CPT code 77085: DXA bone density, axial with fracture assessment2026 Medicare rate & RVUs in South Carolina
Reports axial DXA of the hips, pelvis, or spine with vertebral fracture assessment when bone density and vertebral fracture evaluation are performed together.
In South Carolina, Medicare pays $50.94 for 77085 in the office.
Check a contract rate as a % of Medicare · 77085 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 77085 covers
This service combines DXA bone density measurement of the axial skeleton, such as the hips, pelvis, or spine, with evaluation for vertebral fractures. It is commonly performed in outpatient imaging centers and hospitals for patients being evaluated for osteoporosis or vertebral fracture risk. Imaging staff acquire the study, and a qualified interpreting professional reviews the bone density and fracture-assessment findings and prepares a report.
Report 77085 when the axial DXA study includes vertebral fracture assessment; the documentation should identify the sites examined and support both the bone-density study and its interpretation. The code may be billed globally, or the interpretation may be reported with modifier 26 and the equipment-and-staff portion with modifier TC. The record should make clear which portion the billing entity furnished when a component modifier is used.
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 South Carolina compares for 77085
Across 109 of 109 payment localities, the office rate for 77085 runs from $47.67 in Arkansas to $74.08 in San Benito County, CA. South Carolina pays $50.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$50.94
- Los Angeles, CA · California$62.34+$11.40
- Washington, DC area · District of Columbia$62.85+$11.91
- Miami, FL · Florida$58.27+$7.33
- Chicago, IL · Illinois$56.46+$5.52
- Manhattan, NY · New York$62.88+$11.94
- Alaska · Alaska$61.51+$10.57
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $48.44 | — |
| ArkansasArkansas | $47.67 | — |
| ArizonaArizona | $52.91 | — |
| Bakersfield, CACalifornia | $58.27 | — |
| Chico, CACalifornia | $58.16 | — |
| El Centro, CACalifornia | $58.16 | — |
| Fresno, CACalifornia | $58.16 | — |
| Hanford, CACalifornia | $58.16 | — |
| Madera, CACalifornia | $58.16 | — |
| Merced, CACalifornia | $58.16 | — |
| Modesto, CACalifornia | $58.16 | — |
| Napa, CACalifornia | $68.20 | — |
| Oxnard, CACalifornia | $62.11 | — |
| Redding, CACalifornia | $58.16 | — |
| Rest of CaliforniaCalifornia | $58.16 | — |
| Riverside, CACalifornia | $58.59 | — |
| Sacramento, CACalifornia | $61.25 | — |
| Salinas, CACalifornia | $61.03 | — |
| San Diego, CACalifornia | $62.63 | — |
| Marin County, CACalifornia | $72.44 | — |
| San Francisco, CACalifornia | $72.40 | — |
| San Benito County, CACalifornia | $74.08 | — |
| Santa Clara County, CACalifornia | $73.90 | — |
| San Luis Obispo, CACalifornia | $60.02 | — |
| Santa Cruz, CACalifornia | $63.36 | — |
| Santa Maria, CACalifornia | $61.30 | — |
| Santa Rosa, CACalifornia | $64.01 | — |
| Stockton, CACalifornia | $58.16 | — |
| Vallejo, CACalifornia | $68.14 | — |
| Visalia, CACalifornia | $58.16 | — |
| Yuba City, CACalifornia | $58.16 | — |
| ColoradoColorado | $57.05 | — |
| ConnecticutConnecticut | $58.26 | — |
| DelawareDelaware | $53.84 | — |
| Fort Lauderdale, FLFlorida | $56.09 | — |
| Rest of FloridaFlorida | $53.20 | — |
| Atlanta, GAGeorgia | $55.44 | — |
| Rest of GeorgiaGeorgia | $50.01 | — |
| Hawaii, Guam, HIHawaii | $59.83 | — |
| IowaIowa | $49.95 | — |
| IdahoIdaho | $50.27 | — |
| East St. Louis, ILIllinois | $52.32 | — |
| Rest of IllinoisIllinois | $51.42 | — |
| Suburban Chicago, ILIllinois | $56.72 | — |
| IndianaIndiana | $50.59 | — |
| KansasKansas | $49.61 | — |
| KentuckyKentucky | $49.51 | — |
| New Orleans, LALouisiana | $52.06 | — |
| Rest of LouisianaLouisiana | $49.39 | — |
| Metropolitan Boston, MAMassachusetts | $63.12 | — |
| Rest of MassachusettsMassachusetts | $56.63 | — |
| Baltimore area, MDMaryland | $58.08 | — |
| Rest of MarylandMaryland | $54.95 | — |
| Rest of MaineMaine | $50.46 | — |
| Southern Maine, MEMaine | $53.56 | — |
| Detroit, MIMichigan | $53.84 | — |
| Rest of MichiganMichigan | $50.84 | — |
| MinnesotaMinnesota | $54.76 | — |
| Metropolitan Kansas City, MOMissouri | $51.76 | — |
| Metropolitan St. Louis, MOMissouri | $52.36 | — |
| Rest of MissouriMissouri | $48.42 | — |
| MississippiMississippi | $48.06 | — |
| MontanaMontana | $54.44 | — |
| North CarolinaNorth Carolina | $51.05 | — |
| North DakotaNorth Dakota | $53.65 | — |
| NebraskaNebraska | $50.27 | — |
| New HampshireNew Hampshire | $56.06 | — |
| Northern New JerseyNew Jersey | $62.09 | — |
| Rest of New JerseyNew Jersey | $58.96 | — |
| New MexicoNew Mexico | $51.11 | — |
| NevadaNevada | $54.26 | — |
| NYC suburbs and Long Island, NYNew York | $64.41 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $59.28 | — |
| Queens, NYNew York | $63.56 | — |
| Rest of New YorkNew York | $51.88 | — |
| OhioOhio | $50.68 | — |
| OklahomaOklahoma | $49.50 | — |
| Portland, OROregon | $59.08 | — |
| Rest of OregonOregon | $53.87 | — |
| Metropolitan Philadelphia, PAPennsylvania | $56.66 | — |
| Rest of PennsylvaniaPennsylvania | $50.81 | — |
| Puerto RicoPuerto Rico | $54.90 | — |
| Rhode IslandRhode Island | $55.92 | — |
| South DakotaSouth Dakota | $53.56 | — |
| TennesseeTennessee | $49.87 | — |
| Austin, TXTexas | $56.83 | — |
| Beaumont, TXTexas | $50.44 | — |
| Brazoria, TXTexas | $53.84 | — |
| Dallas, TXTexas | $54.17 | — |
| Fort Worth, TXTexas | $53.75 | — |
| Galveston, TXTexas | $53.99 | — |
| Houston, TXTexas | $54.72 | — |
| Rest of TexasTexas | $52.10 | — |
| UtahUtah | $51.70 | — |
| VirginiaVirginia | $53.31 | — |
| Virgin Islands, VIUnited States Virgin Islands | $54.90 | — |
| VermontVermont | $53.35 | — |
| Rest of WashingtonWashington | $56.55 | — |
| King County, WAWashington | $64.54 | — |
| WisconsinWisconsin | $51.70 | — |
| West VirginiaWest Virginia | $49.33 | — |
| WyomingWyoming | $54.10 | — |
77085 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.
$47.67
$66.12
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 | $61.51 | 1 |
| AL | $48.44 | 1 |
| AR | $47.67 | 1 |
| AZ | $52.91 | 1 |
| CA | $58.16–$74.08 | 29 |
| CO | $57.05 | 1 |
| CT | $58.26 | 1 |
| DC | $62.85 | 1 |
| DE | $53.84 | 1 |
| FL | $53.20–$58.27 | 3 |
| GA | $50.01–$55.44 | 2 |
| GU | $59.83 | 1 |
| HI | $59.83 | 1 |
| IA | $49.95 | 1 |
| ID | $50.27 | 1 |
| IL | $51.42–$56.72 | 4 |
| IN | $50.59 | 1 |
| KS | $49.61 | 1 |
| KY | $49.51 | 1 |
| LA | $49.39–$52.06 | 2 |
| MA | $56.63–$63.12 | 2 |
| MD | $54.95–$62.85 | 3 |
| ME | $50.46–$53.56 | 2 |
| MI | $50.84–$53.84 | 2 |
| MN | $54.76 | 1 |
| MO | $48.42–$52.36 | 3 |
| MS | $48.06 | 1 |
| MT | $54.44 | 1 |
| NC | $51.05 | 1 |
| ND | $53.65 | 1 |
| NE | $50.27 | 1 |
| NH | $56.06 | 1 |
| NJ | $58.96–$62.09 | 2 |
| NM | $51.11 | 1 |
| NV | $54.26 | 1 |
| NY | $51.88–$64.41 | 5 |
| OH | $50.68 | 1 |
| OK | $49.50 | 1 |
| OR | $53.87–$59.08 | 2 |
| PA | $50.81–$56.66 | 2 |
| PR | $54.90 | 1 |
| RI | $55.92 | 1 |
| SC | $50.94 | 1 |
| SD | $53.56 | 1 |
| TN | $49.87 | 1 |
| TX | $50.44–$56.83 | 8 |
| UT | $51.70 | 1 |
| VA | $53.31–$62.85 | 2 |
| VI | $54.90 | 1 |
| VT | $53.35 | 1 |
| WA | $56.55–$64.54 | 2 |
| WI | $51.70 | 1 |
| WV | $49.33 | 1 |
| WY | $54.10 | 1 |
How the 77085 rate is calculated
Each of 77085’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 · 77085
RVUs × geographic indexes × conversion factor
Work0.29
0.29 RVUs× 1.000 GPCI
Practice expense1.30
1.30 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
1.6300
Conversion factor
$33.4009
Medicare rate
$54.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,016
- Code
- 77085
- Physician work
- 0.29
- Practice expense
- 1.30
- Malpractice
- 0.04
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.29 | × 1.000 | 0.2900 |
| Practice expense | 1.30 | × 0.924 | 1.2012 |
| Malpractice | 0.04 | × 0.850 | 0.0340 |
| Total RVUs | 1.5252 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Carolina$50.94
Office: (0.29 × 1 + 1.3 × 0.924 + 0.04 × 0.85) × $33.4009 = $50.94
Payment rules and modifiers for 77085
The CMS indicators that decide how 77085 is paid alongside other services.
CMS payment indicators · 77085
DXA bone density, axial with fracture assessment
| 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
77085 without 26 · national office
$54.44
DXA bone density, axial with fracture assessment
77085-26 · Professional component
$14.36
Pays only the interpretation and report.
How 77085 has changed in South Carolina
77085 · Office / nonfacility
$50.94
Effective 2026-10-01
The base rate is $2.35 higher than on 2025-10-01, moving from $48.59 to $50.94 (4.8%).
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
$48.59changed to$50.94
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.30 changed to 0.29
- Practice expense RVU 1.29 changed to 1.30
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.913 changed to 0.924
- Malpractice GPCI 0.817 changed to 0.850
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$49.40changed to$48.59
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.27 changed to 1.29
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$48.59changed to$49.40
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$48.53changed to$48.59
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.23 changed to 1.27
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.756 changed to 0.817
January 1, 2023
RVU23A
$48.05changed to$48.53
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.19 changed to 1.23
- Practice expense GPCI 0.903 changed to 0.908
- Malpractice GPCI 0.695 changed to 0.756
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$49.08changed to$48.05
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.21 changed to 1.19
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$49.90changed to$49.08
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.18 changed to 1.21
- Practice expense GPCI 0.907 changed to 0.903
- Malpractice GPCI 0.624 changed to 0.695
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$51.18changed to$49.90
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.21 changed to 1.18
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.912 changed to 0.907
- Malpractice GPCI 0.553 changed to 0.624
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$53.42changed to$51.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.28 changed to 1.21
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$52.36changed to$53.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.25 changed to 1.28
- Malpractice GPCI 0.634 changed to 0.553
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$52.65changed to$52.36
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.26 changed to 1.25
- Malpractice GPCI 0.715 changed to 0.634
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$52.59changed to$52.65
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$52.32changed to$52.59
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$52.32
Held through RVU15B.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $50.94 | Not available in this setting | RVU26D |
| 2026-07-01 | $50.94 | Not available in this setting | RVU26C |
| 2026-04-01 | $50.94 | Not available in this setting | RVU26B |
| 2026-01-01 | $50.94 | Not available in this setting | RVU26A |
| 2025-10-01 | $48.59 | Not available in this setting | RVU25D |
| 2025-07-01 | $48.59 | Not available in this setting | RVU25C |
| 2025-04-01 | $48.59 | Not available in this setting | RVU25B |
| 2025-01-01 | $48.59 | Not available in this setting | RVU25A |
| 2024-10-01 | $49.40 | Not available in this setting | RVU24D |
| 2024-07-01 | $49.40 | Not available in this setting | RVU24C |
| 2024-04-01 | $49.40 | Not available in this setting | RVU24B |
| 2024-03-09 | $49.40 | Not available in this setting | RVU24AR |
| 2024-01-01 | $48.59 | Not available in this setting | RVU24A |
| 2023-10-01 | $48.53 | Not available in this setting | RVU23D |
| 2023-07-01 | $48.53 | Not available in this setting | RVU23C |
| 2023-04-01 | $48.53 | Not available in this setting | RVU23B |
| 2023-01-01 | $48.53 | Not available in this setting | RVU23A |
| 2022-10-01 | $48.05 | Not available in this setting | RVU22D |
| 2022-07-01 | $48.05 | Not available in this setting | RVU22C |
| 2022-04-01 | $48.05 | Not available in this setting | RVU22B |
| 2022-01-01 | $48.05 | Not available in this setting | RVU22A |
| 2021-10-01 | $49.08 | Not available in this setting | RVU21D |
| 2021-07-01 | $49.08 | Not available in this setting | RVU21C |
| 2021-04-01 | $49.08 | Not available in this setting | RVU21B |
| 2021-01-01 | $49.08 | Not available in this setting | RVU21A |
| 2020-10-01 | $49.90 | Not available in this setting | RVU20D |
| 2020-07-01 | $49.90 | Not available in this setting | RVU20C |
| 2020-04-01 | $49.90 | Not available in this setting | RVU20B |
| 2020-01-01 | $49.90 | Not available in this setting | RVU20A |
| 2019-10-01 | $51.18 | Not available in this setting | RVU19D |
| 2019-07-01 | $51.18 | Not available in this setting | RVU19C |
| 2019-04-01 | $51.18 | Not available in this setting | RVU19B |
| 2019-01-01 | $51.18 | Not available in this setting | RVU19A |
| 2018-10-01 | $53.42 | Not available in this setting | RVU18D |
| 2018-07-01 | $53.42 | Not available in this setting | RVU18C |
| 2018-04-01 | $53.42 | Not available in this setting | RVU18B |
| 2018-01-01 | $53.42 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $52.36 | Not available in this setting | RVU17D |
| 2017-07-01 | $52.36 | Not available in this setting | RVU17C |
| 2017-04-01 | $52.36 | Not available in this setting | RVU17B |
| 2017-01-01 | $52.36 | Not available in this setting | RVU17A |
| 2016-10-01 | $52.65 | Not available in this setting | RVU16D |
| 2016-07-01 | $52.65 | Not available in this setting | RVU16C |
| 2016-04-01 | $52.65 | Not available in this setting | RVU16B |
| 2016-01-01 | $52.65 | Not available in this setting | RVU16A |
| 2015-10-01 | $52.59 | Not available in this setting | RVU15D |
| 2015-07-01 | $52.59 | Not available in this setting | RVU15C |
| 2015-04-01 | $52.32 | Not available in this setting | RVU15B |
| 2015-01-01 | $52.32 | Not available in this setting | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
77085 billing questions
When should 77085 be used instead of 77080?
Use 77085 when axial DXA is performed with vertebral fracture assessment. Use 77080 for axial DXA without that assessment.
Can 77086 also be reported for the same vertebral fracture assessment?
77085 includes vertebral fracture assessment with the axial DXA. Do not report 77086 again for that same included assessment.
How do modifiers 26 and TC apply?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical portion involving equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 77085?
Document the axial sites examined, the DXA findings, the vertebral fracture assessment, and the interpreting professional’s report.
Is a DXA of the forearm reported with 77085?
No. 77085 describes axial sites such as the hips, pelvis, or spine; appendicular DXA, such as a forearm study, is reported with 77081.
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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