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CMS RVU26D · Effective 2026-10-01

77085 in Beaumont

Office / nonfacility

$50.44

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 imaging

About 77085: Axial DXA with vertebral fracture assessment

Reports axial DXA of the hips, pelvis, or spine with vertebral fracture assessment when bone density and vertebral fracture evaluation are performed together.

This service combines DXA bone density measurement of the axial skeleton, such as the hips, pelvis, or spine, with evaluation for vertebral fractures. It is commonly performed in outpatient imaging centers and hospitals for patients being evaluated for osteoporosis or vertebral fracture risk. Imaging staff acquire the study, and a qualified interpreting professional reviews the bone density and fracture-assessment findings and prepares a report.

Report 77085 when the axial DXA study includes vertebral fracture assessment; the documentation should identify the sites examined and support both the bone-density study and its interpretation. The code may be billed globally, or the interpretation may be reported with modifier 26 and the equipment-and-staff portion with modifier TC. The record should make clear which portion the billing entity furnished when a component modifier is used.

CMS billing rules for 77085

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 RVU0.29 · 18%
  • Practice expense (office) RVU1.30 · 80%
  • Malpractice RVU0.04 · 2%

110.6K

Medicare services in 2024 · #529 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.

77085 compared with similar codes

Office rates for Beaumont, from the same CMS release.

77080

DXA bone density scan

Axial skeleton, spine or hip

$36.48

Both describe axial DXA, but 77085 includes vertebral fracture assessment. Choose 77080 when that assessment is not part of the study.

77086

Vertebral fracture assessment

DXA imaging only

$32.13

77086 represents vertebral fracture assessment via DXA, while 77085 combines that assessment with axial bone-density measurement.

77081

Bone density

Appendicular skeleton

$29.49

77081 is for appendicular DXA, such as a forearm site; 77085 is for axial sites such as the hips, pelvis, or spine.

77078

CT bone density

Axial skeleton

$90.70

77078 uses CT to assess bone density. 77085 is the DXA service that includes axial bone-density measurement and vertebral fracture assessment.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 77085 is $56.83—$6.39 higher than the $50.44 rate in Beaumont. Both use the same code, release and participation basis.

77085 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $50.44

  2. Austin

    $56.83

    $6.39 higher than Beaumont

  3. Brazoria

    $53.84

    $3.40 higher than Beaumont

  4. Dallas

    $54.17

    $3.73 higher than Beaumont

  5. Fort Worth

    $53.75

    $3.31 higher than Beaumont

  6. Galveston

    $53.99

    $3.55 higher than Beaumont

  7. Houston

    $54.72

    $4.28 higher than Beaumont

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, 77085 ranges from $47.67 in Arkansas to $74.08 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 · 77085

    Office

    $52.10

    Facility

    Unavailable

    $1.66 higher than Beaumont for the office setting.

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

    California · 77085

    Office

    $62.34

    Facility

    Unavailable

    $11.90 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77085

    Office

    $62.85

    Facility

    Unavailable

    $12.41 higher than Beaumont for the office setting.

  • Miami

    Florida · 77085

    Office

    $58.27

    Facility

    Unavailable

    $7.83 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 77085

    Office

    $56.46

    Facility

    Unavailable

    $6.02 higher than Beaumont for the office setting.

  • Manhattan

    New York · 77085

    Office

    $62.88

    Facility

    Unavailable

    $12.44 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 77085

    Office

    $61.51

    Facility

    Unavailable

    $11.07 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 77085

    Office

    $48.44

    Facility

    Unavailable

    $2.00 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 77085

    Office

    $47.67

    Facility

    Unavailable

    $2.77 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 77085

    Office

    $52.91

    Facility

    Unavailable

    $2.47 higher than Beaumont for the office setting.

  • Bakersfield

    California · 77085

    Office

    $58.27

    Facility

    Unavailable

    $7.83 higher than Beaumont for the office setting.

  • Chico

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • El Centro

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Fresno

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Madera

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Merced

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Modesto

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Napa

    California · 77085

    Office

    $68.20

    Facility

    Unavailable

    $17.76 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77085

    Office

    $62.11

    Facility

    Unavailable

    $11.67 higher than Beaumont for the office setting.

  • Redding

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Rest Of California

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77085

    Office

    $58.59

    Facility

    Unavailable

    $8.15 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77085

    Office

    $61.25

    Facility

    Unavailable

    $10.81 higher than Beaumont for the office setting.

  • Salinas

    California · 77085

    Office

    $61.03

    Facility

    Unavailable

    $10.59 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77085

    Office

    $62.63

    Facility

    Unavailable

    $12.19 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77085

    Office

    $72.44

    Facility

    Unavailable

    $22.00 higher than Beaumont for the office setting.

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

    California · 77085

    Office

    $72.40

    Facility

    Unavailable

    $21.96 higher than Beaumont for the office setting.

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

    California · 77085

    Office

    $74.08

    Facility

    Unavailable

    $23.64 higher than Beaumont for the office setting.

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

    California · 77085

    Office

    $73.90

    Facility

    Unavailable

    $23.46 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77085

    Office

    $60.02

    Facility

    Unavailable

    $9.58 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 77085

    Office

    $63.36

    Facility

    Unavailable

    $12.92 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 77085

    Office

    $61.30

    Facility

    Unavailable

    $10.86 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 77085

    Office

    $64.01

    Facility

    Unavailable

    $13.57 higher than Beaumont for the office setting.

  • Stockton

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Vallejo

    California · 77085

    Office

    $68.14

    Facility

    Unavailable

    $17.70 higher than Beaumont for the office setting.

  • Visalia

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Yuba City

    California · 77085

    Office

    $58.16

    Facility

    Unavailable

    $7.72 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 77085

    Office

    $57.05

    Facility

    Unavailable

    $6.61 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 77085

    Office

    $58.26

    Facility

    Unavailable

    $7.82 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 77085

    Office

    $53.84

    Facility

    Unavailable

    $3.40 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 77085

    Office

    $56.09

    Facility

    Unavailable

    $5.65 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 77085

    Office

    $53.20

    Facility

    Unavailable

    $2.76 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 77085

    Office

    $55.44

    Facility

    Unavailable

    $5.00 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 77085

    Office

    $50.01

    Facility

    Unavailable

    $0.43 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 77085

    Office

    $59.83

    Facility

    Unavailable

    $9.39 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 77085

    Office

    $49.95

    Facility

    Unavailable

    $0.49 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 77085

    Office

    $50.27

    Facility

    Unavailable

    $0.17 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 77085

    Office

    $52.32

    Facility

    Unavailable

    $1.88 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 77085

    Office

    $51.42

    Facility

    Unavailable

    $0.98 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 77085

    Office

    $56.72

    Facility

    Unavailable

    $6.28 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 77085

    Office

    $50.59

    Facility

    Unavailable

    $0.15 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 77085

    Office

    $49.61

    Facility

    Unavailable

    $0.83 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 77085

    Office

    $49.51

    Facility

    Unavailable

    $0.93 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 77085

    Office

    $52.06

    Facility

    Unavailable

    $1.62 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 77085

    Office

    $49.39

    Facility

    Unavailable

    $1.05 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 77085

    Office

    $63.12

    Facility

    Unavailable

    $12.68 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77085

    Office

    $56.63

    Facility

    Unavailable

    $6.19 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77085

    Office

    $58.08

    Facility

    Unavailable

    $7.64 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 77085

    Office

    $54.95

    Facility

    Unavailable

    $4.51 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 77085

    Office

    $50.46

    Facility

    Unavailable

    $0.02 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 77085

    Office

    $53.56

    Facility

    Unavailable

    $3.12 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 77085

    Office

    $53.84

    Facility

    Unavailable

    $3.40 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 77085

    Office

    $50.84

    Facility

    Unavailable

    $0.40 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 77085

    Office

    $54.76

    Facility

    Unavailable

    $4.32 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 77085

    Office

    $51.76

    Facility

    Unavailable

    $1.32 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 77085

    Office

    $52.36

    Facility

    Unavailable

    $1.92 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 77085

    Office

    $48.42

    Facility

    Unavailable

    $2.02 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 77085

    Office

    $48.06

    Facility

    Unavailable

    $2.38 lower than Beaumont for the office setting.

  • Montana**

    Montana · 77085

    Office

    $54.44

    Facility

    Unavailable

    $4.00 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 77085

    Office

    $51.05

    Facility

    Unavailable

    $0.61 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 77085

    Office

    $53.65

    Facility

    Unavailable

    $3.21 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 77085

    Office

    $50.27

    Facility

    Unavailable

    $0.17 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 77085

    Office

    $56.06

    Facility

    Unavailable

    $5.62 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 77085

    Office

    $62.09

    Facility

    Unavailable

    $11.65 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 77085

    Office

    $58.96

    Facility

    Unavailable

    $8.52 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 77085

    Office

    $51.11

    Facility

    Unavailable

    $0.67 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 77085

    Office

    $54.26

    Facility

    Unavailable

    $3.82 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77085

    Office

    $64.41

    Facility

    Unavailable

    $13.97 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77085

    Office

    $59.28

    Facility

    Unavailable

    $8.84 higher than Beaumont for the office setting.

  • Queens

    New York · 77085

    Office

    $63.56

    Facility

    Unavailable

    $13.12 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 77085

    Office

    $51.88

    Facility

    Unavailable

    $1.44 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 77085

    Office

    $50.68

    Facility

    Unavailable

    $0.24 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 77085

    Office

    $49.50

    Facility

    Unavailable

    $0.94 lower than Beaumont for the office setting.

  • Portland

    Oregon · 77085

    Office

    $59.08

    Facility

    Unavailable

    $8.64 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 77085

    Office

    $53.87

    Facility

    Unavailable

    $3.43 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77085

    Office

    $56.66

    Facility

    Unavailable

    $6.22 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77085

    Office

    $50.81

    Facility

    Unavailable

    $0.37 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 77085

    Office

    $54.90

    Facility

    Unavailable

    $4.46 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 77085

    Office

    $55.92

    Facility

    Unavailable

    $5.48 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 77085

    Office

    $50.94

    Facility

    Unavailable

    $0.50 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 77085

    Office

    $53.56

    Facility

    Unavailable

    $3.12 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 77085

    Office

    $49.87

    Facility

    Unavailable

    $0.57 lower than Beaumont for the office setting.

  • Utah

    Utah · 77085

    Office

    $51.70

    Facility

    Unavailable

    $1.26 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 77085

    Office

    $53.31

    Facility

    Unavailable

    $2.87 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77085

    Office

    $54.90

    Facility

    Unavailable

    $4.46 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 77085

    Office

    $53.35

    Facility

    Unavailable

    $2.91 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 77085

    Office

    $56.55

    Facility

    Unavailable

    $6.11 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 77085

    Office

    $64.54

    Facility

    Unavailable

    $14.10 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 77085

    Office

    $51.70

    Facility

    Unavailable

    $1.26 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 77085

    Office

    $49.33

    Facility

    Unavailable

    $1.11 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 77085

    Office

    $54.10

    Facility

    Unavailable

    $3.66 higher than Beaumont for the office setting.

See how rates vary across the country

77085 · 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.

$47.67

$66.12

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$61.511
AL$48.441
AR$47.671
AZ$52.911
CA$58.16–$74.0829
CO$57.051
CT$58.261
DC$62.851
DE$53.841
FL$53.20–$58.273
GA$50.01–$55.442
GU$59.831
HI$59.831
IA$49.951
ID$50.271
IL$51.42–$56.724
IN$50.591
KS$49.611
KY$49.511
LA$49.39–$52.062
MA$56.63–$63.122
MD$54.95–$62.853
ME$50.46–$53.562
MI$50.84–$53.842
MN$54.761
MO$48.42–$52.363
MS$48.061
MT$54.441
NC$51.051
ND$53.651
NE$50.271
NH$56.061
NJ$58.96–$62.092
NM$51.111
NV$54.261
NY$51.88–$64.415
OH$50.681
OK$49.501
OR$53.87–$59.082
PA$50.81–$56.662
PR$54.901
RI$55.921
SC$50.941
SD$53.561
TN$49.871
TX$50.44–$56.838
UT$51.701
VA$53.31–$62.852
VI$54.901
VT$53.351
WA$56.55–$64.542
WI$51.701
WV$49.331
WY$54.101

Explore 77085 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 77085 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$55.48

$50.44 × 110% = $55.48

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 77085 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

9,016

Code
77085
Physician work
0.29
Practice expense
1.30
Malpractice
0.04

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 77085 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense1.30× 0.9101.1830
Malpractice0.04× 0.9290.0372
Total RVUs1.5102
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$50.44

Open 77085 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.291
Practice expense1.30.91
Malpractice0.040.929

(0.29 × 1 + 1.3 × 0.91 + 0.04 × 0.929) × $33.4009 = $50.44

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

77085 · Office / nonfacility

$50.44

Effective 2026-10-01

The base rate is $2.14 higher than on 2025-10-01, moving from $48.30 to $50.44 (4.4%).

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

    $48.30changed to$50.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.30 changed to 0.29
    • Practice expense RVU 1.29 changed to 1.30
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $48.30

    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$50.44Not available in this settingRVU26D
2026-07-01$50.44Not available in this settingRVU26C
2026-04-01$50.44Not available in this settingRVU26B
2026-01-01$50.44Not available in this settingRVU26A
2025-10-01$48.30Not available in this settingRVU25D
2025-07-01$48.30Not available in this settingRVU25C
2025-04-01$48.30Not available in this settingRVU25B
2025-01-01$48.30Not available in this settingRVU25A

77085 billing questions

When should 77085 be used instead of 77080?

Use 77085 when axial DXA is performed with vertebral fracture assessment. Use 77080 for axial DXA without that assessment.

Can 77086 also be reported for the same vertebral fracture assessment?

77085 includes vertebral fracture assessment with the axial DXA. Do not report 77086 again for that same included assessment.

How do modifiers 26 and TC apply?

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

What documentation supports reporting 77085?

Document the axial sites examined, the DXA findings, the vertebral fracture assessment, and the interpreting professional’s report.

Is a DXA of the forearm reported with 77085?

No. 77085 describes axial sites such as the hips, pelvis, or spine; appendicular DXA, such as a forearm study, is reported with 77081.

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 77085PPRRVU2026_Oct_nonQPP.csv, line 9,016 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet