Billing code 77092: TBS interpretationMedicare rate & RVUs
Reports a qualified health professional’s interpretation of trabecular bone score analysis from DXA data to support fracture-risk assessment.
Medicare pays $10.02 for 77092 nationally in the office and $10.02 in a hospital or facility. Local office rates run $9.43–$13.41.
Medicare rate · 77092
TBS interpretation
Swap in your local Medicare rate.
- Work RVUs
- 0.2
- Total RVUs
- 0.30
- Global days
- XXX
National rate · 2026
$10.02
Office setting, before claim adjustments.
See every locality for 77092 → · 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 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.
Where 77092 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
$9.43 to $13.41
109 of 109 payment localities
77092 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.
$9.43
$13.41
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 | $13.41 | 1 |
| AL | $9.50 | 1 |
| AR | $9.43 | 1 |
| AZ | $9.88 | 1 |
| CA | $10.27–$11.93 | 29 |
| CO | $10.22 | 1 |
| CT | $10.46 | 1 |
| DC | $10.95 | 1 |
| DE | $9.98 | 1 |
| FL | $10.06–$10.65 | 3 |
| GA | $9.76–$10.16 | 2 |
| GU | $10.29 | 1 |
| HI | $10.29 | 1 |
| IA | $9.56 | 1 |
| ID | $9.60 | 1 |
| IL | $9.95–$10.51 | 4 |
| IN | $9.63 | 1 |
| KS | $9.57 | 1 |
| KY | $9.66 | 1 |
| LA | $9.66–$9.89 | 2 |
| MA | $10.22–$10.84 | 2 |
| MD | $10.10–$10.95 | 3 |
| ME | $9.65–$9.87 | 2 |
| MI | $9.80–$10.14 | 2 |
| MN | $9.87 | 1 |
| MO | $9.60–$9.88 | 3 |
| MS | $9.52 | 1 |
| MT | $10.02 | 1 |
| NC | $9.70 | 1 |
| ND | $9.82 | 1 |
| NE | $9.58 | 1 |
| NH | $10.10 | 1 |
| NJ | $10.60–$10.94 | 2 |
| NM | $9.84 | 1 |
| NV | $9.97 | 1 |
| NY | $9.77–$11.30 | 5 |
| OH | $9.76 | 1 |
| OK | $9.62 | 1 |
| OR | $9.91–$10.38 | 2 |
| PA | $9.76–$10.33 | 2 |
| PR | $10.05 | 1 |
| RI | $10.21 | 1 |
| SC | $9.74 | 1 |
| SD | $9.80 | 1 |
| TN | $9.59 | 1 |
| TX | $9.73–$10.18 | 8 |
| UT | $9.81 | 1 |
| VA | $9.87–$10.95 | 2 |
| VI | $10.05 | 1 |
| VT | $9.83 | 1 |
| WA | $10.19–$10.98 | 2 |
| WI | $9.66 | 1 |
| WV | $9.77 | 1 |
| WY | $9.93 | 1 |
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
Swap in your local Medicare rate.
Work 0.20Practice expense 0.09Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 77092
The CMS indicators that decide how 77092 is paid alongside other services.
CMS payment indicators · 77092
TBS interpretation
| 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 | 2 | Professional component only. |
77092 compared with similar codes
Compare codes
77092 vs 77089 vs 77091 vs 77080: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 77089Trabecular bone score
- 77089 covers a combined TBS calculation and interpretation/report service. Use 77092 when reporting the professional interpretation and report alone.
- 77091Trabecular bone score
- 77091 covers the technical calculation; 77092 covers the qualified health professional’s interpretation and report.
- 77080DXA bone density scan
- 77080 reports axial DXA bone-density imaging, while 77092 reports interpretation of TBS analysis derived from imaging data.
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
Fee sheets
Put 77092 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →