$51.08
Choose 77072 when the clinical question is skeletal maturity; choose 77073 when imaging is intended to assess bone length.
On this page
CMS RVU26D · Effective 2026-10-01
77072 Bone age Medicare reimbursement rates in Hawaii
Reports a radiographic assessment of skeletal maturity, commonly used in children when growth or endocrine evaluation calls for comparison with expected bone development. Compare 77072 office and facility rates across CMS payment localities in Hawaii.
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 77072 in Hawaii?
Hawaii 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
$27.62
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Diagnostic radiology
About 77072: Radiographic skeletal maturity assessment
Reports a radiographic assessment of skeletal maturity, commonly used in children when growth or endocrine evaluation calls for comparison with expected bone development.
A bone age study uses radiographic images, typically of the hand and wrist, to assess skeletal maturity. A radiologist or other qualified interpreting practitioner evaluates the images and estimates how developed the bones appear relative to expected maturation. Pediatricians and pediatric endocrinologists commonly request the study when evaluating growth concerns or disorders that can affect development. The clinical question is skeletal maturity, not bone density or the length of a limb.
Select this code when the service performed is a bone age assessment, and retain documentation supporting the reason for the study and the interpreting report. CMS recognizes a professional component for interpretation and a technical component for the equipment and staff; bill modifier 26 for the professional portion or modifier TC for the technical portion. Billing without either modifier represents the global service, including both components.
CMS billing rules for 77072
- 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 RVU0.19 · 25%
- Practice expense (office) RVU0.55 · 72%
- Malpractice RVU0.02 · 3%
292
Medicare services in 2024 · #4016 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.
77072 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$70.96
77074 is a limited osseous survey, used to survey bones for a different diagnostic question; 77072 assesses skeletal maturity.
$43.52
77080 is an axial DXA bone-density study. It measures bone density rather than estimating skeletal maturity from radiographs.
Compare 77072 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
Hawaii, Guam →
Office / nonfacility
$27.62
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 77072 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,986
- Code
- 77072
- Physician work
- 0.19
- Practice expense
- 0.55
- Malpractice
- 0.02
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.19 | × 1.000 | 0.1900 |
| Practice expense | 0.55 | × 1.137 | 0.6254 |
| Malpractice | 0.02 | × 0.579 | 0.0116 |
| Total RVUs | 0.8269 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$27.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.19 | 1 |
| Practice expense | 0.55 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(0.19 × 1 + 0.55 × 1.137 + 0.02 × 0.579) × $33.4009 = $27.62
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.
77072 billing questions
How is a bone age study different from a bone length study?
This code represents assessment of skeletal maturity. Use 77073 when the requested imaging evaluates bone length, such as in a limb-length assessment.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the claim represents the global service.
What documentation supports reporting this study?
Keep the clinical reason for assessing skeletal maturity and the interpreting report. The report should document the findings relevant to the bone age assessment.
Is this a bone-density test?
No. This study assesses skeletal maturity from radiographs; bone-density studies such as DXA evaluate bone mineral density.
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.
8,98377067,26,Scr mammo bi incl cad,A,,0.74,0.27,,0.27,,0.04,1.05,1.05,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,98477067,TC,Scr mammo bi incl cad,A,,0.00,2.72,,2.72,NA,0.01,2.73,2.73,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,98577071,,Mnl appl strs jt radiography,A,,0.40,1.28,,1.28,,0.07,1.75,1.75,2,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,98677072,,Bone age studies,A,,0.19,0.55,,0.55,NA,0.02,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.20,3.20,0.08
8,98777072,26,Bone age studies,A,,0.19,0.07,,0.07,,0.01,0.27,0.27,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,98877072,TC,Bone age studies,A,,0.00,0.48,,0.48,NA,0.01,0.49,0.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.13,3.13,0.07
8,98977073,,Bone length studies,A,,0.25,1.11,,1.11,NA,0.03,1.39,1.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.29,3.29,0.05
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014