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CMS RVU26D · Effective 2026-10-01

77091 in Merced

Office / nonfacility

$29.10

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 77091: Trabecular bone score technical calculation

Reports the technical computation of a trabecular bone score from DXA data when the calculation is performed separately from data preparation and interpretation.

This service calculates a trabecular bone score from DXA image data, generally from a lumbar spine bone-density study. The score analyzes image texture as an indicator of trabecular bone microarchitecture and can contribute to fracture-risk assessment. DXA technologists or other technical staff typically perform the software-based calculation in a bone-density or radiology setting; the calculation does not itself provide a clinician’s interpretation.

Report 77091 for the technical calculation when that work is separately performed. CMS classifies it as a technical-component-only service, with interpretation covered by a separate code; 77092 is used for the interpretation and report. Documentation should identify the DXA data processed and support completion of the calculation. Distinguish this service from 77090, which covers preparation and transmission of data, and from 77089, which describes a TBS service that includes calculation with interpretation and a fracture-risk report.

CMS billing rules for 77091

Professional and technical components
Technical-component-only code: a separate code covers interpretation.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.79 · 99%
  • Malpractice RVU0.01 · 1%

6.4K

Medicare services in 2024 · #1715 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.

77091 compared with similar codes

Office rates for Merced, from the same CMS release.

77089

Trabecular bone score

Complete service with fracture-risk assessment

$42.47

77089 covers TBS calculation with interpretation and a fracture-risk report. 77091 is for the technical calculation only, with interpretation covered separately.

77090

TBS processing

Data preparation and transmission

$3.11

77090 covers preparation and transmission of DXA data for analysis elsewhere; 77091 covers the technical TBS calculation.

77092

TBS interpretation

Professional component only

$10.27

77092 reports the interpretation and report for TBS. 77091 covers the technical calculation.

77080

DXA bone density scan

Axial skeleton, spine or hip

$42.29

77080 reports axial DXA bone-density measurement. 77091 reports a TBS calculation using DXA data, not the density measurement itself.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 77091 is $29.12—$0.02 higher than the $29.10 rate in Merced. Both use the same code, release and participation basis.

77091 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $29.10

  2. $0.02 higher than Merced

  3. Chico

    $29.10

    The same base rate than Merced

  4. El Centro

    $29.10

    The same base rate than Merced

  5. Fresno

    $29.10

    The same base rate than Merced

  6. The same base rate than Merced

  7. $2.34 higher than Merced

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, 77091 ranges from $22.84 in Arkansas to $38.23 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
  • Madera

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Modesto

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Napa

    California · 77091

    Office

    $34.95

    Facility

    Unavailable

    $5.85 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77091

    Office

    $31.40

    Facility

    Unavailable

    $2.30 higher than Merced for the office setting.

  • Redding

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77091

    Office

    $29.20

    Facility

    Unavailable

    $0.10 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77091

    Office

    $30.87

    Facility

    Unavailable

    $1.77 higher than Merced for the office setting.

  • Salinas

    California · 77091

    Office

    $30.76

    Facility

    Unavailable

    $1.66 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77091

    Office

    $31.74

    Facility

    Unavailable

    $2.64 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77091

    Office

    $37.36

    Facility

    Unavailable

    $8.26 higher than Merced for the office setting.

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

    California · 77091

    Office

    $37.35

    Facility

    Unavailable

    $8.25 higher than Merced for the office setting.

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

    California · 77091

    Office

    $38.23

    Facility

    Unavailable

    $9.13 higher than Merced for the office setting.

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

    California · 77091

    Office

    $38.18

    Facility

    Unavailable

    $9.08 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77091

    Office

    $30.23

    Facility

    Unavailable

    $1.13 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 77091

    Office

    $32.24

    Facility

    Unavailable

    $3.14 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 77091

    Office

    $30.95

    Facility

    Unavailable

    $1.85 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 77091

    Office

    $32.58

    Facility

    Unavailable

    $3.48 higher than Merced for the office setting.

  • Stockton

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 77091

    Office

    $34.93

    Facility

    Unavailable

    $5.83 higher than Merced for the office setting.

  • Visalia

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 77091

    Office

    $29.10

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77091

    Office

    $31.46

    Facility

    Unavailable

    $2.36 higher than Merced for the office setting.

  • Miami

    Florida · 77091

    Office

    $28.31

    Facility

    Unavailable

    $0.79 lower than Merced for the office setting.

  • Chicago

    Illinois · 77091

    Office

    $27.29

    Facility

    Unavailable

    $1.81 lower than Merced for the office setting.

  • Manhattan

    New York · 77091

    Office

    $31.19

    Facility

    Unavailable

    $2.09 higher than Merced for the office setting.

  • Alaska*

    Alaska · 77091

    Office

    $28.29

    Facility

    Unavailable

    $0.81 lower than Merced for the office setting.

  • Alabama

    Alabama · 77091

    Office

    $23.28

    Facility

    Unavailable

    $5.82 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 77091

    Office

    $22.84

    Facility

    Unavailable

    $6.26 lower than Merced for the office setting.

  • Arizona

    Arizona · 77091

    Office

    $25.85

    Facility

    Unavailable

    $3.25 lower than Merced for the office setting.

  • Colorado

    Colorado · 77091

    Office

    $28.34

    Facility

    Unavailable

    $0.76 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 77091

    Office

    $28.82

    Facility

    Unavailable

    $0.28 lower than Merced for the office setting.

  • Delaware

    Delaware · 77091

    Office

    $26.37

    Facility

    Unavailable

    $2.73 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 77091

    Office

    $27.33

    Facility

    Unavailable

    $1.77 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 77091

    Office

    $25.73

    Facility

    Unavailable

    $3.37 lower than Merced for the office setting.

  • Atlanta

    Georgia · 77091

    Office

    $27.21

    Facility

    Unavailable

    $1.89 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 77091

    Office

    $23.94

    Facility

    Unavailable

    $5.16 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 77091

    Office

    $30.20

    Facility

    Unavailable

    $1.10 higher than Merced for the office setting.

  • Iowa

    Iowa · 77091

    Office

    $24.28

    Facility

    Unavailable

    $4.82 lower than Merced for the office setting.

  • Idaho

    Idaho · 77091

    Office

    $24.43

    Facility

    Unavailable

    $4.67 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 77091

    Office

    $24.95

    Facility

    Unavailable

    $4.15 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 77091

    Office

    $24.61

    Facility

    Unavailable

    $4.49 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 77091

    Office

    $27.69

    Facility

    Unavailable

    $1.41 lower than Merced for the office setting.

  • Indiana

    Indiana · 77091

    Office

    $24.62

    Facility

    Unavailable

    $4.48 lower than Merced for the office setting.

  • Kansas

    Kansas · 77091

    Office

    $24.02

    Facility

    Unavailable

    $5.08 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 77091

    Office

    $23.76

    Facility

    Unavailable

    $5.34 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 77091

    Office

    $25.21

    Facility

    Unavailable

    $3.89 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 77091

    Office

    $23.67

    Facility

    Unavailable

    $5.43 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 77091

    Office

    $31.80

    Facility

    Unavailable

    $2.70 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77091

    Office

    $28.05

    Facility

    Unavailable

    $1.05 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77091

    Office

    $28.73

    Facility

    Unavailable

    $0.37 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 77091

    Office

    $27.01

    Facility

    Unavailable

    $2.09 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 77091

    Office

    $24.48

    Facility

    Unavailable

    $4.62 lower than Merced for the office setting.

  • Southern Maine

    Maine · 77091

    Office

    $26.36

    Facility

    Unavailable

    $2.74 lower than Merced for the office setting.

  • Detroit

    Michigan · 77091

    Office

    $26.03

    Facility

    Unavailable

    $3.07 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 77091

    Office

    $24.47

    Facility

    Unavailable

    $4.63 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 77091

    Office

    $27.25

    Facility

    Unavailable

    $1.85 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 77091

    Office

    $25.10

    Facility

    Unavailable

    $4.00 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 77091

    Office

    $25.45

    Facility

    Unavailable

    $3.65 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 77091

    Office

    $23.07

    Facility

    Unavailable

    $6.03 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 77091

    Office

    $22.97

    Facility

    Unavailable

    $6.13 lower than Merced for the office setting.

  • Montana**

    Montana · 77091

    Office

    $26.72

    Facility

    Unavailable

    $2.38 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 77091

    Office

    $24.83

    Facility

    Unavailable

    $4.27 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 77091

    Office

    $26.52

    Facility

    Unavailable

    $2.58 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 77091

    Office

    $24.48

    Facility

    Unavailable

    $4.62 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 77091

    Office

    $27.76

    Facility

    Unavailable

    $1.34 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 77091

    Office

    $30.97

    Facility

    Unavailable

    $1.87 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 77091

    Office

    $29.18

    Facility

    Unavailable

    $0.08 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 77091

    Office

    $24.60

    Facility

    Unavailable

    $4.50 lower than Merced for the office setting.

  • Nevada**

    Nevada · 77091

    Office

    $26.69

    Facility

    Unavailable

    $2.41 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77091

    Office

    $31.99

    Facility

    Unavailable

    $2.89 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77091

    Office

    $29.30

    Facility

    Unavailable

    $0.20 higher than Merced for the office setting.

  • Queens

    New York · 77091

    Office

    $31.67

    Facility

    Unavailable

    $2.57 higher than Merced for the office setting.

  • Rest Of New York

    New York · 77091

    Office

    $25.30

    Facility

    Unavailable

    $3.80 lower than Merced for the office setting.

  • Ohio

    Ohio · 77091

    Office

    $24.43

    Facility

    Unavailable

    $4.67 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 77091

    Office

    $23.82

    Facility

    Unavailable

    $5.28 lower than Merced for the office setting.

  • Portland

    Oregon · 77091

    Office

    $29.56

    Facility

    Unavailable

    $0.46 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 77091

    Office

    $26.52

    Facility

    Unavailable

    $2.58 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77091

    Office

    $27.87

    Facility

    Unavailable

    $1.23 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77091

    Office

    $24.54

    Facility

    Unavailable

    $4.56 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 77091

    Office

    $27.01

    Facility

    Unavailable

    $2.09 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 77091

    Office

    $27.56

    Facility

    Unavailable

    $1.54 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 77091

    Office

    $24.67

    Facility

    Unavailable

    $4.43 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 77091

    Office

    $26.50

    Facility

    Unavailable

    $2.60 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 77091

    Office

    $24.16

    Facility

    Unavailable

    $4.94 lower than Merced for the office setting.

  • Austin

    Texas · 77091

    Office

    $28.21

    Facility

    Unavailable

    $0.89 lower than Merced for the office setting.

  • Beaumont

    Texas · 77091

    Office

    $24.32

    Facility

    Unavailable

    $4.78 lower than Merced for the office setting.

  • Brazoria

    Texas · 77091

    Office

    $26.41

    Facility

    Unavailable

    $2.69 lower than Merced for the office setting.

  • Dallas

    Texas · 77091

    Office

    $26.57

    Facility

    Unavailable

    $2.53 lower than Merced for the office setting.

  • Fort Worth

    Texas · 77091

    Office

    $26.31

    Facility

    Unavailable

    $2.79 lower than Merced for the office setting.

  • Galveston

    Texas · 77091

    Office

    $26.48

    Facility

    Unavailable

    $2.62 lower than Merced for the office setting.

  • Houston

    Texas · 77091

    Office

    $26.66

    Facility

    Unavailable

    $2.44 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 77091

    Office

    $25.34

    Facility

    Unavailable

    $3.76 lower than Merced for the office setting.

  • Utah

    Utah · 77091

    Office

    $25.10

    Facility

    Unavailable

    $4.00 lower than Merced for the office setting.

  • Virginia

    Virginia · 77091

    Office

    $26.17

    Facility

    Unavailable

    $2.93 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77091

    Office

    $27.01

    Facility

    Unavailable

    $2.09 lower than Merced for the office setting.

  • Vermont

    Vermont · 77091

    Office

    $26.29

    Facility

    Unavailable

    $2.81 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 77091

    Office

    $28.04

    Facility

    Unavailable

    $1.06 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 77091

    Office

    $32.65

    Facility

    Unavailable

    $3.55 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 77091

    Office

    $25.38

    Facility

    Unavailable

    $3.72 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 77091

    Office

    $23.41

    Facility

    Unavailable

    $5.69 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 77091

    Office

    $26.63

    Facility

    Unavailable

    $2.47 lower than Merced for the office setting.

See how rates vary across the country

77091 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$22.84

$33.67

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$28.291
AL$23.281
AR$22.841
AZ$25.851
CA$29.10–$38.2329
CO$28.341
CT$28.821
DC$31.461
DE$26.371
FL$25.73–$28.313
GA$23.94–$27.212
GU$30.201
HI$30.201
IA$24.281
ID$24.431
IL$24.61–$27.694
IN$24.621
KS$24.021
KY$23.761
LA$23.67–$25.212
MA$28.05–$31.802
MD$27.01–$31.463
ME$24.48–$26.362
MI$24.47–$26.032
MN$27.251
MO$23.07–$25.453
MS$22.971
MT$26.721
NC$24.831
ND$26.521
NE$24.481
NH$27.761
NJ$29.18–$30.972
NM$24.601
NV$26.691
NY$25.30–$31.995
OH$24.431
OK$23.821
OR$26.52–$29.562
PA$24.54–$27.872
PR$27.011
RI$27.561
SC$24.671
SD$26.501
TN$24.161
TX$24.32–$28.218
UT$25.101
VA$26.17–$31.462
VI$27.011
VT$26.291
WA$28.04–$32.652
WI$25.381
WV$23.411
WY$26.631

Explore 77091 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77091 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$32.01

$29.10 × 110% = $32.01

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 77091 in Merced.

PPRRVU2026_Oct_nonQPP.csv

9,024

Code
77091
Physician work
0.00
Practice expense
0.79
Malpractice
0.01

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77091 in Merced
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense0.79× 1.0960.8658
Malpractice0.01× 0.5360.0054
Total RVUs0.8712
Conversion factor× 33.4009

Office / nonfacility rate, Merced$29.10

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

Open 77091 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.017
Practice expense0.791.096
Malpractice0.010.536

(0 × 1.017 + 0.79 × 1.096 + 0.01 × 0.536) × $33.4009 = $29.10

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

77091 · Office / nonfacility

$29.10

Effective 2026-10-01

The base rate is $0.28 higher than on 2025-10-01, moving from $28.82 to $29.10 (1.0%).

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

    $28.82changed to$29.10

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.81 changed to 0.79
    • 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: $28.82

    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$29.10Not available in this settingRVU26D
2026-07-01$29.10Not available in this settingRVU26C
2026-04-01$29.10Not available in this settingRVU26B
2026-01-01$29.10Not available in this settingRVU26A
2025-10-01$28.82Not available in this settingRVU25D
2025-07-01$28.82Not available in this settingRVU25C
2025-04-01$28.82Not available in this settingRVU25B
2025-01-01$28.82Not available in this settingRVU25A

77091 billing questions

Does 77091 include the clinician’s interpretation?

No. It covers the technical calculation only; the interpretation and report are covered by a separate code, 77092.

How does 77091 differ from 77090?

77091 represents the technical TBS calculation. 77090 represents preparation and transmission of DXA data for analysis elsewhere.

When would 77089 be considered instead?

77089 describes a TBS service that includes calculation with interpretation and a fracture-risk report. Use the code that reflects the service actually performed and reported.

What documentation supports 77091?

Document the DXA data used and completion of the technical TBS calculation. The interpretation and report belong to the separate interpretation service.

Is this the code for the DXA scan itself?

No. 77091 reports the TBS technical calculation from DXA data, not the bone-density measurement; 77080 is an axial DXA bone-density code.

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 77091PPRRVU2026_Oct_nonQPP.csv, line 9,024 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)