$64.15
77074 is for a limited examination of selected osseous areas; 77076 is the infant survey covering the skeleton broadly.
On this page
CMS RVU26D · Effective 2026-10-01
77076 Skeletal survey Medicare reimbursement rates in Delaware
Reports a multi-image radiographic survey of an infant’s skeleton when clinicians evaluate widespread bone findings, such as suspected fractures or bone disease. Compare 77076 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 77076 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$103.83
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiology
About 77076: Infant skeletal survey
Reports a multi-image radiographic survey of an infant’s skeleton when clinicians evaluate widespread bone findings, such as suspected fractures or bone disease.
This service is a series of radiographs covering the infant skeleton rather than imaging of one isolated bone or joint. It is commonly performed in a hospital or imaging department when clinicians investigate suspected inflicted injury, multiple fractures, or a disorder affecting bones throughout the body. A radiologist interprets the images and documents the findings across the surveyed areas.
Select this code for an infant skeletal survey, not a limited study of selected bones or a general complete survey. The order and report should support the clinical reason for examining the skeleton broadly and identify the images obtained and findings. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The professional and technical components are separately priced.
CMS billing rules for 77076
- 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 RVU0.68 · 22%
- Practice expense (office) RVU2.40 · 76%
- Malpractice RVU0.06 · 2%
31
Medicare services in 2024 · #5659 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.
77076 compared with similar codes
Office rates for Delaware, from the same CMS release.
$96.85
77075 describes a complete osseous survey. Use 77076 for the infant-specific survey when that is the study performed.
$25.13
77072 evaluates skeletal maturation, commonly through a bone-age study; it is not a survey for widespread fractures or other generalized bone findings.
Compare 77076 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
$103.83
Facility
Unavailable
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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 77076 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
8,998
- Code
- 77076
- Physician work
- 0.68
- Practice expense
- 2.40
- Malpractice
- 0.06
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.005 | 0.6834 |
| Practice expense | 2.40 | × 0.988 | 2.3712 |
| Malpractice | 0.06 | × 0.899 | 0.0539 |
| Total RVUs | 3.1085 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$103.83
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.68 | 1.005 |
| Practice expense | 2.4 | 0.988 |
| Malpractice | 0.06 | 0.899 |
(0.68 × 1.005 + 2.4 × 0.988 + 0.06 × 0.899) × $33.4009 = $103.83
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.
77076 billing questions
How does this differ from a limited osseous survey?
Use 77076 for an infant survey covering the skeleton broadly. Code 77074 describes a limited osseous survey focused on selected areas.
When would the complete osseous survey be considered instead?
Code 77075 is the complete osseous survey code for patients who do not need the infant-specific survey. Choose based on the patient and the study performed, not simply the number of images.
Can the radiologist and imaging facility report separate components?
Yes. The interpreting professional may report modifier 26, and the facility providing equipment and staff may report modifier TC. Without either modifier, the claim represents the global service.
What documentation supports reporting 77076?
The record should identify the clinical reason for an infant-wide skeletal evaluation and document the survey performed and the radiologist’s interpretation.
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.
8,99577075,,Radex osseous survey compl,A,,0.54,2.34,,2.34,NA,0.05,2.93,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.37,3.37,0.06
8,99677075,26,Radex osseous survey compl,A,,0.54,0.20,,0.20,,0.03,0.77,0.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,99777075,TC,Radex osseous survey compl,A,,0.00,2.14,,2.14,NA,0.02,2.16,2.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,99877076,,Radex osseous survey infant,A,,0.68,2.40,,2.40,NA,0.06,3.14,3.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.42,3.42,0.07
8,99977076,26,Radex osseous survey infant,A,,0.68,0.25,,0.25,,0.04,0.97,0.97,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,00077076,TC,Radex osseous survey infant,A,,0.00,2.15,,2.15,NA,0.02,2.17,2.17,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
9,00177077,,Joint survey single view,A,,0.32,1.07,,1.07,NA,0.03,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.31,3.31,0.05
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503