip2026 Medicare rate & RVUs in Puerto Rico
Axial DXA measures bone density at central sites such as the lumbar spine or hip for osteoporosis evaluation and treatment monitoring.
In Puerto Rico, Medicare pays $39.76 for 77080 in the office.
Check a contract rate as a % of Medicare · 77080 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 77080 covers
Axial DXA uses low-dose X-rays to measure bone mineral density at one or more central sites, usually the lumbar spine and proximal femur. It helps evaluate osteoporosis risk and monitor response to treatment. A technologist positions the patient and acquires images in an imaging center, physician office, or hospital outpatient department. A radiologist or another qualified interpreting physician evaluates the results, including applicable T-scores or Z-scores, and signs the report.
Report one unit of 77080 for an axial DXA session, whether one or multiple axial sites are measured. If the same session includes DXA vertebral fracture assessment, report the combined service with 77085 instead. Record the clinical indication, measured sites, and signed interpretation. CMS separately prices the technical component, billed with modifier TC for equipment and staff, and the professional component, billed with modifier 26 for interpretation and report. When one billing entity furnishes both components, report the global service without a component modifier.
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 Puerto Rico compares for 77080
Across 109 of 109 payment localities, the office rate for 77080 runs from $34.57 in Arkansas to $54.01 in San Benito County, CA. Puerto Rico pays $39.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$39.76
- Los Angeles, CA · California$45.33+$5.57
- Washington, DC area · District of Columbia$45.56+$5.80
- Miami, FL · Florida$41.75+$1.99
- Chicago, IL · Illinois$40.49+$0.73
- Manhattan, NY · New York$45.43+$5.67
- Alaska · Alaska$44.54+$4.78
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $35.12 | — |
| ArkansasArkansas | $34.57 | — |
| ArizonaArizona | $38.32 | — |
| Bakersfield, CACalifornia | $42.36 | — |
| Chico, CACalifornia | $42.29 | — |
| El Centro, CACalifornia | $42.30 | — |
| Fresno, CACalifornia | $42.29 | — |
| Hanford, CACalifornia | $42.29 | — |
| Madera, CACalifornia | $42.29 | — |
| Merced, CACalifornia | $42.29 | — |
| Modesto, CACalifornia | $42.29 | — |
| Napa, CACalifornia | $49.70 | — |
| Oxnard, CACalifornia | $45.18 | — |
| Redding, CACalifornia | $42.29 | — |
| Rest of CaliforniaCalifornia | $42.29 | — |
| Riverside, CACalifornia | $42.51 | — |
| Sacramento, CACalifornia | $44.57 | — |
| Salinas, CACalifornia | $44.41 | — |
| San Diego, CACalifornia | $45.59 | — |
| Marin County, CACalifornia | $52.83 | — |
| San Francisco, CACalifornia | $52.81 | — |
| San Benito County, CACalifornia | $54.01 | — |
| Santa Clara County, CACalifornia | $53.92 | — |
| San Luis Obispo, CACalifornia | $43.67 | — |
| Santa Cruz, CACalifornia | $46.14 | — |
| Santa Maria, CACalifornia | $44.61 | — |
| Santa Rosa, CACalifornia | $46.61 | — |
| Stockton, CACalifornia | $42.29 | — |
| Vallejo, CACalifornia | $49.67 | — |
| Visalia, CACalifornia | $42.29 | — |
| Yuba City, CACalifornia | $42.29 | — |
| ColoradoColorado | $41.40 | — |
| ConnecticutConnecticut | $42.16 | — |
| DelawareDelaware | $38.99 | — |
| Fort Lauderdale, FLFlorida | $40.37 | — |
| Rest of FloridaFlorida | $38.34 | — |
| Atlanta, GAGeorgia | $40.08 | — |
| Rest of GeorgiaGeorgia | $36.08 | — |
| Hawaii, Guam, HIHawaii | $43.52 | — |
| IowaIowa | $36.28 | — |
| IdahoIdaho | $36.50 | — |
| East St. Louis, ILIllinois | $37.53 | — |
| Rest of IllinoisIllinois | $37.00 | — |
| Suburban Chicago, ILIllinois | $40.84 | — |
| IndianaIndiana | $36.73 | — |
| KansasKansas | $36.00 | — |
| KentuckyKentucky | $35.80 | — |
| New Orleans, LALouisiana | $37.61 | — |
| Rest of LouisianaLouisiana | $35.70 | — |
| Metropolitan Boston, MAMassachusetts | $45.83 | — |
| Rest of MassachusettsMassachusetts | $41.08 | — |
