$24.54–$27.87
Choose 77090 for preparing and transferring DXA data for analysis; choose 77091 for the TBS technical calculation.
On this page
CMS RVU26D · Effective 2026-10-01
77090 TBS processing Medicare reimbursement rates in Pennsylvania
Reports preparation and transfer of DXA data for trabecular bone score analysis, before the technical calculation and fracture-risk interpretation are performed. Compare 77090 office and facility rates across CMS payment localities in Pennsylvania.
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 77090 in Pennsylvania?
Pennsylvania 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
$2.77–$3.18
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 analysis
About 77090: Trabecular bone score data preparation
Reports preparation and transfer of DXA data for trabecular bone score analysis, before the technical calculation and fracture-risk interpretation are performed.
Trabecular bone score (TBS) is a software-based analysis of lumbar-spine DXA data that provides information about bone microarchitecture for fracture-risk assessment. Code 77090 covers the technical workflow of preparing the DXA data and transmitting it for analysis; it does not describe the resulting TBS calculation or a clinician’s interpretation. Imaging technologists or other bone-density staff typically handle this step in an outpatient densitometry workflow.
Select 77090 when the documented service is data preparation and transfer for TBS analysis, rather than calculation alone (77091) or interpretation and reporting (77092). Documentation should identify the source DXA data and show that the preparation and transmission were performed. CMS classifies 77090 as technical-component-only, with interpretation covered by a separate code. CMS assigns no physician-work RVUs to this service.
CMS billing rules for 77090
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.08 · 89%
- Malpractice RVU0.01 · 11%
582
Medicare services in 2024 · #3424 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.
77090 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$9.76–$10.33
77090 covers data preparation and transmission. 77092 covers the clinician’s TBS interpretation and fracture-risk report.
$37.06–$41.38
77089 covers TBS technical calculation with interpretation and reporting; 77090 is limited to data preparation and transmission.
Compare 77090 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
Metropolitan Philadelphia →
Office / nonfacility
$3.18
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$2.77
Facility
Unavailable
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77090 billing questions
How is 77090 different from 77091?
77090 covers preparing and transmitting data for TBS analysis. 77091 describes the technical calculation itself.
Does 77090 include the fracture-risk interpretation?
No. CMS identifies 77090 as technical-component-only; interpretation and reporting are covered by a separate code, 77092.
When would 77089 be considered instead?
77089 represents a TBS service that includes technical calculation with interpretation and reporting. 77090 describes the data-preparation and transmission step.
What documentation supports 77090?
Document the DXA data used and the technical work to prepare and transmit those data for TBS analysis.
Can 77090 be reported for the DXA scan itself?
No. 77090 describes preparing and transmitting data for TBS analysis, not acquiring the DXA images.
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.
9,02077086,26,Vrt fracture assmt via dxa,A,,0.17,0.06,,0.06,,0.01,0.24,0.24,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02177086,TC,Vrt fracture assmt via dxa,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
9,02277089,,Tbs dxa cal w/i&r fx risk,A,,0.20,0.96,,0.96,NA,0.03,1.19,1.19,4,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02377090,,Tbs techl prep&transmis data,A,,0.00,0.08,,0.08,NA,0.01,0.09,0.09,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.36,2.36,0.30
9,02477091,,Tbs techl calculation only,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.63,2.63,0.03
9,02577092,,Tbs i&r fx rsk qhp,A,,0.20,0.09,,0.09,,0.01,0.30,0.30,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02677261,,Ther radiology tx plng smpl,A,,1.27,0.75,,0.75,,0.07,2.09,2.09,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00