FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

77092 in Madera

Office / nonfacility

$10.27

Base rate per service

Facility setting

$10.27

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 77092: Trabecular bone score interpretation and report

Reports a qualified health professional’s interpretation of trabecular bone score analysis from DXA data to support fracture-risk assessment.

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.

CMS billing rules for 77092

Professional and technical components
Professional-component-only code: interpretation and report; a separate code covers the technical portion.

Where the value comes from

  • Work RVU0.20 · 67%
  • Practice expense (office) RVU0.09 · 30%
  • Malpractice RVU0.01 · 3%

69.6K

Medicare services in 2024 · #674 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.

77092 compared with similar codes

Office rates for Madera, from the same CMS release.

77089

Trabecular bone score

Complete service with fracture-risk assessment

$42.47

77089 covers a combined TBS calculation and interpretation/report service. Use 77092 when reporting the professional interpretation and report alone.

77091

Trabecular bone score

Technical calculation only

$29.10

77091 covers the technical calculation; 77092 covers the qualified health professional’s interpretation and report.

77080

DXA bone density scan

Axial skeleton, spine or hip

$42.29

77080 reports axial DXA bone-density imaging, while 77092 reports interpretation of TBS analysis derived from imaging data.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 77092 is $10.31—$0.04 higher than the $10.27 rate in Madera. Both use the same code, release and participation basis.

77092 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $10.27

  2. Bakersfield

    $10.31

    $0.04 higher than Madera

  3. Chico

    $10.27

    The same base rate than Madera

  4. El Centro

    $10.27

    The same base rate than Madera

  5. Fresno

    $10.27

    The same base rate than Madera

  6. Hanford-Corcoran

    $10.27

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $10.73

    $0.46 higher than Madera

Other payment areas listed in California 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, 77092 ranges from $9.43 in Arkansas to $13.41 in Alaska*. 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

  • Merced

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Modesto

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Napa

    California · 77092

    Office

    $11.23

    Facility

    $11.23

    $0.96 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77092

    Office

    $10.63

    Facility

    $10.63

    $0.36 higher than Madera for the office setting.

  • Redding

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77092

    Office

    $10.38

    Facility

    $10.38

    $0.11 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77092

    Office

    $10.60

    Facility

    $10.60

    $0.33 higher than Madera for the office setting.

  • Salinas

    California · 77092

    Office

    $10.55

    Facility

    $10.55

    $0.28 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77092

    Office

    $10.66

    Facility

    $10.66

    $0.39 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77092

    Office

    $11.71

    Facility

    $11.71

    $1.44 higher than Madera for the office setting.

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

    California · 77092

    Office

    $11.70

    Facility

    $11.70

    $1.43 higher than Madera for the office setting.

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

    California · 77092

    Office

    $11.93

    Facility

    $11.93

    $1.66 higher than Madera for the office setting.

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

    California · 77092

    Office

    $11.88

    Facility

    $11.88

    $1.61 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77092

    Office

    $10.40

    Facility

    $10.40

    $0.13 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 77092

    Office

    $10.65

    Facility

    $10.65

    $0.38 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 77092

    Office

    $10.55

    Facility

    $10.55

    $0.28 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 77092

    Office

    $10.75

    Facility

    $10.75

    $0.48 higher than Madera for the office setting.

  • Stockton

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 77092

    Office

    $11.22

    Facility

    $11.22

    $0.95 higher than Madera for the office setting.

  • Visalia

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 77092

    Office

    $10.27

    Facility

    $10.27

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77092

    Office

    $10.95

    Facility

    $10.95

    $0.68 higher than Madera for the office setting.

  • Miami

    Florida · 77092

    Office

    $10.65

    Facility

    $10.65

    $0.38 higher than Madera for the office setting.

  • Chicago

    Illinois · 77092

    Office

    $10.51

    Facility

    $10.51

    $0.24 higher than Madera for the office setting.

  • Manhattan

    New York · 77092

    Office

    $11.13

    Facility

    $11.13

    $0.86 higher than Madera for the office setting.

  • Alaska*

    Alaska · 77092

    Office

    $13.41

    Facility

    $13.41

    $3.14 higher than Madera for the office setting.

  • Alabama

    Alabama · 77092

    Office

    $9.50

    Facility

    $9.50

    $0.77 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 77092

    Office

    $9.43

    Facility

    $9.43

    $0.84 lower than Madera for the office setting.

  • Arizona

    Arizona · 77092

    Office

    $9.88

    Facility

    $9.88

    $0.39 lower than Madera for the office setting.

  • Colorado

    Colorado · 77092

    Office

    $10.22

    Facility

    $10.22

    $0.05 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 77092

    Office

    $10.46

    Facility

    $10.46

    $0.19 higher than Madera for the office setting.

  • Delaware

    Delaware · 77092

    Office

    $9.98

    Facility

    $9.98

    $0.29 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 77092

    Office

    $10.33

    Facility

    $10.33

    $0.06 higher than Madera for the office setting.

  • Rest Of Florida

    Florida · 77092

    Office

    $10.06

    Facility

    $10.06

    $0.21 lower than Madera for the office setting.

  • Atlanta

    Georgia · 77092

    Office

    $10.16

    Facility

    $10.16

    $0.11 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 77092

    Office

    $9.76

    Facility

    $9.76

    $0.51 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 77092

    Office

    $10.29

    Facility

    $10.29

    $0.02 higher than Madera for the office setting.

  • Iowa

    Iowa · 77092

    Office

    $9.56

    Facility

    $9.56

    $0.71 lower than Madera for the office setting.

  • Idaho

    Idaho · 77092

    Office

    $9.60

    Facility

    $9.60

    $0.67 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 77092

    Office

    $10.12

    Facility

    $10.12

    $0.15 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 77092

    Office

    $9.95

    Facility

    $9.95

    $0.32 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 77092

    Office

    $10.41

    Facility

    $10.41

    $0.14 higher than Madera for the office setting.

  • Indiana

    Indiana · 77092

    Office

    $9.63

    Facility

    $9.63

    $0.64 lower than Madera for the office setting.

  • Kansas

    Kansas · 77092

    Office

    $9.57

    Facility

    $9.57

    $0.70 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 77092

    Office

    $9.66

    Facility

    $9.66

    $0.61 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 77092

    Office

    $9.89

    Facility

    $9.89

    $0.38 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 77092

    Office

    $9.66

    Facility

    $9.66

    $0.61 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 77092

    Office

    $10.84

    Facility

    $10.84

    $0.57 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77092

    Office

    $10.22

    Facility

    $10.22

    $0.05 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77092

    Office

    $10.43

    Facility

    $10.43

    $0.16 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 77092

    Office

    $10.10

    Facility

    $10.10

    $0.17 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 77092

    Office

    $9.65

    Facility

    $9.65

    $0.62 lower than Madera for the office setting.

  • Southern Maine

    Maine · 77092

    Office

    $9.87

    Facility

    $9.87

    $0.40 lower than Madera for the office setting.

  • Detroit

    Michigan · 77092

    Office

    $10.14

    Facility

    $10.14

    $0.13 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 77092

    Office

    $9.80

    Facility

    $9.80

    $0.47 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 77092

    Office

    $9.87

    Facility

    $9.87

    $0.40 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 77092

    Office

    $9.83

    Facility

    $9.83

    $0.44 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 77092

    Office

    $9.88

    Facility

    $9.88

    $0.39 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 77092

    Office

    $9.60

    Facility

    $9.60

    $0.67 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 77092

    Office

    $9.52

    Facility

    $9.52

    $0.75 lower than Madera for the office setting.

  • Montana**

    Montana · 77092

    Office

    $10.02

    Facility

    $10.02

    $0.25 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 77092

    Office

    $9.70

    Facility

    $9.70

    $0.57 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 77092

    Office

    $9.82

    Facility

    $9.82

    $0.45 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 77092

    Office

    $9.58

    Facility

    $9.58

    $0.69 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 77092

    Office

    $10.10

    Facility

    $10.10

    $0.17 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 77092

    Office

    $10.94

    Facility

    $10.94

    $0.67 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 77092

    Office

    $10.60

    Facility

    $10.60

    $0.33 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 77092

    Office

    $9.84

    Facility

    $9.84

    $0.43 lower than Madera for the office setting.

  • Nevada**

    Nevada · 77092

    Office

    $9.97

    Facility

    $9.97

    $0.30 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77092

    Office

    $11.30

    Facility

    $11.30

    $1.03 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77092

    Office

    $10.68

    Facility

    $10.68

    $0.41 higher than Madera for the office setting.

  • Queens

    New York · 77092

    Office

    $11.14

    Facility

    $11.14

    $0.87 higher than Madera for the office setting.

  • Rest Of New York

    New York · 77092

    Office

    $9.77

    Facility

    $9.77

    $0.50 lower than Madera for the office setting.

  • Ohio

    Ohio · 77092

    Office

    $9.76

    Facility

    $9.76

    $0.51 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 77092

    Office

    $9.62

    Facility

    $9.62

    $0.65 lower than Madera for the office setting.

  • Portland

    Oregon · 77092

    Office

    $10.38

    Facility

    $10.38

    $0.11 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 77092

    Office

    $9.91

    Facility

    $9.91

    $0.36 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77092

    Office

    $10.33

    Facility

    $10.33

    $0.06 higher than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77092

    Office

    $9.76

    Facility

    $9.76

    $0.51 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 77092

    Office

    $10.05

    Facility

    $10.05

    $0.22 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 77092

    Office

    $10.21

    Facility

    $10.21

    $0.06 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 77092

    Office

    $9.74

    Facility

    $9.74

    $0.53 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 77092

    Office

    $9.80

    Facility

    $9.80

    $0.47 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 77092

    Office

    $9.59

    Facility

    $9.59

    $0.68 lower than Madera for the office setting.

  • Austin

    Texas · 77092

    Office

    $10.17

    Facility

    $10.17

    $0.10 lower than Madera for the office setting.

  • Beaumont

    Texas · 77092

    Office

    $9.73

    Facility

    $9.73

    $0.54 lower than Madera for the office setting.

  • Brazoria

    Texas · 77092

    Office

    $9.97

    Facility

    $9.97

    $0.30 lower than Madera for the office setting.

  • Dallas

    Texas · 77092

    Office

    $10.02

    Facility

    $10.02

    $0.25 lower than Madera for the office setting.

  • Fort Worth

    Texas · 77092

    Office

    $10.00

    Facility

    $10.00

    $0.27 lower than Madera for the office setting.

  • Galveston

    Texas · 77092

    Office

    $10.00

    Facility

    $10.00

    $0.27 lower than Madera for the office setting.

  • Houston

    Texas · 77092

    Office

    $10.18

    Facility

    $10.18

    $0.09 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 77092

    Office

    $9.83

    Facility

    $9.83

    $0.44 lower than Madera for the office setting.

  • Utah

    Utah · 77092

    Office

    $9.81

    Facility

    $9.81

    $0.46 lower than Madera for the office setting.

  • Virginia

    Virginia · 77092

    Office

    $9.87

    Facility

    $9.87

    $0.40 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77092

    Office

    $10.05

    Facility

    $10.05

    $0.22 lower than Madera for the office setting.

  • Vermont

    Vermont · 77092

    Office

    $9.83

    Facility

    $9.83

    $0.44 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 77092

    Office

    $10.19

    Facility

    $10.19

    $0.08 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 77092

    Office

    $10.98

    Facility

    $10.98

    $0.71 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 77092

    Office

    $9.66

    Facility

    $9.66

    $0.61 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 77092

    Office

    $9.77

    Facility

    $9.77

    $0.50 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 77092

    Office

    $9.93

    Facility

    $9.93

    $0.34 lower than Madera for the office setting.

See how rates vary across the country

77092 · 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.

$9.43

$13.41

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$13.411
AL$9.501
AR$9.431
AZ$9.881
CA$10.27–$11.9329
CO$10.221
CT$10.461
DC$10.951
DE$9.981
FL$10.06–$10.653
GA$9.76–$10.162
GU$10.291
HI$10.291
IA$9.561
ID$9.601
IL$9.95–$10.514
IN$9.631
KS$9.571
KY$9.661
LA$9.66–$9.892
MA$10.22–$10.842
MD$10.10–$10.953
ME$9.65–$9.872
MI$9.80–$10.142
MN$9.871
MO$9.60–$9.883
MS$9.521
MT$10.021
NC$9.701
ND$9.821
NE$9.581
NH$10.101
NJ$10.60–$10.942
NM$9.841
NV$9.971
NY$9.77–$11.305
OH$9.761
OK$9.621
OR$9.91–$10.382
PA$9.76–$10.332
PR$10.051
RI$10.211
SC$9.741
SD$9.801
TN$9.591
TX$9.73–$10.188
UT$9.811
VA$9.87–$10.952
VI$10.051
VT$9.831
WA$10.19–$10.982
WI$9.661
WV$9.771
WY$9.931

Explore 77092 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 77092 in Madera, the physician’s office rate is $10.27 and the facility-setting rate is $10.27: a difference of $0.00.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77092 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$11.30

$10.27 × 110% = $11.30

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 77092 in Madera.

PPRRVU2026_Oct_nonQPP.csv

9,025

Code
77092
Physician work
0.20
Practice expense
0.09
Malpractice
0.01

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77092 in Madera
ComponentRVULocality factorAdjusted
Physician work0.20× 1.0170.2034
Practice expense0.09× 1.0960.0986
Malpractice0.01× 0.5360.0054
Total RVUs0.3074
Conversion factor× 33.4009

Office / nonfacility rate, Madera$10.27

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

Open 77092 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.21.017
Practice expense0.091.096
Malpractice0.010.536

(0.2 × 1.017 + 0.09 × 1.096 + 0.01 × 0.536) × $33.4009 = $10.27

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.21.017
Practice expense0.091.096
Malpractice0.010.536

(0.2 × 1.017 + 0.09 × 1.096 + 0.01 × 0.536) × $33.4009 = $10.27

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

77092 · Office / nonfacility

$10.27

Effective 2026-10-01

The base rate is $0.70 higher than on 2025-10-01, moving from $9.57 to $10.27 (7.3%).

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

    $9.57changed to$10.27

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.08 changed to 0.09
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $9.57

    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$10.27$10.27RVU26D
2026-07-01$10.27$10.27RVU26C
2026-04-01$10.27$10.27RVU26B
2026-01-01$10.27$10.27RVU26A
2025-10-01$9.57$9.57RVU25D
2025-07-01$9.57$9.57RVU25C
2025-04-01$9.57$9.57RVU25B
2025-01-01$9.57$9.57RVU25A

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 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 77092PPRRVU2026_Oct_nonQPP.csv, line 9,025 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet