CPT code 77090: TBS processing, data preparation and transmission2026 Medicare rate & RVUs in Arkansas
Reports preparation and transfer of DXA data for trabecular bone score analysis, before the technical calculation and fracture-risk interpretation are performed.
In Arkansas, Medicare pays $2.47 for 77090 in the office.
Check a contract rate as a % of Medicare · 77090 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 77090 covers
Trabecular bone score (TBS) is a software-based analysis of lumbar-spine DXA data that provides information about bone microarchitecture for fracture-risk assessment. Code 77090 covers the technical workflow of preparing the DXA data and transmitting it for analysis; it does not describe the resulting TBS calculation or a clinician’s interpretation. Imaging technologists or other bone-density staff typically handle this step in an outpatient densitometry workflow.
Select 77090 when the documented service is data preparation and transfer for TBS analysis, rather than calculation alone (77091) or interpretation and reporting (77092). Documentation should identify the source DXA data and show that the preparation and transmission were performed. CMS classifies 77090 as technical-component-only, with interpretation covered by a separate code. CMS assigns no physician-work RVUs to this 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 Arkansas compares for 77090
Across 109 of 109 payment localities, the office rate for 77090 runs from $2.47 in Arkansas to $4.03 in San Benito County, CA. Arkansas pays $2.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$2.47
- Los Angeles, CA · California$3.38+$0.91
- Washington, DC area · District of Columbia$3.52+$1.05
- Miami, FL · Florida$3.63+$1.16
- Chicago, IL · Illinois$3.45+$0.98
- Manhattan, NY · New York$3.63+$1.16
- Alaska · Alaska$3.03+$0.56
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $2.53 | — |
| ArizonaArizona | $2.88 | — |
| Bakersfield, CACalifornia | $3.13 | — |
| Chico, CACalifornia | $3.11 | — |
| El Centro, CACalifornia | $3.11 | — |
| Fresno, CACalifornia | $3.11 | — |
| Hanford, CACalifornia | $3.11 | — |
| Madera, CACalifornia | $3.11 | — |
| Merced, CACalifornia | $3.11 | — |
| Modesto, CACalifornia | $3.11 | — |
| Napa, CACalifornia | $3.69 | — |
| Oxnard, CACalifornia | $3.37 | — |
| Redding, CACalifornia | $3.11 | — |
| Rest of CaliforniaCalifornia | $3.11 | — |
| Riverside, CACalifornia | $3.21 | — |
| Sacramento, CACalifornia | $3.29 | — |
| Salinas, CACalifornia | $3.28 | — |
| San Diego, CACalifornia | $3.38 | — |
| Marin County, CACalifornia | $3.92 | — |
| San Francisco, CACalifornia | $3.91 | — |
| San Benito County, CACalifornia | $4.03 | — |
| Santa Clara County, CACalifornia | $3.99 | — |
| San Luis Obispo, CACalifornia | $3.22 | — |
| Santa Cruz, CACalifornia | $3.43 | — |
| Santa Maria, CACalifornia | $3.29 | — |
| Santa Rosa, CACalifornia | $3.46 | — |
| Stockton, CACalifornia | $3.11 | — |
| Vallejo, CACalifornia | $3.68 | — |
| Visalia, CACalifornia | $3.11 | — |
| Yuba City, CACalifornia | $3.11 | — |
| ColoradoColorado | $3.10 | — |
| ConnecticutConnecticut | $3.28 | — |
| DelawareDelaware | $2.94 | — |
| Fort Lauderdale, FLFlorida | $3.31 | — |
| Rest of FloridaFlorida | $3.06 | — |
| Atlanta, GAGeorgia | $3.12 | — |
| Rest of GeorgiaGeorgia | $2.78 | — |
| Hawaii, Guam, HIHawaii | $3.23 | — |
| IowaIowa | $2.58 | — |
| IdahoIdaho | $2.62 | — |
| East St. Louis, ILIllinois | $3.13 | — |
| Rest of IllinoisIllinois | $2.96 | — |
| Suburban Chicago, ILIllinois | $3.34 | — |
| IndianaIndiana | $2.64 | — |
| KansasKansas | $2.58 | — |
| KentuckyKentucky | $2.68 | — |
| New Orleans, LALouisiana | $2.89 | — |
| Rest of LouisianaLouisiana | $2.68 | — |
| Metropolitan Boston, MAMassachusetts | $3.49 | — |
| Rest of MassachusettsMassachusetts | $3.08 | — |
| Baltimore area, MDMaryland | $3.28 | — |
| Rest of MarylandMaryland | $3.01 | — |
| Rest of MaineMaine | $2.67 | — |
| Southern Maine, MEMaine | $2.86 | — |
| Detroit, MIMichigan | $3.14 | — |
| Rest of MichiganMichigan | $2.82 | — |
| MinnesotaMinnesota | $2.85 | — |
| Metropolitan Kansas City, MOMissouri | $2.84 | — |
| Metropolitan St. Louis, MOMissouri | $2.88 | — |
| Rest of MissouriMissouri | $2.63 | — |
| MississippiMississippi | $2.55 | — |
| MontanaMontana | $3.01 | — |
| North CarolinaNorth Carolina | $2.71 | — |
| North DakotaNorth Dakota | $2.81 | — |
| NebraskaNebraska | $2.59 | — |
| New HampshireNew Hampshire | $3.07 | — |
| Northern New JerseyNew Jersey | $3.46 | — |
| Rest of New JerseyNew Jersey | $3.28 | — |
| New MexicoNew Mexico | $2.85 | — |
| NevadaNevada | $2.95 | — |
| NYC suburbs and Long Island, NYNew York | $3.80 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $3.33 | — |
| Queens, NYNew York | $3.64 | — |
| Rest of New YorkNew York | $2.77 | — |
| OhioOhio | $2.78 | — |
| OklahomaOklahoma | $2.65 | — |
| Portland, OROregon | $3.22 | — |
| Rest of OregonOregon | $2.90 | — |
| Metropolitan Philadelphia, PAPennsylvania | $3.18 | — |
| Rest of PennsylvaniaPennsylvania | $2.77 | — |
| Puerto RicoPuerto Rico | $3.03 | — |
| Rhode IslandRhode Island | $3.06 | — |
| South CarolinaSouth Carolina | $2.75 | — |
| South DakotaSouth Dakota | $2.78 | — |
| TennesseeTennessee | $2.61 | — |
| Austin, TXTexas | $3.12 | — |
| Beaumont, TXTexas | $2.74 | — |
| Brazoria, TXTexas | $2.91 | — |
| Dallas, TXTexas | $2.95 | — |
| Fort Worth, TXTexas | $2.93 | — |
| Galveston, TXTexas | $2.93 | — |
| Houston, TXTexas | $3.11 | — |
| Rest of TexasTexas | $2.84 | — |
| UtahUtah | $2.81 | — |
| VirginiaVirginia | $2.86 | — |
| Virgin Islands, VIUnited States Virgin Islands | $3.03 | — |
| VermontVermont | $2.81 | — |
| Rest of WashingtonWashington | $3.07 | — |
| King County, WAWashington | $3.55 | — |
| WisconsinWisconsin | $2.66 | — |
| West VirginiaWest Virginia | $2.80 | — |
| WyomingWyoming | $2.92 | — |
77090 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.
$2.47
$3.57
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 | $3.03 | 1 |
| AL | $2.53 | 1 |
| AR | $2.47 | 1 |
| AZ | $2.88 | 1 |
| CA | $3.11–$4.03 | 29 |
| CO | $3.10 | 1 |
| CT | $3.28 | 1 |
| DC | $3.52 | 1 |
| DE | $2.94 | 1 |
| FL | $3.06–$3.63 | 3 |
| GA | $2.78–$3.12 | 2 |
| GU | $3.23 | 1 |
| HI | $3.23 | 1 |
| IA | $2.58 | 1 |
| ID | $2.62 | 1 |
| IL | $2.96–$3.45 | 4 |
| IN | $2.64 | 1 |
| KS | $2.58 | 1 |
| KY | $2.68 | 1 |
| LA | $2.68–$2.89 | 2 |
| MA | $3.08–$3.49 | 2 |
| MD | $3.01–$3.52 | 3 |
| ME | $2.67–$2.86 | 2 |
| MI | $2.82–$3.14 | 2 |
| MN | $2.85 | 1 |
| MO | $2.63–$2.88 | 3 |
| MS | $2.55 | 1 |
| MT | $3.01 | 1 |
| NC | $2.71 | 1 |
| ND | $2.81 | 1 |
| NE | $2.59 | 1 |
| NH | $3.07 | 1 |
| NJ | $3.28–$3.46 | 2 |
| NM | $2.85 | 1 |
| NV | $2.95 | 1 |
| NY | $2.77–$3.80 | 5 |
| OH | $2.78 | 1 |
| OK | $2.65 | 1 |
| OR | $2.90–$3.22 | 2 |
| PA | $2.77–$3.18 | 2 |
| PR | $3.03 | 1 |
| RI | $3.06 | 1 |
| SC | $2.75 | 1 |
| SD | $2.78 | 1 |
| TN | $2.61 | 1 |
| TX | $2.74–$3.12 | 8 |
| UT | $2.81 | 1 |
| VA | $2.86–$3.52 | 2 |
| VI | $3.03 | 1 |
| VT | $2.81 | 1 |
| WA | $3.07–$3.55 | 2 |
| WI | $2.66 | 1 |
| WV | $2.80 | 1 |
| WY | $2.92 | 1 |
How the 77090 rate is calculated
Each of 77090’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 · 77090
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.08
0.08 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.0900
Conversion factor
$33.4009
Medicare rate
$3.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
9,023
- Code
- 77090
- Physician work
- 0.00
- Practice expense
- 0.08
- Malpractice
- 0.01
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.08 | × 0.859 | 0.0687 |
| Malpractice | 0.01 | × 0.515 | 0.0052 |
| Total RVUs | 0.0739 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Arkansas$2.47
Office: (0 × 1 + 0.08 × 0.859 + 0.01 × 0.515) × $33.4009 = $2.47
Payment rules and modifiers for 77090
The CMS indicators that decide how 77090 is paid alongside other services.
CMS payment indicators · 77090
TBS processing, data preparation and transmission
| 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 | 3 | Technical component only. |
How 77090 has changed in Arkansas
77090 · Office / nonfacility
$2.47
Effective 2026-10-01
The base rate is $0.08 higher than on 2025-10-01, moving from $2.39 to $2.47 (3.3%).
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
$2.39changed to$2.47
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.860 changed to 0.859
- Malpractice GPCI 0.518 changed to 0.515
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$2.18changed to$2.39
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.07 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$2.14changed to$2.18
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2.19changed to$2.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.853 changed to 0.860
- Malpractice GPCI 0.492 changed to 0.518
January 1, 2023
RVU23A
$1.92changed to$2.19
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.06 changed to 0.07
- Practice expense GPCI 0.847 changed to 0.853
- Malpractice GPCI 0.465 changed to 0.492
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
No ratechanged to$1.92
Held through RVU22B, RVU22C, RVU22D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2.47 | Not available in this setting | RVU26D |
| 2026-07-01 | $2.47 | Not available in this setting | RVU26C |
| 2026-04-01 | $2.47 | Not available in this setting | RVU26B |
| 2026-01-01 | $2.47 | Not available in this setting | RVU26A |
| 2025-10-01 | $2.39 | Not available in this setting | RVU25D |
| 2025-07-01 | $2.39 | Not available in this setting | RVU25C |
| 2025-04-01 | $2.39 | Not available in this setting | RVU25B |
| 2025-01-01 | $2.39 | Not available in this setting | RVU25A |
| 2024-10-01 | $2.18 | Not available in this setting | RVU24D |
| 2024-07-01 | $2.18 | Not available in this setting | RVU24C |
| 2024-04-01 | $2.18 | Not available in this setting | RVU24B |
| 2024-03-09 | $2.18 | Not available in this setting | RVU24AR |
| 2024-01-01 | $2.14 | Not available in this setting | RVU24A |
| 2023-10-01 | $2.19 | Not available in this setting | RVU23D |
| 2023-07-01 | $2.19 | Not available in this setting | RVU23C |
| 2023-04-01 | $2.19 | Not available in this setting | RVU23B |
| 2023-01-01 | $2.19 | Not available in this setting | RVU23A |
| 2022-10-01 | $1.92 | Not available in this setting | RVU22D |
| 2022-07-01 | $1.92 | Not available in this setting | RVU22C |
| 2022-04-01 | $1.92 | Not available in this setting | RVU22B |
| 2022-01-01 | $1.92 | Not available in this setting | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
77090 billing questions
How is 77090 different from 77091?
77090 covers preparing and transmitting data for TBS analysis. 77091 describes the technical calculation itself.
Does 77090 include the fracture-risk interpretation?
No. CMS identifies 77090 as technical-component-only; interpretation and reporting are covered by a separate code, 77092.
When would 77089 be considered instead?
77089 represents a TBS service that includes technical calculation with interpretation and reporting. 77090 describes the data-preparation and transmission step.
What documentation supports 77090?
Document the DXA data used and the technical work to prepare and transmit those data for TBS analysis.
Can 77090 be reported for the DXA scan itself?
No. 77090 describes preparing and transmitting data for TBS analysis, not acquiring the DXA images.
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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