$36.71–$38.75
Use 77080 for central DXA assessment of the axial skeleton. Use 76977 for ultrasound bone density measurement at peripheral sites.
On this page
CMS RVU26D · Effective 2026-10-01
76977 Bone density Medicare reimbursement rates in Michigan
Reports an ultrasound-based bone density assessment at peripheral sites, such as the heel, when a clinician evaluates bone status using this method. Compare 76977 office and facility rates across CMS payment localities in Michigan.
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 76977 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$7.30–$7.95
2 of 2 localities have a supported rate.
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.
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 Michigan, from the same CMS release.
Compare 76977 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$7.95
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$7.30
Facility
Unavailable
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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.
8,88676975,,Gi endoscopic ultrasound,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.75,7.75,0.04
8,88776975,26,Gi endoscopic ultrasound,A,,0.79,0.46,,0.46,,0.03,1.28,1.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,88876975,TC,Gi endoscopic ultrasound,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,7.29,7.29,0.01
8,88976977,,Us bone density measure,A,,0.05,0.16,,0.16,NA,0.02,0.23,0.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.00,3.00,0.22
8,89076977,26,Us bone density measure,A,,0.05,0.02,,0.02,,0.01,0.08,0.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,89176977,TC,Us bone density measure,A,,0.00,0.14,,0.14,NA,0.01,0.15,0.15,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.98,2.98,0.21
8,89276978,,Us trgt dyn mbubb 1st les,A,,1.58,3.45,,3.45,NA,0.10,5.13,5.13,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00