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CPT code 77090: TBS processing, data preparation and transmission2026 Medicare rate & RVUs in New Mexico

Reports preparation and transfer of DXA data for trabecular bone score analysis, before the technical calculation and fracture-risk interpretation are performed.

CMS RVU26DEffective Oct 1, 2026One payment locality582 Medicare services in 2024

In New Mexico, Medicare pays $2.85 for 77090 in the office.

$2.85Office (non-facility)
Not available in this settingHospital or facility
−5.3%vs the national office rate ($3.01)

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.

We’ll open 77090 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 77090 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 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 New Mexico 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. New Mexico pays $2.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

77090 in New Mexico vs other payment areas
  1. New Mexico · this page$2.85
  2. Los Angeles, CA · California$3.38+$0.53
  3. Washington, DC area · District of Columbia$3.52+$0.67
  4. Miami, FL · Florida$3.63+$0.78
  5. Chicago, IL · Illinois$3.45+$0.60
  6. Manhattan, NY · New York$3.63+$0.78
  7. Alaska · Alaska$3.03+$0.18

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

Every other payment area

77090 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$2.53—
ArkansasArkansas$2.47—
ArizonaArizona$2.88—
Bakersfield, CACalifornia$3.13—
Chico, CACalifornia$3.11—
El Centro, CACalifornia$3.11—
Fresno, CACalifornia$3.11—
Hanford, CACalifornia$3.11—

77090 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.

$2.47

$3.57

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

View every state and territory as a table
77090 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3.031
AL$2.531
AR$2.471
AZ$2.881
CA$3.11–$4.0329
CO$3.101
CT$3.281
DC$3.521
DE$2.941
FL$3.06–$3.633
GA$2.78–$3.122
GU$3.231
HI$3.231
IA$2.581
ID$2.621
IL$2.96–$3.454
IN$2.641
KS$2.581
KY$2.681
LA$2.68–$2.892
MA$3.08–$3.492
MD$3.01–$3.523
ME$2.67–$2.862
MI$2.82–$3.142
MN$2.851
MO$2.63–$2.883
MS$2.551
MT$3.011
NC$2.711
ND$2.811
NE$2.591
NH$3.071
NJ$3.28–$3.462
NM$2.851
NV$2.951
NY$2.77–$3.805
OH$2.781
OK$2.651
OR$2.90–$3.222
PA$2.77–$3.182
PR$3.031
RI$3.061
SC$2.751
SD$2.781
TN$2.611
TX$2.74–$3.128
UT$2.811
VA$2.86–$3.522
VI$3.031
VT$2.811
WA$3.07–$3.552
WI$2.661
WV$2.801
WY$2.921

See 77090 in every payment locality

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

Office or facility?

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 New Mexico 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

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 77090 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.08× 0.9170.0734
Malpractice0.01× 1.2010.0120
Total RVUs0.0854
Conversion factor× 33.4009

Office rate, New Mexico$2.85

Office: (0 × 1 + 0.08 × 0.917 + 0.01 × 1.201) × $33.4009 = $2.85

Open 77090 in the RVU calculator

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

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/technical3Technical component only.

Codes related to 77090

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

Codes related to 77090
CodeHow it relatesOffice range, New Mexico
Same family
77091Trabecular bone score, technical calculation onlyTBS technical calculation, rather than preparation and transmission of data.$24.60
77092TBS interpretation, professional component onlySeparate TBS interpretation and reporting service.$9.84
Used instead
77089Trabecular bone score, complete service with fracture-risk assessmentTBS calculation with interpretation and reporting in a single service pathway.$37.29

How 77090 has changed in New Mexico

77090 · Office / nonfacility

$2.85

Effective 2026-10-01

The base rate is $0.12 higher than on 2025-10-01, moving from $2.73 to $2.85 (4.4%).

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

    $2.73changed to$2.85

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2.51changed to$2.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.07 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2.46changed to$2.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2.54changed to$2.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $2.26changed to$2.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.06 changed to 0.07
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$2.26

    Held through RVU22B, RVU22C, RVU22D.

  7. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2.85Not available in this settingRVU26D
2026-07-01$2.85Not available in this settingRVU26C
2026-04-01$2.85Not available in this settingRVU26B
2026-01-01$2.85Not available in this settingRVU26A
2025-10-01$2.73Not available in this settingRVU25D
2025-07-01$2.73Not available in this settingRVU25C
2025-04-01$2.73Not available in this settingRVU25B
2025-01-01$2.73Not available in this settingRVU25A
2024-10-01$2.51Not available in this settingRVU24D
2024-07-01$2.51Not available in this settingRVU24C
2024-04-01$2.51Not available in this settingRVU24B
2024-03-09$2.51Not available in this settingRVU24AR
2024-01-01$2.46Not available in this settingRVU24A
2023-10-01$2.54Not available in this settingRVU23D
2023-07-01$2.54Not available in this settingRVU23C
2023-04-01$2.54Not available in this settingRVU23B
2023-01-01$2.54Not available in this settingRVU23A
2022-10-01$2.26Not available in this settingRVU22D
2022-07-01$2.26Not available in this settingRVU22C
2022-04-01$2.26Not available in this settingRVU22B
2022-01-01$2.26Not available in this settingRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 77090 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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
RVUs for 77090PPRRVU2026_Oct_nonQPP.csv, line 9,023 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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