Choose 77085 when the session includes both axial bone density measurement and DXA vertebral fracture assessment; 77080 covers the axial density study without that assessment.
On this page
CMS RVU26D · Effective 2026-10-01
77080 DXA bone density scan Medicare reimbursement rates in Nevada
Axial DXA measures bone density at central sites such as the lumbar spine or hip for osteoporosis evaluation and treatment monitoring. Compare 77080 office and facility rates across CMS payment localities in Nevada.
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 77080 in Nevada?
Nevada 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
$39.33
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 77080: Axial skeleton DXA bone density study
Axial DXA measures bone density at central sites such as the lumbar spine or hip for osteoporosis evaluation and treatment monitoring.
Axial DXA uses low-dose X-rays to measure bone mineral density at one or more central sites, usually the lumbar spine and proximal femur. It helps evaluate osteoporosis risk and monitor response to treatment. A technologist positions the patient and acquires images in an imaging center, physician office, or hospital outpatient department. A radiologist or another qualified interpreting physician evaluates the results, including applicable T-scores or Z-scores, and signs the report.
Report one unit of 77080 for an axial DXA session, whether one or multiple axial sites are measured. If the same session includes DXA vertebral fracture assessment, report the combined service with 77085 instead. Record the clinical indication, measured sites, and signed interpretation. CMS separately prices the technical component, billed with modifier TC for equipment and staff, and the professional component, billed with modifier 26 for interpretation and report. When one billing entity furnishes both components, report the global service without a component modifier.
CMS billing rules for 77080
- 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 RVU0.20 · 17%
- Practice expense (office) RVU0.96 · 81%
- Malpractice RVU0.02 · 2%
2.9M
Medicare services in 2024 · #61 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.
77080 compared with similar codes
Office rates for Nevada, from the same CMS release.
77081 measures appendicular sites such as the forearm or heel. Choose 77080 for an axial DXA study of sites such as the lumbar spine or hip.
77078 measures axial bone density using quantitative CT; 77080 uses dual-energy X-ray absorptiometry.
77086 describes DXA vertebral fracture assessment without an axial bone density study. When both are performed in the same session, report the combined service with 77085 instead of 77080 and 77086.
Compare 77080 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
Nevada** →
Office / nonfacility
$39.33
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 77080 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
9,007
- Code
- 77080
- Physician work
- 0.20
- Practice expense
- 0.96
- Malpractice
- 0.02
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.96 | × 1.001 | 0.9610 |
| Malpractice | 0.02 | × 0.833 | 0.0167 |
| Total RVUs | 1.1776 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$39.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1 |
| Practice expense | 0.96 | 1.001 |
| Malpractice | 0.02 | 0.833 |
(0.2 × 1 + 0.96 × 1.001 + 0.02 × 0.833) × $33.4009 = $39.33
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.
77080 billing questions
Can 77080 be reported with 77086 when vertebral fracture assessment is done on the same day?
For axial DXA with vertebral fracture assessment in the same session, report 77085 rather than 77080 and 77086. Code 77086 describes vertebral fracture assessment performed without an axial bone density study.
How many units are billed if both the spine and both hips are scanned?
One unit. An axial DXA session covers one or more axial sites, so scanning the lumbar spine and both hips remains one service.
Which modifier does the reading physician use when the scan is done at a hospital?
The interpreting physician reports the professional component with modifier 26. The hospital bills the technical portion on its facility claim; an entity furnishing both components reports the global service without a component modifier.
What documentation supports 77080?
The record should identify the reason for the bone density study, the axial sites measured, and the interpreting clinician's signed report.
Is trabecular bone score reported separately from the DXA?
A separately performed trabecular bone score analysis of lumbar spine DXA images may be reported in addition to 77080. Select the appropriate code from 77089–77092 according to the calculation, technical work, and interpretation furnished.
What if only a peripheral site like the forearm is measured?
Report 77081 for appendicular DXA when the study measures a peripheral site without an axial bone density measurement.
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.
