CPT code 77092: TBS interpretation, professional component only2026 Medicare rate & RVUs in Hawaii, Guam, HI

In Hawaii, Guam, HI, Medicare pays $10.29 for 77092 in the office and $10.29 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 77092 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 77092 covers

This service covers the professional review and report of trabecular bone score (TBS) analysis derived from DXA imaging, generally of the lumbar spine. A radiologist, endocrinologist, rheumatologist, or other qualified health professional interprets the result as an adjunct to bone-density findings when assessing fracture risk, such as during osteoporosis evaluation or management. TBS evaluates aspects of bone structure not captured by bone mineral density alone; it is not a separate DXA image acquisition.

Report 77092 for the interpretation and report, not for the technical analysis. The record should identify the imaging data reviewed and include the TBS findings and their clinical interpretation for fracture-risk assessment. CMS classifies this as a professional-component-only service, with a separate code covering the technical portion. When technical calculation is separately reported, 77091 is the related technical code; 77089 represents a different, combined TBS service. The underlying DXA examination, such as an axial study, is reported separately when performed.

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 Hawaii, Guam, HI compares for 77092

Across 109 of 109 payment localities, the office rate for 77092 runs from $9.43 in Arkansas to $13.41 in Alaska. Hawaii, Guam, HI pays $10.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

77092 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 77092 in every payment locality

How the 77092 rate is calculated

Each of 77092’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.

Payment rules and modifiers for 77092

The CMS indicators that decide how 77092 is paid alongside other services.

Codes related to 77092

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

How 77092 has changed in Hawaii, Guam, HI

Price 77092 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

• Ahuimanu
• Aiea
• Ainaloa
• Anahola
• Black Sands
• Captain Cook
• Discovery Harbour
• East Honolulu

Browse all communities in Hawaii

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

Open CMS sourceHow we calculate rates