FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

76977 in Wyoming**

Office / nonfacility

$7.51

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Bone density testing

About 76977: Peripheral ultrasound bone density study

Reports an ultrasound-based bone density assessment at peripheral sites, such as the heel, when a clinician evaluates bone status using this method.

This service measures bone density with ultrasound at a peripheral site; the heel is a common example. It is performed in settings such as an outpatient clinic or osteoporosis screening service, with the equipment operated by clinical staff and the findings interpreted by a qualified physician or other eligible practitioner. The measurement is an ultrasound study, not a central DXA scan of the spine and hip or a peripheral DXA scan.

Report 76977 for the peripheral ultrasound examination, documenting the site measured, the technique, and the resulting findings. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and reporting without either modifier represents the global service. The interpretation should be supported by a report documenting the results and clinical assessment; technical documentation should support performance of the measurement.

CMS billing rules for 76977

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 RVU0.05 · 22%
  • Practice expense (office) RVU0.16 · 70%
  • Malpractice RVU0.02 · 9%

416

Medicare services in 2024 · #3707 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.

76977 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

77080

DXA bone density scan

Axial skeleton, spine or hip

$39.24

Use 77080 for central DXA assessment of the axial skeleton. Use 76977 for ultrasound bone density measurement at peripheral sites.

77081

Bone density

Appendicular skeleton

$31.56

Both assess peripheral bone, but 77081 uses DXA technology while 76977 uses ultrasound.

77078

CT bone density

Axial skeleton

$98.69

77078 is a CT-based bone density study; 76977 is a peripheral ultrasound measurement.

The same code, a different location

How does Wyoming** compare?

76977 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $7.51

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

    $8.50

    $0.99 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $8.80

    $1.29 higher than Wyoming**

  4. Miami

    $8.92

    $1.41 higher than Wyoming**

  5. Chicago

    $8.59

    $1.08 higher than Wyoming**

  6. Manhattan

    $9.05

    $1.54 higher than Wyoming**

  7. Alaska*

    $8.56

    $1.05 higher than Wyoming**

Other payment areas listed in Wyoming 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, 76977 ranges from $6.60 in Arkansas to $9.92 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

  • Alabama

    Alabama · 76977

    Office

    $6.72

    Facility

    Unavailable

    $0.79 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 76977

    Office

    $6.60

    Facility

    Unavailable

    $0.91 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 76977

    Office

    $7.42

    Facility

    Unavailable

    $0.09 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 76977

    Office

    $7.97

    Facility

    Unavailable

    $0.46 higher than Wyoming** for the office setting.

  • Chico

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • El Centro

    California · 76977

    Office

    $7.92

    Facility

    Unavailable

    $0.41 higher than Wyoming** for the office setting.

  • Fresno

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Madera

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Merced

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Modesto

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Napa

    California · 76977

    Office

    $9.16

    Facility

    Unavailable

    $1.65 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 76977

    Office

    $8.45

    Facility

    Unavailable

    $0.94 higher than Wyoming** for the office setting.

  • Redding

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 76977

    Office

    $8.13

    Facility

    Unavailable

    $0.62 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 76977

    Office

    $8.30

    Facility

    Unavailable

    $0.79 higher than Wyoming** for the office setting.

  • Salinas

    California · 76977

    Office

    $8.27

    Facility

    Unavailable

    $0.76 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 76977

    Office

    $8.47

    Facility

    Unavailable

    $0.96 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 76977

    Office

    $9.67

    Facility

    Unavailable

    $2.16 higher than Wyoming** for the office setting.

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

    California · 76977

    Office

    $9.65

    Facility

    Unavailable

    $2.14 higher than Wyoming** for the office setting.

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

    California · 76977

    Office

    $9.92

    Facility

    Unavailable

    $2.41 higher than Wyoming** for the office setting.

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

    California · 76977

    Office

    $9.83

    Facility

    Unavailable

    $2.32 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 76977

    Office

    $8.14

    Facility

    Unavailable

    $0.63 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 76977

    Office

    $8.56

    Facility

    Unavailable

    $1.05 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 76977

    Office

    $8.31

    Facility

    Unavailable

    $0.80 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 76977

    Office

    $8.64

    Facility

    Unavailable

    $1.13 higher than Wyoming** for the office setting.

  • Stockton

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Vallejo

    California · 76977

    Office

    $9.13

    Facility

    Unavailable

    $1.62 higher than Wyoming** for the office setting.

  • Visalia

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Yuba City

    California · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 76977

    Office

    $7.90

    Facility

    Unavailable

    $0.39 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 76977

    Office

    $8.27

    Facility

    Unavailable

    $0.76 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 76977

    Office

    $7.56

    Facility

    Unavailable

    $0.05 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 76977

    Office

    $8.29

    Facility

    Unavailable

    $0.78 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 76977

    Office

    $7.78

    Facility

    Unavailable

    $0.27 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 76977

    Office

    $7.23

    Facility

    Unavailable

    $0.28 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 76977

    Office

    $8.13

    Facility

    Unavailable

    $0.62 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 76977

    Office

    $6.83

    Facility

    Unavailable

    $0.68 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 76977

    Office

    $6.90

    Facility

    Unavailable

    $0.61 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 76977

    Office

    $7.93

    Facility

    Unavailable

    $0.42 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 76977

    Office

    $7.59

    Facility

    Unavailable

    $0.08 higher than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 76977

    Office

    $8.35

    Facility

    Unavailable

    $0.84 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 76977

    Office

    $6.95

    Facility

    Unavailable

    $0.56 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 76977

    Office

    $6.84

    Facility

    Unavailable

    $0.67 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 76977

    Office

    $7.03

    Facility

    Unavailable

    $0.48 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 76977

    Office

    $7.46

    Facility

    Unavailable

    $0.05 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 76977

    Office

    $7.04

    Facility

    Unavailable

    $0.47 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 76977

    Office

    $8.71

    Facility

    Unavailable

    $1.20 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 76977

    Office

    $7.86

    Facility

    Unavailable

    $0.35 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 76977

    Office

    $8.26

    Facility

    Unavailable

    $0.75 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 76977

    Office

    $7.71

    Facility

    Unavailable

    $0.20 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 76977

    Office

    $7.00

    Facility

    Unavailable

    $0.51 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 76977

    Office

    $7.39

    Facility

    Unavailable

    $0.12 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 76977

    Office

    $7.95

    Facility

    Unavailable

    $0.44 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 76977

    Office

    $7.30

    Facility

    Unavailable

    $0.21 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 76977

    Office

    $7.37

    Facility

    Unavailable

    $0.14 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 76977

    Office

    $7.34

    Facility

    Unavailable

    $0.17 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 76977

    Office

    $7.43

    Facility

    Unavailable

    $0.08 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 76977

    Office

    $6.93

    Facility

    Unavailable

    $0.58 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 76977

    Office

    $6.77

    Facility

    Unavailable

    $0.74 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 76977

    Office

    $7.68

    Facility

    Unavailable

    $0.17 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 76977

    Office

    $7.08

    Facility

    Unavailable

    $0.43 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 76977

    Office

    $7.29

    Facility

    Unavailable

    $0.22 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 76977

    Office

    $6.86

    Facility

    Unavailable

    $0.65 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 76977

    Office

    $7.82

    Facility

    Unavailable

    $0.31 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 76977

    Office

    $8.69

    Facility

    Unavailable

    $1.18 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 76977

    Office

    $8.31

    Facility

    Unavailable

    $0.80 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 76977

    Office

    $7.37

    Facility

    Unavailable

    $0.14 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 76977

    Office

    $7.58

    Facility

    Unavailable

    $0.07 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 76977

    Office

    $9.37

    Facility

    Unavailable

    $1.86 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 76977

    Office

    $8.41

    Facility

    Unavailable

    $0.90 higher than Wyoming** for the office setting.

  • Queens

    New York · 76977

    Office

    $9.06

    Facility

    Unavailable

    $1.55 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 76977

    Office

    $7.22

    Facility

    Unavailable

    $0.29 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 76977

    Office

    $7.22

    Facility

    Unavailable

    $0.29 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 76977

    Office

    $6.96

    Facility

    Unavailable

    $0.55 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 76977

    Office

    $8.13

    Facility

    Unavailable

    $0.62 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 76977

    Office

    $7.46

    Facility

    Unavailable

    $0.05 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 76977

    Office

    $8.06

    Facility

    Unavailable

    $0.55 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 76977

    Office

    $7.21

    Facility

    Unavailable

    $0.30 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 76977

    Office

    $7.73

    Facility

    Unavailable

    $0.22 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 76977

    Office

    $7.82

    Facility

    Unavailable

    $0.31 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 76977

    Office

    $7.18

    Facility

    Unavailable

    $0.33 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 76977

    Office

    $7.24

    Facility

    Unavailable

    $0.27 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 76977

    Office

    $6.89

    Facility

    Unavailable

    $0.62 lower than Wyoming** for the office setting.

  • Austin

    Texas · 76977

    Office

    $7.92

    Facility

    Unavailable

    $0.41 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 76977

    Office

    $7.15

    Facility

    Unavailable

    $0.36 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 76977

    Office

    $7.50

    Facility

    Unavailable

    $0.01 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 76977

    Office

    $7.58

    Facility

    Unavailable

    $0.07 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 76977

    Office

    $7.54

    Facility

    Unavailable

    $0.03 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 76977

    Office

    $7.54

    Facility

    Unavailable

    $0.03 higher than Wyoming** for the office setting.

  • Houston

    Texas · 76977

    Office

    $7.91

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 76977

    Office

    $7.34

    Facility

    Unavailable

    $0.17 lower than Wyoming** for the office setting.

  • Utah

    Utah · 76977

    Office

    $7.29

    Facility

    Unavailable

    $0.22 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 76977

    Office

    $7.39

    Facility

    Unavailable

    $0.12 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 76977

    Office

    $7.73

    Facility

    Unavailable

    $0.22 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 76977

    Office

    $7.30

    Facility

    Unavailable

    $0.21 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 76977

    Office

    $7.83

    Facility

    Unavailable

    $0.32 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 76977

    Office

    $8.86

    Facility

    Unavailable

    $1.35 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 76977

    Office

    $7.00

    Facility

    Unavailable

    $0.51 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 76977

    Office

    $7.27

    Facility

    Unavailable

    $0.24 lower than Wyoming** for the office setting.

See how rates vary across the country

76977 · 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.

$6.60

$8.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$8.561
AL$6.721
AR$6.601
AZ$7.421
CA$7.91–$9.9229
CO$7.901
CT$8.271
DC$8.801
DE$7.561
FL$7.78–$8.923
GA$7.23–$7.912
GU$8.131
HI$8.131
IA$6.831
ID$6.901
IL$7.59–$8.594
IN$6.951
KS$6.841
KY$7.031
LA$7.04–$7.462
MA$7.86–$8.712
MD$7.71–$8.803
ME$7.00–$7.392
MI$7.30–$7.952
MN$7.371
MO$6.93–$7.433
MS$6.771
MT$7.681
NC$7.081
ND$7.291
NE$6.861
NH$7.821
NJ$8.31–$8.692
NM$7.371
NV$7.581
NY$7.22–$9.375
OH$7.221
OK$6.961
OR$7.46–$8.132
PA$7.21–$8.062
PR$7.731
RI$7.821
SC$7.181
SD$7.241
TN$6.891
TX$7.15–$7.928
UT$7.291
VA$7.39–$8.802
VI$7.731
VT$7.301
WA$7.83–$8.862
WI$7.001
WV$7.271
WY$7.511

Explore 76977 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 76977 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$8.26

$7.51 × 110% = $8.26

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 76977 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,889

Code
76977
Physician work
0.05
Practice expense
0.16
Malpractice
0.02

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 76977 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.05× 1.0000.0500
Practice expense0.16× 1.0000.1600
Malpractice0.02× 0.7400.0148
Total RVUs0.2248
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$7.51

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

Open 76977 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.051
Practice expense0.161
Malpractice0.020.74

(0.05 × 1 + 0.16 × 1 + 0.02 × 0.74) × $33.4009 = $7.51

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

76977 · Office / nonfacility

$7.51

Effective 2026-10-01

The base rate is $0.56 higher than on 2025-10-01, moving from $6.95 to $7.51 (8.1%).

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

    $6.95changed to$7.51

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.15 changed to 0.16
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $6.95

    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$7.51Not available in this settingRVU26D
2026-07-01$7.51Not available in this settingRVU26C
2026-04-01$7.51Not available in this settingRVU26B
2026-01-01$7.51Not available in this settingRVU26A
2025-10-01$6.95Not available in this settingRVU25D
2025-07-01$6.95Not available in this settingRVU25C
2025-04-01$6.95Not available in this settingRVU25B
2025-01-01$6.95Not available in this settingRVU25A

76977 billing questions

How does 76977 differ from a peripheral DXA scan?

76977 is an ultrasound-based peripheral bone density study. A peripheral DXA scan uses dual-energy X-ray absorptiometry instead.

Can the professional and technical portions be billed separately?

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

What documentation supports 76977?

Document the peripheral site measured, the ultrasound method, the measurement findings, and the interpreting practitioner's assessment. The technical record should support that the study was performed.

Is 76977 reported for each peripheral site?

The code covers measurement at peripheral site or sites and does not distinguish among them by code. Document the sites measured and apply the applicable unit-reporting instructions.

Is a heel ultrasound the same as a central bone density study?

No. A heel ultrasound is a peripheral study reported with 76977; central DXA evaluates the axial skeleton and is reported with a different 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 76977PPRRVU2026_Oct_nonQPP.csv, line 8,889 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet