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CMS RVU26D · Effective 2026-10-01

77086 in Vallejo

Office / nonfacility

$43.76

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 densitometry

About 77086: DXA-based vertebral fracture assessment

Reports DXA-based vertebral imaging used to identify vertebral fractures, typically during osteoporosis evaluation when fracture status will guide care.

This service uses a DXA scanner to obtain images of the vertebral spine for assessment of vertebral fractures. It is distinct from measuring bone density: the clinician evaluates the vertebrae for fracture findings, often in patients being assessed for osteoporosis or suspected to have an unrecognized vertebral fracture. A technologist typically acquires the images in a bone-density center or imaging department, and a qualified practitioner interprets them and prepares a report.

Report 77086 for the vertebral fracture assessment itself, supported by documentation of the DXA imaging and interpretation. When axial bone-density measurement and vertebral fracture assessment are both performed, distinguish this service from 77085, which combines axial DXA with vertebral fracture assessment. CMS recognizes professional and technical components: modifier 26 identifies interpretation and report, modifier TC identifies equipment and staff, and no modifier represents the global service.

CMS billing rules for 77086

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 RVU0.17 · 16%
  • Practice expense (office) RVU0.85 · 82%
  • Malpractice RVU0.02 · 2%

1.3K

Medicare services in 2024 · #2777 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.

77086 compared with similar codes

Office rates for Vallejo, from the same CMS release.

77085

DXA bone density

Axial with fracture assessment

$68.14

Choose 77086 for the DXA-based vertebral fracture assessment alone. Choose 77085 when axial bone-density measurement and vertebral fracture assessment are performed as the combined service.

77080

DXA bone density scan

Axial skeleton, spine or hip

$49.67

77080 measures axial bone density; it does not represent the vertebral fracture assessment described by 77086.

77081

Bone density

Appendicular skeleton

$39.54

77081 measures bone density at appendicular sites, such as the forearm; 77086 assesses vertebral fractures using DXA imaging.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 77086 is $37.31—$6.45 lower than the $43.76 rate in Vallejo. Both use the same code, release and participation basis.

77086 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $43.76

  2. Bakersfield

    $37.31

    $6.45 lower than Vallejo

  3. Chico

    $37.25

    $6.51 lower than Vallejo

  4. El Centro

    $37.25

    $6.51 lower than Vallejo

  5. Fresno

    $37.25

    $6.51 lower than Vallejo

  6. Hanford-Corcoran

    $37.25

    $6.51 lower than Vallejo

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

    $39.94

    $3.82 lower than Vallejo

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, 77086 ranges from $30.41 in Arkansas to $47.60 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 · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Merced

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Modesto

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Napa

    California · 77086

    Office

    $43.79

    Facility

    Unavailable

    $0.03 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77086

    Office

    $39.81

    Facility

    Unavailable

    $3.95 lower than Vallejo for the office setting.

  • Redding

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Rest Of California

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77086

    Office

    $37.47

    Facility

    Unavailable

    $6.29 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77086

    Office

    $39.26

    Facility

    Unavailable

    $4.50 lower than Vallejo for the office setting.

  • Salinas

    California · 77086

    Office

    $39.12

    Facility

    Unavailable

    $4.64 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77086

    Office

    $40.17

    Facility

    Unavailable

    $3.59 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77086

    Office

    $46.56

    Facility

    Unavailable

    $2.80 higher than Vallejo for the office setting.

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

    California · 77086

    Office

    $46.53

    Facility

    Unavailable

    $2.77 higher than Vallejo for the office setting.

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

    California · 77086

    Office

    $47.60

    Facility

    Unavailable

    $3.84 higher than Vallejo for the office setting.

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

    California · 77086

    Office

    $47.51

    Facility

    Unavailable

    $3.75 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77086

    Office

    $38.47

    Facility

    Unavailable

    $5.29 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 77086

    Office

    $40.65

    Facility

    Unavailable

    $3.11 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 77086

    Office

    $39.30

    Facility

    Unavailable

    $4.46 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 77086

    Office

    $41.07

    Facility

    Unavailable

    $2.69 lower than Vallejo for the office setting.

  • Stockton

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Visalia

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Yuba City

    California · 77086

    Office

    $37.25

    Facility

    Unavailable

    $6.51 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77086

    Office

    $40.17

    Facility

    Unavailable

    $3.59 lower than Vallejo for the office setting.

  • Miami

    Florida · 77086

    Office

    $36.92

    Facility

    Unavailable

    $6.84 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 77086

    Office

    $35.78

    Facility

    Unavailable

    $7.98 lower than Vallejo for the office setting.

  • Manhattan

    New York · 77086

    Office

    $40.09

    Facility

    Unavailable

    $3.67 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 77086

    Office

    $39.12

    Facility

    Unavailable

    $4.64 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 77086

    Office

    $30.90

    Facility

    Unavailable

    $12.86 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 77086

    Office

    $30.41

    Facility

    Unavailable

    $13.35 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 77086

    Office

    $33.76

    Facility

    Unavailable

    $10.00 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 77086

    Office

    $36.48

    Facility

    Unavailable

    $7.28 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 77086

    Office

    $37.18

    Facility

    Unavailable

    $6.58 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 77086

    Office

    $34.36

    Facility

    Unavailable

    $9.40 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 77086

    Office

    $35.65

    Facility

    Unavailable

    $8.11 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 77086

    Office

    $33.82

    Facility

    Unavailable

    $9.94 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 77086

    Office

    $35.34

    Facility

    Unavailable

    $8.42 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 77086

    Office

    $31.80

    Facility

    Unavailable

    $11.96 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 77086

    Office

    $38.35

    Facility

    Unavailable

    $5.41 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 77086

    Office

    $31.92

    Facility

    Unavailable

    $11.84 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 77086

    Office

    $32.11

    Facility

    Unavailable

    $11.65 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 77086

    Office

    $33.14

    Facility

    Unavailable

    $10.62 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 77086

    Office

    $32.64

    Facility

    Unavailable

    $11.12 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 77086

    Office

    $36.06

    Facility

    Unavailable

    $7.70 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 77086

    Office

    $32.32

    Facility

    Unavailable

    $11.44 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 77086

    Office

    $31.68

    Facility

    Unavailable

    $12.08 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 77086

    Office

    $31.53

    Facility

    Unavailable

    $12.23 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 77086

    Office

    $33.15

    Facility

    Unavailable

    $10.61 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 77086

    Office

    $31.44

    Facility

    Unavailable

    $12.32 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 77086

    Office

    $40.40

    Facility

    Unavailable

    $3.36 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77086

    Office

    $36.20

    Facility

    Unavailable

    $7.56 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77086

    Office

    $37.06

    Facility

    Unavailable

    $6.70 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 77086

    Office

    $35.08

    Facility

    Unavailable

    $8.68 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 77086

    Office

    $32.21

    Facility

    Unavailable

    $11.55 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 77086

    Office

    $34.23

    Facility

    Unavailable

    $9.53 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 77086

    Office

    $34.20

    Facility

    Unavailable

    $9.56 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 77086

    Office

    $32.35

    Facility

    Unavailable

    $11.41 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 77086

    Office

    $35.09

    Facility

    Unavailable

    $8.67 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 77086

    Office

    $32.99

    Facility

    Unavailable

    $10.77 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 77086

    Office

    $33.38

    Facility

    Unavailable

    $10.38 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 77086

    Office

    $30.80

    Facility

    Unavailable

    $12.96 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 77086

    Office

    $30.62

    Facility

    Unavailable

    $13.14 lower than Vallejo for the office setting.

  • Montana**

    Montana · 77086

    Office

    $34.74

    Facility

    Unavailable

    $9.02 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 77086

    Office

    $32.59

    Facility

    Unavailable

    $11.17 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 77086

    Office

    $34.34

    Facility

    Unavailable

    $9.42 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 77086

    Office

    $32.14

    Facility

    Unavailable

    $11.62 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 77086

    Office

    $35.82

    Facility

    Unavailable

    $7.94 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 77086

    Office

    $39.68

    Facility

    Unavailable

    $4.08 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 77086

    Office

    $37.64

    Facility

    Unavailable

    $6.12 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 77086

    Office

    $32.51

    Facility

    Unavailable

    $11.25 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 77086

    Office

    $34.65

    Facility

    Unavailable

    $9.11 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77086

    Office

    $41.04

    Facility

    Unavailable

    $2.72 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77086

    Office

    $37.83

    Facility

    Unavailable

    $5.93 lower than Vallejo for the office setting.

  • Queens

    New York · 77086

    Office

    $40.56

    Facility

    Unavailable

    $3.20 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 77086

    Office

    $33.12

    Facility

    Unavailable

    $10.64 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 77086

    Office

    $32.27

    Facility

    Unavailable

    $11.49 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 77086

    Office

    $31.55

    Facility

    Unavailable

    $12.21 lower than Vallejo for the office setting.

  • Portland

    Oregon · 77086

    Office

    $37.81

    Facility

    Unavailable

    $5.95 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 77086

    Office

    $34.42

    Facility

    Unavailable

    $9.34 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77086

    Office

    $36.13

    Facility

    Unavailable

    $7.63 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77086

    Office

    $32.37

    Facility

    Unavailable

    $11.39 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 77086

    Office

    $35.04

    Facility

    Unavailable

    $8.72 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 77086

    Office

    $35.71

    Facility

    Unavailable

    $8.05 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 77086

    Office

    $32.48

    Facility

    Unavailable

    $11.28 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 77086

    Office

    $34.29

    Facility

    Unavailable

    $9.47 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 77086

    Office

    $31.84

    Facility

    Unavailable

    $11.92 lower than Vallejo for the office setting.

  • Austin

    Texas · 77086

    Office

    $36.32

    Facility

    Unavailable

    $7.44 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 77086

    Office

    $32.13

    Facility

    Unavailable

    $11.63 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 77086

    Office

    $34.38

    Facility

    Unavailable

    $9.38 lower than Vallejo for the office setting.

  • Dallas

    Texas · 77086

    Office

    $34.58

    Facility

    Unavailable

    $9.18 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 77086

    Office

    $34.30

    Facility

    Unavailable

    $9.46 lower than Vallejo for the office setting.

  • Galveston

    Texas · 77086

    Office

    $34.47

    Facility

    Unavailable

    $9.29 lower than Vallejo for the office setting.

  • Houston

    Texas · 77086

    Office

    $34.83

    Facility

    Unavailable

    $8.93 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 77086

    Office

    $33.22

    Facility

    Unavailable

    $10.54 lower than Vallejo for the office setting.

  • Utah

    Utah · 77086

    Office

    $32.97

    Facility

    Unavailable

    $10.79 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 77086

    Office

    $34.06

    Facility

    Unavailable

    $9.70 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77086

    Office

    $35.04

    Facility

    Unavailable

    $8.72 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 77086

    Office

    $34.12

    Facility

    Unavailable

    $9.64 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 77086

    Office

    $36.16

    Facility

    Unavailable

    $7.60 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 77086

    Office

    $41.34

    Facility

    Unavailable

    $2.42 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 77086

    Office

    $33.08

    Facility

    Unavailable

    $10.68 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 77086

    Office

    $31.31

    Facility

    Unavailable

    $12.45 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 77086

    Office

    $34.56

    Facility

    Unavailable

    $9.20 lower than Vallejo for the office setting.

See how rates vary across the country

77086 · 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.

$30.41

$42.43

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$39.121
AL$30.901
AR$30.411
AZ$33.761
CA$37.25–$47.6029
CO$36.481
CT$37.181
DC$40.171
DE$34.361
FL$33.82–$36.923
GA$31.80–$35.342
GU$38.351
HI$38.351
IA$31.921
ID$32.111
IL$32.64–$36.064
IN$32.321
KS$31.681
KY$31.531
LA$31.44–$33.152
MA$36.20–$40.402
MD$35.08–$40.173
ME$32.21–$34.232
MI$32.35–$34.202
MN$35.091
MO$30.80–$33.383
MS$30.621
MT$34.741
NC$32.591
ND$34.341
NE$32.141
NH$35.821
NJ$37.64–$39.682
NM$32.511
NV$34.651
NY$33.12–$41.045
OH$32.271
OK$31.551
OR$34.42–$37.812
PA$32.37–$36.132
PR$35.041
RI$35.711
SC$32.481
SD$34.291
TN$31.841
TX$32.13–$36.328
UT$32.971
VA$34.06–$40.172
VI$35.041
VT$34.121
WA$36.16–$41.342
WI$33.081
WV$31.311
WY$34.561

Explore 77086 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77086 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$48.14

$43.76 × 110% = $48.14

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 77086 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

9,019

Code
77086
Physician work
0.17
Practice expense
0.85
Malpractice
0.02

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 77086 in Vallejo
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0630.1807
Practice expense0.85× 1.3181.1203
Malpractice0.02× 0.4590.0092
Total RVUs1.3102
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$43.76

Open 77086 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171.063
Practice expense0.851.318
Malpractice0.020.459

(0.17 × 1.063 + 0.85 × 1.318 + 0.02 × 0.459) × $33.4009 = $43.76

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

77086 · Office / nonfacility

$43.76

Effective 2026-10-01

The base rate is $2.04 higher than on 2025-10-01, moving from $41.72 to $43.76 (4.9%).

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

    $41.72changed to$43.76

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.84 changed to 0.85
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $41.72

    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$43.76Not available in this settingRVU26D
2026-07-01$43.76Not available in this settingRVU26C
2026-04-01$43.76Not available in this settingRVU26B
2026-01-01$43.76Not available in this settingRVU26A
2025-10-01$41.72Not available in this settingRVU25D
2025-07-01$41.72Not available in this settingRVU25C
2025-04-01$41.72Not available in this settingRVU25B
2025-01-01$41.72Not available in this settingRVU25A

77086 billing questions

How is 77086 different from 77085?

77086 represents DXA-based vertebral fracture assessment. Code 77085 represents axial DXA bone-density measurement together with vertebral fracture assessment, so do not report 77086 separately for the same assessment included in 77085.

Can 77086 be reported with 77080?

77080 represents axial DXA bone-density measurement, while 77086 represents vertebral fracture assessment. The record should identify each service actually performed and interpreted.

Which modifier identifies the interpretation?

Append modifier 26 for the professional component, which is the interpretation and report. Modifier TC identifies the technical component, including equipment and staff.

What does billing 77086 without a modifier represent?

An unmodified claim represents the global service, including both the professional interpretation and the technical component.

What documentation supports 77086?

Document the DXA-based vertebral imaging, the clinical reason for assessing vertebral fracture status, and the interpreting practitioner's findings and report.

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 77086PPRRVU2026_Oct_nonQPP.csv, line 9,019 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet