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CPT code 77092: TBS interpretation, professional component only2026 Medicare rate & RVUs in King County, WA

Reports a qualified health professional’s interpretation of trabecular bone score analysis from DXA data to support fracture-risk assessment.

CMS RVU26DEffective Oct 1, 2026One payment locality69.6K Medicare services in 2024

In King County, WA, Medicare pays $10.98 for 77092 in the office and $10.98 when it’s performed in a hospital or facility.

$10.98Office (non-facility)
$10.98Hospital or facility
+9.6%vs the national office rate ($10.02)

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.

We’ll open 77092 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 77092 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 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 King County, WA 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. King County, WA pays $10.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

77092 in King County, WA vs other payment areas
  1. King County, WA · this page$10.98
  2. Rest of Washington · Washington$10.19−$0.79
  3. Los Angeles, CA · California$10.73−$0.25
  4. Washington, DC area · District of Columbia$10.95−$0.03
  5. Miami, FL · Florida$10.65−$0.33
  6. Chicago, IL · Illinois$10.51−$0.47
  7. Manhattan, NY · New York$11.13+$0.15

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

Every other payment area

77092 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$13.41$13.41
AlabamaAlabama$9.50$9.50
ArkansasArkansas$9.43$9.43
ArizonaArizona$9.88$9.88
Bakersfield, CACalifornia$10.31$10.31
Chico, CACalifornia$10.27$10.27
El Centro, CACalifornia$10.27$10.27
Fresno, CACalifornia$10.27$10.27

77092 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.

$9.43

$13.41

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

View every state and territory as a table
77092 office rate range by state
State / territoryOffice rate rangeLocalities
AK$13.411
AL$9.501
AR$9.431
AZ$9.881
CA$10.27–$11.9329
CO$10.221
CT$10.461
DC$10.951
DE$9.981
FL$10.06–$10.653
GA$9.76–$10.162
GU$10.291
HI$10.291
IA$9.561
ID$9.601
IL$9.95–$10.514
IN$9.631
KS$9.571
KY$9.661
LA$9.66–$9.892
MA$10.22–$10.842
MD$10.10–$10.953
ME$9.65–$9.872
MI$9.80–$10.142
MN$9.871
MO$9.60–$9.883
MS$9.521
MT$10.021
NC$9.701
ND$9.821
NE$9.581
NH$10.101
NJ$10.60–$10.942
NM$9.841
NV$9.971
NY$9.77–$11.305
OH$9.761
OK$9.621
OR$9.91–$10.382
PA$9.76–$10.332
PR$10.051
RI$10.211
SC$9.741
SD$9.801
TN$9.591
TX$9.73–$10.188
UT$9.811
VA$9.87–$10.952
VI$10.051
VT$9.831
WA$10.19–$10.982
WI$9.661
WV$9.771
WY$9.931

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.

How the rate is built · 77092

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.20

0.20 RVUs× 1.000 GPCI

Practice expense0.09

0.09 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3000

Conversion factor

$33.4009

Medicare rate

$10.02

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

9,025

Code
77092
Physician work
0.20
Practice expense
0.09
Malpractice
0.01

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 77092 in King County, WA
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0500.2100
Practice expense0.09× 1.2270.1104
Malpractice0.01× 0.8170.0082
Total RVUs0.3286
Conversion factor× 33.4009

Office rate, King County, WA$10.98

Office: (0.2 × 1.05 + 0.09 × 1.227 + 0.01 × 0.817) × $33.4009 = $10.98

Facility: (0.2 × 1.05 + 0.09 × 1.227 + 0.01 × 0.817) × $33.4009 = $10.98

Open 77092 in the RVU calculator

Payment rules and modifiers for 77092

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

CMS payment indicators · 77092

TBS interpretation, professional component only

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/technical2Professional component only.

Codes related to 77092

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

Codes related to 77092
CodeHow it relatesOffice range, King County, WA
Often billed with
77091Trabecular bone score, technical calculation onlyTechnical calculation code that may accompany the separately reported professional interpretation.$32.65
77080DXA bone density scan, axial skeleton, spine or hipAxial DXA examination may provide the imaging data used for TBS analysis.$46.90
Used instead
77089Trabecular bone score, complete service with fracture-risk assessmentCombined TBS calculation and interpretation/report service rather than interpretation alone.$47.18

How 77092 has changed in King County, WA

77092 · Office / nonfacility

$10.98

Effective 2026-10-01

The base rate is $0.80 higher than on 2025-10-01, moving from $10.18 to $10.98 (7.9%).

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

    $10.18changed to$10.98

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.08 changed to 0.09
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $10.48changed to$10.18

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $10.31changed to$10.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $10.59changed to$10.31

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $11.16changed to$10.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.09 changed to 0.08
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    No ratechanged to$11.16

    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$10.98$10.98RVU26D
2026-07-01$10.98$10.98RVU26C
2026-04-01$10.98$10.98RVU26B
2026-01-01$10.98$10.98RVU26A
2025-10-01$10.18$10.18RVU25D
2025-07-01$10.18$10.18RVU25C
2025-04-01$10.18$10.18RVU25B
2025-01-01$10.18$10.18RVU25A
2024-10-01$10.48$10.48RVU24D
2024-07-01$10.48$10.48RVU24C
2024-04-01$10.48$10.48RVU24B
2024-03-09$10.48$10.48RVU24AR
2024-01-01$10.31$10.31RVU24A
2023-10-01$10.59$10.59RVU23D
2023-07-01$10.59$10.59RVU23C
2023-04-01$10.59$10.59RVU23B
2023-01-01$10.59$10.59RVU23A
2022-10-01$11.16$11.16RVU22D
2022-07-01$11.16$11.16RVU22C
2022-04-01$11.16$11.16RVU22B
2022-01-01$11.16$11.16RVU22A
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 77092 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 77092 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

77092 billing questions

When should 77092 be used instead of 77089?

Use 77092 for the professional interpretation and report only. Code 77089 represents a combined TBS service that includes calculation and interpretation/report.

Which code covers the technical calculation?

77091 covers the technical calculation and may be reported with 77092 when the technical and professional work are separately performed and reported.

Is the DXA examination included in 77092?

No. 77092 reports interpretation of TBS analysis, not DXA image acquisition. Report the appropriate DXA examination separately when performed.

What documentation supports 77092?

Document the TBS data reviewed, the interpreted findings, and the resulting report addressing fracture risk. The service must reflect professional interpretation rather than technical processing alone.

Does 77092 represent a professional component?

Yes. CMS identifies 77092 as a professional-component-only code; a separate code covers the technical portion.

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 77092PPRRVU2026_Oct_nonQPP.csv, line 9,025 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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