| Baltimore area, MDMaryland | $42.02 | — |
| Rest of MarylandMaryland | $39.81 | — |
| Rest of MaineMaine | $36.60 | — |
| Southern Maine, MEMaine | $38.88 | — |
| Detroit, MIMichigan | $38.75 | — |
| Rest of MichiganMichigan | $36.71 | — |
| MinnesotaMinnesota | $39.87 | — |
| Metropolitan Kansas City, MOMissouri | $37.44 | — |
| Metropolitan St. Louis, MOMissouri | $37.88 | — |
| Rest of MissouriMissouri | $34.97 | — |
| MississippiMississippi | $34.78 | — |
| MontanaMontana | $39.41 | — |
| North CarolinaNorth Carolina | $37.02 | — |
| North DakotaNorth Dakota | $39.02 | — |
| NebraskaNebraska | $36.53 | — |
| New HampshireNew Hampshire | $40.64 | — |
| Northern New JerseyNew Jersey | $45.01 | — |
| Rest of New JerseyNew Jersey | $42.70 | — |
| New MexicoNew Mexico | $36.89 | — |
| NevadaNevada | $39.33 | — |
| NYC suburbs and Long Island, NYNew York | $46.47 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $42.90 | — |
| Queens, NYNew York | $45.97 | — |
| Rest of New YorkNew York | $37.61 | — |
| OhioOhio | $36.63 | — |
| OklahomaOklahoma | $35.83 | — |
| Portland, OROregon | $42.91 | — |
| Rest of OregonOregon | $39.09 | — |
| Metropolitan Philadelphia, PAPennsylvania | $40.98 | — |
| Rest of PennsylvaniaPennsylvania | $36.75 | — |
| Rhode IslandRhode Island | $40.53 | — |
| South CarolinaSouth Carolina | $36.88 | — |
| South DakotaSouth Dakota | $38.97 | — |
| TennesseeTennessee | $36.19 | — |
| Austin, TXTexas | $41.21 | — |
| Beaumont, TXTexas | $36.48 | — |
| Brazoria, TXTexas | $39.03 | — |
| Dallas, TXTexas | $39.25 | — |
| Fort Worth, TXTexas | $38.94 | — |
| Galveston, TXTexas | $39.13 | — |
| Houston, TXTexas | $39.49 | — |
| Rest of TexasTexas | $37.71 | — |
| UtahUtah | $37.42 | — |
| VirginiaVirginia | $38.67 | — |
| Virgin Islands, VIUnited States Virgin Islands | $39.76 | — |
| VermontVermont | $38.76 | — |
| Rest of WashingtonWashington | $41.04 | — |
| King County, WAWashington | $46.90 | — |
| WisconsinWisconsin | $37.60 | — |
| West VirginiaWest Virginia | $35.50 | — |
| WyomingWyoming | $39.24 | — |
77080 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$34.57
$48.15
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $44.54 | 1 |
| AL | $35.12 | 1 |
| AR | $34.57 | 1 |
| AZ | $38.32 | 1 |
| CA | $42.29–$54.01 | 29 |
| CO | $41.40 | 1 |
| CT | $42.16 | 1 |
| DC | $45.56 | 1 |
| DE | $38.99 | 1 |
| FL | $38.34–$41.75 | 3 |
| GA | $36.08–$40.08 | 2 |
| GU | $43.52 | 1 |
| HI | $43.52 | 1 |
| IA | $36.28 | 1 |
| ID | $36.50 | 1 |
| IL | $37.00–$40.84 | 4 |
| IN | $36.73 | 1 |
| KS | $36.00 | 1 |
| KY | $35.80 | 1 |
| LA | $35.70–$37.61 | 2 |
| MA | $41.08–$45.83 | 2 |
| MD | $39.81–$45.56 | 3 |
| ME | $36.60–$38.88 | 2 |
| MI | $36.71–$38.75 | 2 |
| MN | $39.87 | 1 |
| MO | $34.97–$37.88 | 3 |
| MS | $34.78 | 1 |
| MT | $39.41 | 1 |
| NC | $37.02 | 1 |
| ND | $39.02 | 1 |
| NE | $36.53 | 1 |
| NH | $40.64 | 1 |
| NJ | $42.70–$45.01 | 2 |
| NM | $36.89 | 1 |
| NV | $39.33 | 1 |
| NY | $37.61–$46.47 | 5 |
| OH | $36.63 | 1 |
| OK | $35.83 | 1 |
| OR | $39.09–$42.91 | 2 |
| PA | $36.75–$40.98 | 2 |
| PR | $39.76 | 1 |
| RI | $40.53 | 1 |
| SC | $36.88 | 1 |
| SD | $38.97 | 1 |
| TN | $36.19 | 1 |
| TX | $36.48–$41.21 | 8 |
| UT | $37.42 | 1 |
| VA | $38.67–$45.56 | 2 |
| VI | $39.76 | 1 |
| VT | $38.76 | 1 |
| WA | $41.04–$46.90 | 2 |
| WI | $37.60 | 1 |
| WV | $35.50 | 1 |
| WY | $39.24 | 1 |
How the 77080 rate is calculated
Each of 77080’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 · 77080
RVUs × geographic indexes × conversion factor
Work0.20
0.20 RVUs× 1.000 GPCI
Practice expense0.96
0.96 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.1800
Conversion factor
$33.4009
Medicare rate
$39.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,007
- Code
- 77080
- Physician work
- 0.20
- Practice expense
- 0.96
- Malpractice
- 0.02
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.96 | × 1.011 | 0.9706 |
| Malpractice | 0.02 | × 0.985 | 0.0197 |
| Total RVUs | 1.1903 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$39.76
Office: (0.2 × 1 + 0.96 × 1.011 + 0.02 × 0.985) × $33.4009 = $39.76
Payment rules and modifiers for 77080
The CMS indicators that decide how 77080 is paid alongside other services.
CMS payment indicators · 77080
DXA bone density scan, axial skeleton, spine or hip
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77080 without 26 · national office
$39.41
DXA bone density scan, axial skeleton, spine or hip
77080-26 · Professional component
$9.35
Pays only the interpretation and report.
How 77080 has changed in Puerto Rico
77080 · Office / nonfacility
$39.76
Effective 2026-10-01
The base rate is $1.39 higher than on 2025-10-01, moving from $38.37 to $39.76 (3.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$38.37changed to$39.76
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$39.16changed to$38.37
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.95 changed to 0.96
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$38.52changed to$39.16
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$38.87changed to$38.52
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.92 changed to 0.95
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$38.63changed to$38.87
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$38.30changed to$38.63
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.88 changed to 0.92
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$38.97changed to$38.30
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.89 changed to 0.88
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$40.31changed to$38.97
- Conversion factor 36.0896 changed to 34.8931
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$40.95changed to$40.31
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.91 changed to 0.89
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$43.08changed to$40.95
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.97 changed to 0.91
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$36.52changed to$43.08
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.94 changed to 0.97
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$31.10changed to$36.52
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$31.21changed to$31.10
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$31.06changed to$31.21
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$36.11changed to$31.06
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.16 changed to 0.94
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$36.04changed to$36.11
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.26 changed to 1.16
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $36.04
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $39.76 | Not available in this setting | RVU26D |
| 2026-07-01 | $39.76 | Not available in this setting | RVU26C |
| 2026-04-01 | $39.76 | Not available in this setting | RVU26B |
| 2026-01-01 | $39.76 | Not available in this setting | RVU26A |
| 2025-10-01 | $38.37 | Not available in this setting | RVU25D |
| 2025-07-01 | $38.37 | Not available in this setting | RVU25C |
| 2025-04-01 | $38.37 | Not available in this setting | RVU25B |
| 2025-01-01 | $38.37 | Not available in this setting | RVU25A |
| 2024-10-01 | $39.16 | Not available in this setting | RVU24D |
| 2024-07-01 | $39.16 | Not available in this setting | RVU24C |
| 2024-04-01 | $39.16 | Not available in this setting | RVU24B |
| 2024-03-09 | $39.16 | Not available in this setting | RVU24AR |
| 2024-01-01 | $38.52 | Not available in this setting | RVU24A |
| 2023-10-01 | $38.87 | Not available in this setting | RVU23D |
| 2023-07-01 | $38.63 | Not available in this setting | RVU23C |
| 2023-04-01 | $38.63 | Not available in this setting | RVU23B |
| 2023-01-01 | $38.63 | Not available in this setting | RVU23A |
| 2022-10-01 | $38.30 | Not available in this setting | RVU22D |
| 2022-07-01 | $38.30 | Not available in this setting | RVU22C |
| 2022-04-01 | $38.30 | Not available in this setting | RVU22B |
| 2022-01-01 | $38.30 | Not available in this setting | RVU22A |
| 2021-10-01 | $38.97 | Not available in this setting | RVU21D |
| 2021-07-01 | $38.97 | Not available in this setting | RVU21C |
| 2021-04-01 | $38.97 | Not available in this setting | RVU21B |
| 2021-01-01 | $38.97 | Not available in this setting | RVU21A |
| 2020-10-01 | $40.31 | Not available in this setting | RVU20D |
| 2020-07-01 | $40.31 | Not available in this setting | RVU20C |
| 2020-04-01 | $40.31 | Not available in this setting | RVU20B |
| 2020-01-01 | $40.31 | Not available in this setting | RVU20A |
| 2019-10-01 | $40.95 | Not available in this setting | RVU19D |
| 2019-07-01 | $40.95 | Not available in this setting | RVU19C |
| 2019-04-01 | $40.95 | Not available in this setting | RVU19B |
| 2019-01-01 | $40.95 | Not available in this setting | RVU19A |
| 2018-10-01 | $43.08 | Not available in this setting | RVU18D |
| 2018-07-01 | $43.08 | Not available in this setting | RVU18C |
| 2018-04-01 | $43.08 | Not available in this setting | RVU18B |
| 2018-01-01 | $43.08 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $36.52 | Not available in this setting | RVU17D |
| 2017-07-01 | $36.52 | Not available in this setting | RVU17C |
| 2017-04-01 | $36.52 | Not available in this setting | RVU17B |
| 2017-01-01 | $36.52 | Not available in this setting | RVU17A |
| 2016-10-01 | $31.10 | Not available in this setting | RVU16D |
| 2016-07-01 | $31.10 | Not available in this setting | RVU16C |
| 2016-04-01 | $31.10 | Not available in this setting | RVU16B |
| 2016-01-01 | $31.10 | Not available in this setting | RVU16A |
| 2015-10-01 | $31.21 | Not available in this setting | RVU15D |
| 2015-07-01 | $31.21 | Not available in this setting | RVU15C |
| 2015-04-01 | $31.06 | Not available in this setting | RVU15B |
| 2015-01-01 | $31.06 | Not available in this setting | RVU15A |
| 2014-10-01 | $36.11 | Not available in this setting | RVU14D |
| 2014-07-01 | $36.11 | Not available in this setting | RVU14C |
| 2014-04-01 | $36.11 | Not available in this setting | RVU14B |
| 2014-01-01 | $36.11 | Not available in this setting | RVU14A |
| 2013-10-01 | $36.04 | Not available in this setting | RVU13D |
| 2013-07-01 | $36.04 | Not available in this setting | RVU13C |
| 2013-04-01 | $36.04 | Not available in this setting | RVU13B |
| 2013-01-01 | $36.04 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
77080 billing questions
Can 77080 be reported with 77086 when vertebral fracture assessment is done on the same day?
For axial DXA with vertebral fracture assessment in the same session, report 77085 rather than 77080 and 77086. Code 77086 describes vertebral fracture assessment performed without an axial bone density study.
How many units are billed if both the spine and both hips are scanned?
One unit. An axial DXA session covers one or more axial sites, so scanning the lumbar spine and both hips remains one service.
Which modifier does the reading physician use when the scan is done at a hospital?
The interpreting physician reports the professional component with modifier 26. The hospital bills the technical portion on its facility claim; an entity furnishing both components reports the global service without a component modifier.
What documentation supports 77080?
The record should identify the reason for the bone density study, the axial sites measured, and the interpreting clinician's signed report.
Is trabecular bone score reported separately from the DXA?
A separately performed trabecular bone score analysis of lumbar spine DXA images may be reported in addition to 77080. Select the appropriate code from 77089–77092 according to the calculation, technical work, and interpretation furnished.
What if only a peripheral site like the forearm is measured?
Report 77081 for appendicular DXA when the study measures a peripheral site without an axial bone density measurement.
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
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