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CMS RVU26D · Effective 2026-10-01

77089 in Austin

Office / nonfacility

$41.51

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.

Bone density analysis

About 77089: DXA trabecular bone score with risk report

Reports DXA-based trabecular bone score analysis with a fracture-risk assessment, adding microarchitecture information to bone-density evaluation.

Trabecular bone score analysis evaluates texture in a lumbar-spine DXA image to estimate trabecular bone microarchitecture and add fracture-risk information to bone mineral density. It analyzes an existing DXA image rather than acquiring a new bone-density scan. The service is commonly part of osteoporosis assessment, with technical staff or an analysis service preparing the image and a qualified health care professional interpreting the result and reporting fracture risk.

Report 77089 for the complete service represented by this code. CMS identifies it as a global-test-only code: separate codes describe the technical work and professional interpretation when those portions are reported separately. The record should identify the DXA image analyzed, the TBS result, and the interpretation supporting the fracture-risk assessment. CPT provides separate technical codes 77090 and 77091 and a professional interpretation and report code, 77092.

CMS billing rules for 77089

Professional and technical components
Global-test-only code: separate codes describe the professional and technical components.

Where the value comes from

  • Work RVU0.20 · 17%
  • Practice expense (office) RVU0.96 · 81%
  • Malpractice RVU0.03 · 3%

67.4K

Medicare services in 2024 · #686 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.

77089 compared with similar codes

Office rates for Austin, from the same CMS release.

77080

DXA bone density scan

Axial skeleton, spine or hip

$41.21

77080 reports axial DXA bone-density measurement. Use 77089 for TBS image analysis and its fracture-risk assessment.

77085

DXA bone density

Axial with fracture assessment

$56.83

77085 reports axial DXA with vertebral fracture assessment. 77089 reports TBS analysis of a DXA image and fracture-risk information.

77092

TBS interpretation

Professional component only

$10.17

77092 is the professional interpretation and report portion of TBS services. 77089 represents the complete global service.

77090

TBS processing

Data preparation and transmission

$3.12

77090 covers technical preparation and transmission of TBS data. 77089 represents the complete service rather than that technical work alone.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 77089 is $36.79—$4.72 lower than the $41.51 rate in Austin. Both use the same code, release and participation basis.

77089 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $41.51

  2. Beaumont

    $36.79

    $4.72 lower than Austin

  3. Brazoria

    $39.29

    $2.22 lower than Austin

  4. Dallas

    $39.54

    $1.97 lower than Austin

  5. Fort Worth

    $39.23

    $2.28 lower than Austin

  6. Galveston

    $39.40

    $2.11 lower than Austin

  7. Houston

    $39.95

    $1.56 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, 77089 ranges from $34.74 in Arkansas to $54.19 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 · 77089

    Office

    $38.01

    Facility

    Unavailable

    $3.50 lower than Austin for the office setting.

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

    California · 77089

    Office

    $45.55

    Facility

    Unavailable

    $4.04 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77089

    Office

    $45.93

    Facility

    Unavailable

    $4.42 higher than Austin for the office setting.

  • Miami

    Florida · 77089

    Office

    $42.59

    Facility

    Unavailable

    $1.08 higher than Austin for the office setting.

  • Chicago

    Illinois · 77089

    Office

    $41.25

    Facility

    Unavailable

    $0.26 lower than Austin for the office setting.

  • Manhattan

    New York · 77089

    Office

    $45.96

    Facility

    Unavailable

    $4.45 higher than Austin for the office setting.

  • Alaska*

    Alaska · 77089

    Office

    $44.72

    Facility

    Unavailable

    $3.21 higher than Austin for the office setting.

  • Alabama

    Alabama · 77089

    Office

    $35.30

    Facility

    Unavailable

    $6.21 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 77089

    Office

    $34.74

    Facility

    Unavailable

    $6.77 lower than Austin for the office setting.

  • Arizona

    Arizona · 77089

    Office

    $38.61

    Facility

    Unavailable

    $2.90 lower than Austin for the office setting.

  • Bakersfield

    California · 77089

    Office

    $42.56

    Facility

    Unavailable

    $1.05 higher than Austin for the office setting.

  • Chico

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • El Centro

    California · 77089

    Office

    $42.48

    Facility

    Unavailable

    $0.97 higher than Austin for the office setting.

  • Fresno

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Madera

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Merced

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Modesto

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Napa

    California · 77089

    Office

    $49.87

    Facility

    Unavailable

    $8.36 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77089

    Office

    $45.39

    Facility

    Unavailable

    $3.88 higher than Austin for the office setting.

  • Redding

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Rest Of California

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77089

    Office

    $42.80

    Facility

    Unavailable

    $1.29 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77089

    Office

    $44.75

    Facility

    Unavailable

    $3.24 higher than Austin for the office setting.

  • Salinas

    California · 77089

    Office

    $44.59

    Facility

    Unavailable

    $3.08 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77089

    Office

    $45.77

    Facility

    Unavailable

    $4.26 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77089

    Office

    $52.99

    Facility

    Unavailable

    $11.48 higher than Austin for the office setting.

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

    California · 77089

    Office

    $52.95

    Facility

    Unavailable

    $11.44 higher than Austin for the office setting.

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

    California · 77089

    Office

    $54.19

    Facility

    Unavailable

    $12.68 higher than Austin for the office setting.

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

    California · 77089

    Office

    $54.05

    Facility

    Unavailable

    $12.54 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77089

    Office

    $43.85

    Facility

    Unavailable

    $2.34 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 77089

    Office

    $46.32

    Facility

    Unavailable

    $4.81 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 77089

    Office

    $44.79

    Facility

    Unavailable

    $3.28 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 77089

    Office

    $46.79

    Facility

    Unavailable

    $5.28 higher than Austin for the office setting.

  • Stockton

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Vallejo

    California · 77089

    Office

    $49.82

    Facility

    Unavailable

    $8.31 higher than Austin for the office setting.

  • Visalia

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Yuba City

    California · 77089

    Office

    $42.47

    Facility

    Unavailable

    $0.96 higher than Austin for the office setting.

  • Colorado

    Colorado · 77089

    Office

    $41.66

    Facility

    Unavailable

    $0.15 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 77089

    Office

    $42.56

    Facility

    Unavailable

    $1.05 higher than Austin for the office setting.

  • Delaware

    Delaware · 77089

    Office

    $39.29

    Facility

    Unavailable

    $2.22 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 77089

    Office

    $40.97

    Facility

    Unavailable

    $0.54 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 77089

    Office

    $38.84

    Facility

    Unavailable

    $2.67 lower than Austin for the office setting.

  • Atlanta

    Georgia · 77089

    Office

    $40.48

    Facility

    Unavailable

    $1.03 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 77089

    Office

    $36.48

    Facility

    Unavailable

    $5.03 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 77089

    Office

    $43.72

    Facility

    Unavailable

    $2.21 higher than Austin for the office setting.

  • Iowa

    Iowa · 77089

    Office

    $36.42

    Facility

    Unavailable

    $5.09 lower than Austin for the office setting.

  • Idaho

    Idaho · 77089

    Office

    $36.65

    Facility

    Unavailable

    $4.86 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 77089

    Office

    $38.20

    Facility

    Unavailable

    $3.31 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 77089

    Office

    $37.52

    Facility

    Unavailable

    $3.99 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 77089

    Office

    $41.43

    Facility

    Unavailable

    $0.08 lower than Austin for the office setting.

  • Indiana

    Indiana · 77089

    Office

    $36.89

    Facility

    Unavailable

    $4.62 lower than Austin for the office setting.

  • Kansas

    Kansas · 77089

    Office

    $36.17

    Facility

    Unavailable

    $5.34 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 77089

    Office

    $36.10

    Facility

    Unavailable

    $5.41 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 77089

    Office

    $37.99

    Facility

    Unavailable

    $3.52 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 77089

    Office

    $36.02

    Facility

    Unavailable

    $5.49 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 77089

    Office

    $46.13

    Facility

    Unavailable

    $4.62 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77089

    Office

    $41.35

    Facility

    Unavailable

    $0.16 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77089

    Office

    $42.43

    Facility

    Unavailable

    $0.92 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 77089

    Office

    $40.12

    Facility

    Unavailable

    $1.39 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 77089

    Office

    $36.80

    Facility

    Unavailable

    $4.71 lower than Austin for the office setting.

  • Southern Maine

    Maine · 77089

    Office

    $39.09

    Facility

    Unavailable

    $2.42 lower than Austin for the office setting.

  • Detroit

    Michigan · 77089

    Office

    $39.31

    Facility

    Unavailable

    $2.20 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 77089

    Office

    $37.09

    Facility

    Unavailable

    $4.42 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 77089

    Office

    $39.97

    Facility

    Unavailable

    $1.54 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 77089

    Office

    $37.77

    Facility

    Unavailable

    $3.74 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 77089

    Office

    $38.21

    Facility

    Unavailable

    $3.30 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 77089

    Office

    $35.30

    Facility

    Unavailable

    $6.21 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 77089

    Office

    $35.03

    Facility

    Unavailable

    $6.48 lower than Austin for the office setting.

  • Montana**

    Montana · 77089

    Office

    $39.75

    Facility

    Unavailable

    $1.76 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 77089

    Office

    $37.24

    Facility

    Unavailable

    $4.27 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 77089

    Office

    $39.15

    Facility

    Unavailable

    $2.36 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 77089

    Office

    $36.65

    Facility

    Unavailable

    $4.86 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 77089

    Office

    $40.94

    Facility

    Unavailable

    $0.57 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 77089

    Office

    $45.37

    Facility

    Unavailable

    $3.86 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 77089

    Office

    $43.06

    Facility

    Unavailable

    $1.55 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 77089

    Office

    $37.29

    Facility

    Unavailable

    $4.22 lower than Austin for the office setting.

  • Nevada**

    Nevada · 77089

    Office

    $39.61

    Facility

    Unavailable

    $1.90 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77089

    Office

    $47.09

    Facility

    Unavailable

    $5.58 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77089

    Office

    $43.30

    Facility

    Unavailable

    $1.79 higher than Austin for the office setting.

  • Queens

    New York · 77089

    Office

    $46.45

    Facility

    Unavailable

    $4.94 higher than Austin for the office setting.

  • Rest Of New York

    New York · 77089

    Office

    $37.85

    Facility

    Unavailable

    $3.66 lower than Austin for the office setting.

  • Ohio

    Ohio · 77089

    Office

    $36.97

    Facility

    Unavailable

    $4.54 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 77089

    Office

    $36.09

    Facility

    Unavailable

    $5.42 lower than Austin for the office setting.

  • Portland

    Oregon · 77089

    Office

    $43.16

    Facility

    Unavailable

    $1.65 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 77089

    Office

    $39.32

    Facility

    Unavailable

    $2.19 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77089

    Office

    $41.38

    Facility

    Unavailable

    $0.13 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77089

    Office

    $37.06

    Facility

    Unavailable

    $4.45 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 77089

    Office

    $40.08

    Facility

    Unavailable

    $1.43 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 77089

    Office

    $40.82

    Facility

    Unavailable

    $0.69 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 77089

    Office

    $37.16

    Facility

    Unavailable

    $4.35 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 77089

    Office

    $39.08

    Facility

    Unavailable

    $2.43 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 77089

    Office

    $36.37

    Facility

    Unavailable

    $5.14 lower than Austin for the office setting.

  • Utah

    Utah · 77089

    Office

    $37.72

    Facility

    Unavailable

    $3.79 lower than Austin for the office setting.

  • Virginia

    Virginia · 77089

    Office

    $38.91

    Facility

    Unavailable

    $2.60 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77089

    Office

    $40.08

    Facility

    Unavailable

    $1.43 lower than Austin for the office setting.

  • Vermont

    Vermont · 77089

    Office

    $38.93

    Facility

    Unavailable

    $2.58 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 77089

    Office

    $41.29

    Facility

    Unavailable

    $0.22 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 77089

    Office

    $47.18

    Facility

    Unavailable

    $5.67 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 77089

    Office

    $37.71

    Facility

    Unavailable

    $3.80 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 77089

    Office

    $35.98

    Facility

    Unavailable

    $5.53 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 77089

    Office

    $39.49

    Facility

    Unavailable

    $2.02 lower than Austin for the office setting.

See how rates vary across the country

77089 · 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.

$34.74

$48.33

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$44.721
AL$35.301
AR$34.741
AZ$38.611
CA$42.47–$54.1929
CO$41.661
CT$42.561
DC$45.931
DE$39.291
FL$38.84–$42.593
GA$36.48–$40.482
GU$43.721
HI$43.721
IA$36.421
ID$36.651
IL$37.52–$41.434
IN$36.891
KS$36.171
KY$36.101
LA$36.02–$37.992
MA$41.35–$46.132
MD$40.12–$45.933
ME$36.80–$39.092
MI$37.09–$39.312
MN$39.971
MO$35.30–$38.213
MS$35.031
MT$39.751
NC$37.241
ND$39.151
NE$36.651
NH$40.941
NJ$43.06–$45.372
NM$37.291
NV$39.611
NY$37.85–$47.095
OH$36.971
OK$36.091
OR$39.32–$43.162
PA$37.06–$41.382
PR$40.081
RI$40.821
SC$37.161
SD$39.081
TN$36.371
TX$36.79–$41.518
UT$37.721
VA$38.91–$45.932
VI$40.081
VT$38.931
WA$41.29–$47.182
WI$37.711
WV$35.981
WY$39.491

Explore 77089 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 77089 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$45.66

$41.51 × 110% = $45.66

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.

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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 77089 in Austin.

PPRRVU2026_Oct_nonQPP.csv

9,022

Code
77089
Physician work
0.20
Practice expense
0.96
Malpractice
0.03

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 77089 in Austin
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0020.2004
Practice expense0.96× 1.0581.0157
Malpractice0.03× 0.8860.0266
Total RVUs1.2427
Conversion factor× 33.4009

Office / nonfacility rate, Austin$41.51

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

Open 77089 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.21.002
Practice expense0.961.058
Malpractice0.030.886

(0.2 × 1.002 + 0.96 × 1.058 + 0.03 × 0.886) × $33.4009 = $41.51

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

77089 · Office / nonfacility

$41.51

Effective 2026-10-01

The base rate is $1.33 higher than on 2025-10-01, moving from $40.18 to $41.51 (3.3%).

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

    $40.18changed to$41.51

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.97 changed to 0.96
    • 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: $40.18

    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$41.51Not available in this settingRVU26D
2026-07-01$41.51Not available in this settingRVU26C
2026-04-01$41.51Not available in this settingRVU26B
2026-01-01$41.51Not available in this settingRVU26A
2025-10-01$40.18Not available in this settingRVU25D
2025-07-01$40.18Not available in this settingRVU25C
2025-04-01$40.18Not available in this settingRVU25B
2025-01-01$40.18Not available in this settingRVU25A

77089 billing questions

How does this differ from a standard axial DXA?

An axial DXA measures bone mineral density. TBS analyzes texture in a lumbar-spine DXA image to add information about trabecular microarchitecture and fracture risk.

Can 77089 be reported with an axial DXA?

TBS analysis may accompany an axial DXA when the DXA image is analyzed for TBS and a fracture-risk assessment is provided. The TBS analysis is distinct from the bone-density measurement.

When should the component codes be used instead?

CMS identifies 77089 as a global-test-only code, with separate codes for technical work and professional interpretation. CPT lists 77090 and 77091 for technical services and 77092 for interpretation and reporting.

What documentation supports 77089?

Document the DXA image analyzed, the TBS result, and the professional interpretation addressing fracture risk. The record should make clear that TBS analysis and reporting were performed, not only routine bone-density measurement.

Is 77089 a code for a new DXA scan?

No. TBS analysis evaluates texture in a lumbar-spine DXA image; it does not describe acquisition of a separate bone-density scan.

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 77089PPRRVU2026_Oct_nonQPP.csv, line 9,022 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet