Billing code 77076: Skeletal surveyMedicare rate & RVUs
Reports a multi-image radiographic survey of an infant’s skeleton when clinicians evaluate widespread bone findings, such as suspected fractures or bone disease.
Medicare pays $104.88 for 77076 nationally in the office. Local office rates run $92.60–$141.88.
Medicare rate · 77076
Skeletal survey
- Work RVUs
- 0.68
- Total RVUs
- 3.14
- Global days
- XXX
National rate · 2026
$104.88
Office setting, before claim adjustments.
See every locality for 77076 →Billed by an NP, PA or therapist? →
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 10 sections
What 77076 covers
This service is a series of radiographs covering the infant skeleton rather than imaging of one isolated bone or joint. It is commonly performed in a hospital or imaging department when clinicians investigate suspected inflicted injury, multiple fractures, or a disorder affecting bones throughout the body. A radiologist interprets the images and documents the findings across the surveyed areas.
Select this code for an infant skeletal survey, not a limited study of selected bones or a general complete survey. The order and report should support the clinical reason for examining the skeleton broadly and identify the images obtained and findings. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The professional and technical components are separately priced.
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.
Where 77076 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$92.60 to $141.88
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $93.99 | Unavailable |
| Alaska* | $120.55 | Unavailable |
| Arizona | $102.11 | Unavailable |
| Arkansas | $92.60 | Unavailable |
| Atlanta | $106.63 | Unavailable |
| Austin | $109.35 | Unavailable |
| Bakersfield | $112.22 | Unavailable |
| Baltimore/Surr. Cntys | $111.57 | Unavailable |
| Beaumont | $97.52 | Unavailable |
| Brazoria | $103.90 | Unavailable |
| Chicago | $108.03 | Unavailable |
| Chico | $112.03 | Unavailable |
| Colorado | $109.84 | Unavailable |
| Connecticut | $111.93 | Unavailable |
| Dallas | $104.48 | Unavailable |
| Dc + Md/Va Suburbs | $120.60 | Unavailable |
| Delaware | $103.83 | Unavailable |
| Detroit | $103.45 | Unavailable |
| East St. Louis | $100.50 | Unavailable |
| El Centro | $112.04 | Unavailable |
| Fort Lauderdale | $107.54 | Unavailable |
| Fort Worth | $103.70 | Unavailable |
| Fresno | $112.03 | Unavailable |
| Galveston | $104.15 | Unavailable |
| Hanford-Corcoran | $112.03 | Unavailable |
| Hawaii, Guam | $115.02 | Unavailable |
| Houston | $105.25 | Unavailable |
| Idaho | $97.41 | Unavailable |
| Indiana | $98.00 | Unavailable |
| Iowa | $96.86 | Unavailable |
| Kansas | $96.19 | Unavailable |
| Kentucky | $95.81 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $119.81 | Unavailable |
| Madera | $112.03 | Unavailable |
| Manhattan | $120.49 | Unavailable |
| Merced | $112.03 | Unavailable |
| Metropolitan Boston | $121.14 | Unavailable |
| Metropolitan Kansas City | $99.94 | Unavailable |
| Metropolitan Philadelphia | $108.96 | Unavailable |
| Metropolitan St. Louis | $101.04 | Unavailable |
| Miami | $111.23 | Unavailable |
| Minnesota | $105.79 | Unavailable |
| Mississippi | $93.21 | Unavailable |
| Modesto | $112.03 | Unavailable |
| Montana** | $104.87 | Unavailable |
| Napa | $130.82 | Unavailable |
| Nebraska | $97.46 | Unavailable |
| Nevada** | $104.62 | Unavailable |
| New Hampshire | $107.91 | Unavailable |
| New Mexico | $98.63 | Unavailable |
| New Orleans | $100.42 | Unavailable |
| North Carolina | $98.78 | Unavailable |
| North Dakota** | $103.69 | Unavailable |
| Northern Nj | $119.27 | Unavailable |
| Nyc Suburbs/Long Island | $123.20 | Unavailable |
| Ohio | $97.92 | Unavailable |
| Oklahoma | $95.85 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $119.35 | Unavailable |
| Portland | $113.63 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $113.94 | Unavailable |
| Puerto Rico | $105.73 | Unavailable |
| Queens | $121.81 | Unavailable |
| Redding | $112.03 | Unavailable |
| Rest Of California | $112.03 | Unavailable |
| Rest Of Florida | $102.36 | Unavailable |
| Rest Of Georgia | $96.61 | Unavailable |
| Rest Of Illinois | $99.03 | Unavailable |
| Rest Of Louisiana | $95.58 | Unavailable |
| Rest Of Maine | $97.71 | Unavailable |
| Rest Of Maryland | $105.90 | Unavailable |
| Rest Of Massachusetts | $109.08 | Unavailable |
| Rest Of Michigan | $98.16 | Unavailable |
| Rest Of Missouri | $93.76 | Unavailable |
| Rest Of New Jersey | $113.36 | Unavailable |
| Rest Of New York | $100.28 | Unavailable |
| Rest Of Oregon | $103.96 | Unavailable |
| Rest Of Pennsylvania | $98.20 | Unavailable |
| Rest Of Texas | $100.60 | Unavailable |
| Rest Of Washington | $108.94 | Unavailable |
| Rhode Island | $107.74 | Unavailable |
| Riverside-San Bernardino-Ontario | $112.69 | Unavailable |
| Sacramento-Roseville-Folsom | $117.83 | Unavailable |
| Salinas | $117.40 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $120.35 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $138.82 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $138.75 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $141.88 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $141.60 | Unavailable |
| San Luis Obispo-Paso Robles | $115.48 | Unavailable |
| Santa Cruz-Watsonville | $121.66 | Unavailable |
| Santa Maria-Santa Barbara | $117.89 | Unavailable |
| Santa Rosa-Petaluma | $122.91 | Unavailable |
| Seattle (King Cnty) | $123.84 | Unavailable |
| South Carolina | $98.49 | Unavailable |
| South Dakota** | $103.55 | Unavailable |
| Southern Maine | $103.42 | Unavailable |
| Stockton | $112.03 | Unavailable |
| Suburban Chicago | $108.75 | Unavailable |
| Tennessee | $96.66 | Unavailable |
| Utah | $99.86 | Unavailable |
| Vallejo | $130.72 | Unavailable |
| Vermont | $103.09 | Unavailable |
| Virgin Islands | $105.73 | Unavailable |
| Virginia | $102.93 | Unavailable |
| Visalia | $112.03 | Unavailable |
| West Virginia | $95.24 | Unavailable |
| Wisconsin | $100.13 | Unavailable |
| Wyoming** | $104.36 | Unavailable |
| Yuba City | $112.03 | Unavailable |
77076 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.
$92.60
$126.96
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 | $120.55 | 1 |
| AL | $93.99 | 1 |
| AR | $92.60 | 1 |
| AZ | $102.11 | 1 |
| CA | $112.03–$141.88 | 29 |
| CO | $109.84 | 1 |
| CT | $111.93 | 1 |
| DC | $120.60 | 1 |
| DE | $103.83 | 1 |
| FL | $102.36–$111.23 | 3 |
| GA | $96.61–$106.63 | 2 |
| GU | $115.02 | 1 |
| HI | $115.02 | 1 |
| IA | $96.86 | 1 |
| ID | $97.41 | 1 |
| IL | $99.03–$108.75 | 4 |
| IN | $98.00 | 1 |
| KS | $96.19 | 1 |
| KY | $95.81 | 1 |
| LA | $95.58–$100.42 | 2 |
| MA | $109.08–$121.14 | 2 |
| MD | $105.90–$120.60 | 3 |
| ME | $97.71–$103.42 | 2 |
| MI | $98.16–$103.45 | 2 |
| MN | $105.79 | 1 |
| MO | $93.76–$101.04 | 3 |
| MS | $93.21 | 1 |
| MT | $104.87 | 1 |
| NC | $98.78 | 1 |
| ND | $103.69 | 1 |
| NE | $97.46 | 1 |
| NH | $107.91 | 1 |
| NJ | $113.36–$119.27 | 2 |
| NM | $98.63 | 1 |
| NV | $104.62 | 1 |
| NY | $100.28–$123.20 | 5 |
| OH | $97.92 | 1 |
| OK | $95.85 | 1 |
| OR | $103.96–$113.63 | 2 |
| PA | $98.20–$108.96 | 2 |
| PR | $105.73 | 1 |
| RI | $107.74 | 1 |
| SC | $98.49 | 1 |
| SD | $103.55 | 1 |
| TN | $96.66 | 1 |
| TX | $97.52–$109.35 | 8 |
| UT | $99.86 | 1 |
| VA | $102.93–$120.60 | 2 |
| VI | $105.73 | 1 |
| VT | $103.09 | 1 |
| WA | $108.94–$123.84 | 2 |
| WI | $100.13 | 1 |
| WV | $95.24 | 1 |
| WY | $104.36 | 1 |
How the 77076 rate is calculated
Each of 77076’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 · 77076
RVUs × geographic indexes × conversion factor
Work0.68
0.68 RVUs× 1.000 GPCI
Practice expense2.40
2.40 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
3.1400
Conversion factor
$33.4009
Medicare rate
$104.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77076
The CMS indicators that decide how 77076 is paid alongside other services.
CMS payment indicators · 77076
Skeletal survey
| 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
77076 without 26 · national office
$104.88
Skeletal survey
77076-26 · Professional component
$32.40
Pays only the interpretation and report.
77076 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 77074Skeletal survey
- 77074 is for a limited examination of selected osseous areas; 77076 is the infant survey covering the skeleton broadly.
- 77075Skeletal survey
- 77075 describes a complete osseous survey. Use 77076 for the infant-specific survey when that is the study performed.
- 77072Bone age
- 77072 evaluates skeletal maturation, commonly through a bone-age study; it is not a survey for widespread fractures or other generalized bone findings.
77076 billing questions
How does this differ from a limited osseous survey?
Use 77076 for an infant survey covering the skeleton broadly. Code 77074 describes a limited osseous survey focused on selected areas.
When would the complete osseous survey be considered instead?
Code 77075 is the complete osseous survey code for patients who do not need the infant-specific survey. Choose based on the patient and the study performed, not simply the number of images.
Can the radiologist and imaging facility report separate components?
Yes. The interpreting professional may report modifier 26, and the facility providing equipment and staff may report modifier TC. Without either modifier, the claim represents the global service.
What documentation supports reporting 77076?
The record should identify the clinical reason for an infant-wide skeletal evaluation and document the survey performed and the radiologist’s interpretation.
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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