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CMS RVU26D · Effective 2026-10-01

77002 in Austin

Office / nonfacility

$127.06

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Radiology

About 77002: Fluoroscopic needle placement guidance

Reports fluoroscopic x-ray guidance used to position a needle for procedures such as joint aspiration, injection, or tissue sampling.

The service uses live x-ray imaging to guide a needle toward a target and confirm its position during a procedure. Radiologists, interventional radiologists, orthopedists, and pain physicians may use it for procedures such as joint aspiration or injection, or needle sampling of a lesion. The fluoroscopic guidance and its interpretation are distinct from the needle procedure itself.

Report 77002 only with a primary procedure; it is an add-on code and is paid within that procedure’s global period. The record should identify the target, document use of fluoroscopy to guide needle placement, and support the interpretation. Modifier 26 represents the professional interpretation, while modifier TC represents the equipment and staff. Reporting without either modifier represents the global service.

CMS billing rules for 77002

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.53 · 15%
  • Practice expense (office) RVU3.06 · 84%
  • Malpractice RVU0.04 · 1%

530.7K

Medicare services in 2024 · #221 by national volume

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.

77002 compared with similar codes

Office rates for Austin, from the same CMS release.

77003

Fluoroscopic guidance

Spinal or paraspinal injection

$109.22

Use 77003 for fluoroscopic needle guidance in spinal or paraspinal procedures; 77002 describes guidance for other needle-placement targets.

77012

CT guidance

Needle placement

$126.74

Both involve image-guided needle placement, but 77012 uses CT guidance rather than fluoroscopy.

77021

MRI needle guidance

Needle placement

$448.43

77021 describes MRI guidance for needle placement; 77002 is for fluoroscopic x-ray guidance.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 77002 is $111.95—$15.11 lower than the $127.06 rate in Austin. Both use the same code, release and participation basis.

77002 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $127.06

  2. Beaumont

    $111.95

    $15.11 lower than Austin

  3. Brazoria

    $120.17

    $6.89 lower than Austin

  4. Dallas

    $120.81

    $6.25 lower than Austin

  5. Fort Worth

    $119.80

    $7.26 lower than Austin

  6. Galveston

    $120.44

    $6.62 lower than Austin

  7. Houston

    $121.17

    $5.89 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 77002 ranges from $106.19 in Arkansas to $167.75 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 77002

    Office

    $115.90

    Facility

    Unavailable

    $11.16 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 77002

    Office

    $140.23

    Facility

    Unavailable

    $13.17 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77002

    Office

    $140.54

    Facility

    Unavailable

    $13.48 higher than Austin for the office setting.

  • Miami

    Florida · 77002

    Office

    $127.48

    Facility

    Unavailable

    $0.42 higher than Austin for the office setting.

  • Chicago

    Illinois · 77002

    Office

    $123.61

    Facility

    Unavailable

    $3.45 lower than Austin for the office setting.

  • Manhattan

    New York · 77002

    Office

    $139.72

    Facility

    Unavailable

    $12.66 higher than Austin for the office setting.

  • Alaska*

    Alaska · 77002

    Office

    $136.14

    Facility

    Unavailable

    $9.08 higher than Austin for the office setting.

  • Alabama

    Alabama · 77002

    Office

    $107.89

    Facility

    Unavailable

    $19.17 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 77002

    Office

    $106.19

    Facility

    Unavailable

    $20.87 lower than Austin for the office setting.

  • Arizona

    Arizona · 77002

    Office

    $117.88

    Facility

    Unavailable

    $9.18 lower than Austin for the office setting.

  • Bakersfield

    California · 77002

    Office

    $130.87

    Facility

    Unavailable

    $3.81 higher than Austin for the office setting.

  • Chico

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • El Centro

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Fresno

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Madera

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Merced

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Modesto

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Napa

    California · 77002

    Office

    $154.20

    Facility

    Unavailable

    $27.14 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77002

    Office

    $139.84

    Facility

    Unavailable

    $12.78 higher than Austin for the office setting.

  • Redding

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Rest Of California

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77002

    Office

    $131.18

    Facility

    Unavailable

    $4.12 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77002

    Office

    $137.92

    Facility

    Unavailable

    $10.86 higher than Austin for the office setting.

  • Salinas

    California · 77002

    Office

    $137.42

    Facility

    Unavailable

    $10.36 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77002

    Office

    $141.20

    Facility

    Unavailable

    $14.14 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77002

    Office

    $164.11

    Facility

    Unavailable

    $37.05 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 77002

    Office

    $164.06

    Facility

    Unavailable

    $37.00 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 77002

    Office

    $167.75

    Facility

    Unavailable

    $40.69 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 77002

    Office

    $167.56

    Facility

    Unavailable

    $40.50 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77002

    Office

    $135.13

    Facility

    Unavailable

    $8.07 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 77002

    Office

    $142.97

    Facility

    Unavailable

    $15.91 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 77002

    Office

    $138.09

    Facility

    Unavailable

    $11.03 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 77002

    Office

    $144.46

    Facility

    Unavailable

    $17.40 higher than Austin for the office setting.

  • Stockton

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Vallejo

    California · 77002

    Office

    $154.14

    Facility

    Unavailable

    $27.08 higher than Austin for the office setting.

  • Visalia

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Yuba City

    California · 77002

    Office

    $130.74

    Facility

    Unavailable

    $3.68 higher than Austin for the office setting.

  • Colorado

    Colorado · 77002

    Office

    $127.71

    Facility

    Unavailable

    $0.65 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 77002

    Office

    $129.75

    Facility

    Unavailable

    $2.69 higher than Austin for the office setting.

  • Delaware

    Delaware · 77002

    Office

    $119.97

    Facility

    Unavailable

    $7.09 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 77002

    Office

    $123.65

    Facility

    Unavailable

    $3.41 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 77002

    Office

    $117.42

    Facility

    Unavailable

    $9.64 lower than Austin for the office setting.

  • Atlanta

    Georgia · 77002

    Office

    $123.20

    Facility

    Unavailable

    $3.86 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 77002

    Office

    $110.46

    Facility

    Unavailable

    $16.60 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 77002

    Office

    $134.69

    Facility

    Unavailable

    $7.63 higher than Austin for the office setting.

  • Iowa

    Iowa · 77002

    Office

    $111.75

    Facility

    Unavailable

    $15.31 lower than Austin for the office setting.

  • Idaho

    Idaho · 77002

    Office

    $112.36

    Facility

    Unavailable

    $14.70 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 77002

    Office

    $114.42

    Facility

    Unavailable

    $12.64 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 77002

    Office

    $113.11

    Facility

    Unavailable

    $13.95 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 77002

    Office

    $125.16

    Facility

    Unavailable

    $1.90 lower than Austin for the office setting.

  • Indiana

    Indiana · 77002

    Office

    $113.10

    Facility

    Unavailable

    $13.96 lower than Austin for the office setting.

  • Kansas

    Kansas · 77002

    Office

    $110.77

    Facility

    Unavailable

    $16.29 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 77002

    Office

    $109.79

    Facility

    Unavailable

    $17.27 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 77002

    Office

    $115.40

    Facility

    Unavailable

    $11.66 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 77002

    Office

    $109.44

    Facility

    Unavailable

    $17.62 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 77002

    Office

    $141.65

    Facility

    Unavailable

    $14.59 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77002

    Office

    $126.67

    Facility

    Unavailable

    $0.39 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77002

    Office

    $129.31

    Facility

    Unavailable

    $2.25 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 77002

    Office

    $122.54

    Facility

    Unavailable

    $4.52 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 77002

    Office

    $112.56

    Facility

    Unavailable

    $14.50 lower than Austin for the office setting.

  • Southern Maine

    Maine · 77002

    Office

    $119.83

    Facility

    Unavailable

    $7.23 lower than Austin for the office setting.

  • Detroit

    Michigan · 77002

    Office

    $118.58

    Facility

    Unavailable

    $8.48 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 77002

    Office

    $112.53

    Facility

    Unavailable

    $14.53 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 77002

    Office

    $123.27

    Facility

    Unavailable

    $3.79 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 77002

    Office

    $114.98

    Facility

    Unavailable

    $12.08 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 77002

    Office

    $116.34

    Facility

    Unavailable

    $10.72 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 77002

    Office

    $107.11

    Facility

    Unavailable

    $19.95 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 77002

    Office

    $106.69

    Facility

    Unavailable

    $20.37 lower than Austin for the office setting.

  • Montana**

    Montana · 77002

    Office

    $121.24

    Facility

    Unavailable

    $5.82 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 77002

    Office

    $113.92

    Facility

    Unavailable

    $13.14 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 77002

    Office

    $120.45

    Facility

    Unavailable

    $6.61 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 77002

    Office

    $112.54

    Facility

    Unavailable

    $14.52 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 77002

    Office

    $125.27

    Facility

    Unavailable

    $1.79 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 77002

    Office

    $138.80

    Facility

    Unavailable

    $11.74 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 77002

    Office

    $131.49

    Facility

    Unavailable

    $4.43 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 77002

    Office

    $113.03

    Facility

    Unavailable

    $14.03 lower than Austin for the office setting.

  • Nevada**

    Nevada · 77002

    Office

    $121.12

    Facility

    Unavailable

    $5.94 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77002

    Office

    $142.84

    Facility

    Unavailable

    $15.78 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77002

    Office

    $132.03

    Facility

    Unavailable

    $4.97 higher than Austin for the office setting.

  • Queens

    New York · 77002

    Office

    $141.57

    Facility

    Unavailable

    $14.51 higher than Austin for the office setting.

  • Rest Of New York

    New York · 77002

    Office

    $115.74

    Facility

    Unavailable

    $11.32 lower than Austin for the office setting.

  • Ohio

    Ohio · 77002

    Office

    $112.36

    Facility

    Unavailable

    $14.70 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 77002

    Office

    $110.01

    Facility

    Unavailable

    $17.05 lower than Austin for the office setting.

  • Portland

    Oregon · 77002

    Office

    $132.53

    Facility

    Unavailable

    $5.47 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 77002

    Office

    $120.44

    Facility

    Unavailable

    $6.62 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77002

    Office

    $126.01

    Facility

    Unavailable

    $1.05 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77002

    Office

    $112.79

    Facility

    Unavailable

    $14.27 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 77002

    Office

    $122.35

    Facility

    Unavailable

    $4.71 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 77002

    Office

    $124.81

    Facility

    Unavailable

    $2.25 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 77002

    Office

    $113.28

    Facility

    Unavailable

    $13.78 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 77002

    Office

    $120.36

    Facility

    Unavailable

    $6.70 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 77002

    Office

    $111.33

    Facility

    Unavailable

    $15.73 lower than Austin for the office setting.

  • Utah

    Utah · 77002

    Office

    $114.98

    Facility

    Unavailable

    $12.08 lower than Austin for the office setting.

  • Virginia

    Virginia · 77002

    Office

    $119.11

    Facility

    Unavailable

    $7.95 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77002

    Office

    $122.35

    Facility

    Unavailable

    $4.71 lower than Austin for the office setting.

  • Vermont

    Vermont · 77002

    Office

    $119.56

    Facility

    Unavailable

    $7.50 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 77002

    Office

    $126.57

    Facility

    Unavailable

    $0.49 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 77002

    Office

    $145.09

    Facility

    Unavailable

    $18.03 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 77002

    Office

    $116.03

    Facility

    Unavailable

    $11.03 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 77002

    Office

    $108.43

    Facility

    Unavailable

    $18.63 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 77002

    Office

    $120.90

    Facility

    Unavailable

    $6.16 lower than Austin for the office setting.

See how rates vary across the country

77002 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$106.19

$149.25

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$136.141
AL$107.891
AR$106.191
AZ$117.881
CA$130.74–$167.7529
CO$127.711
CT$129.751
DC$140.541
DE$119.971
FL$117.42–$127.483
GA$110.46–$123.202
GU$134.691
HI$134.691
IA$111.751
ID$112.361
IL$113.11–$125.164
IN$113.101
KS$110.771
KY$109.791
LA$109.44–$115.402
MA$126.67–$141.652
MD$122.54–$140.543
ME$112.56–$119.832
MI$112.53–$118.582
MN$123.271
MO$107.11–$116.343
MS$106.691
MT$121.241
NC$113.921
ND$120.451
NE$112.541
NH$125.271
NJ$131.49–$138.802
NM$113.031
NV$121.121
NY$115.74–$142.845
OH$112.361
OK$110.011
OR$120.44–$132.532
PA$112.79–$126.012
PR$122.351
RI$124.811
SC$113.281
SD$120.361
TN$111.331
TX$111.95–$127.068
UT$114.981
VA$119.11–$140.542
VI$122.351
VT$119.561
WA$126.57–$145.092
WI$116.031
WV$108.431
WY$120.901

Explore 77002 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77002 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$139.77

$127.06 × 110% = $139.77

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 77002 in Austin.

PPRRVU2026_Oct_nonQPP.csv

8,928

Code
77002
Physician work
0.53
Practice expense
3.06
Malpractice
0.04

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 77002 in Austin
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0020.5311
Practice expense3.06× 1.0583.2375
Malpractice0.04× 0.8860.0354
Total RVUs3.8040
Conversion factor× 33.4009

Office / nonfacility rate, Austin$127.06

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 77002 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.531.002
Practice expense3.061.058
Malpractice0.040.886

(0.53 × 1.002 + 3.06 × 1.058 + 0.04 × 0.886) × $33.4009 = $127.06

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

77002 · Office / nonfacility

$127.06

Effective 2026-10-01

The base rate is $12.66 higher than on 2025-10-01, moving from $114.40 to $127.06 (11.1%).

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

    $114.40changed to$127.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.54 changed to 0.53
    • Practice expense RVU 2.83 changed to 3.06
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $114.40

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$127.06Not available in this settingRVU26D
2026-07-01$127.06Not available in this settingRVU26C
2026-04-01$127.06Not available in this settingRVU26B
2026-01-01$127.06Not available in this settingRVU26A
2025-10-01$114.40Not available in this settingRVU25D
2025-07-01$114.40Not available in this settingRVU25C
2025-04-01$114.40Not available in this settingRVU25B
2025-01-01$114.40Not available in this settingRVU25A

77002 billing questions

Can 77002 be reported by itself?

No. CMS identifies 77002 as an add-on code that must be billed with a primary procedure.

When is 77002 used with a joint injection?

It may be reported when fluoroscopy guides needle placement for a joint procedure, such as a large-joint aspiration or injection, and the guidance is separately reportable.

How does 77002 differ from 77003?

Both describe fluoroscopic needle guidance, but 77003 is for guidance in spinal or paraspinal procedures. Use 77002 for other needle-placement targets.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation; modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 77002?

Document the needle target, the use of fluoroscopy to guide placement, and the interpretation. The claim must also include the primary procedure.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 77002PPRRVU2026_Oct_nonQPP.csv, line 8,928 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet