$36.19
77080 reports axial DXA bone-density measurement. Use 77089 for TBS image analysis and its fracture-risk assessment.
On this page
CMS RVU26D · Effective 2026-10-01
77089 Trabecular bone score Medicare reimbursement rates in Tennessee
Reports DXA-based trabecular bone score analysis with a fracture-risk assessment, adding microarchitecture information to bone-density evaluation. Compare 77089 office and facility rates across CMS payment localities in Tennessee.
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 77089 in Tennessee?
Tennessee 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
$36.37
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Bone density analysis
About 77089: DXA trabecular bone score with risk report
Reports DXA-based trabecular bone score analysis with a fracture-risk assessment, adding microarchitecture information to bone-density evaluation.
Trabecular bone score analysis evaluates texture in a lumbar-spine DXA image to estimate trabecular bone microarchitecture and add fracture-risk information to bone mineral density. It analyzes an existing DXA image rather than acquiring a new bone-density scan. The service is commonly part of osteoporosis assessment, with technical staff or an analysis service preparing the image and a qualified health care professional interpreting the result and reporting fracture risk.
Report 77089 for the complete service represented by this code. CMS identifies it as a global-test-only code: separate codes describe the technical work and professional interpretation when those portions are reported separately. The record should identify the DXA image analyzed, the TBS result, and the interpretation supporting the fracture-risk assessment. CPT provides separate technical codes 77090 and 77091 and a professional interpretation and report code, 77092.
CMS billing rules for 77089
- Professional and technical components
- Global-test-only code: separate codes describe the professional and technical components.
Where the value comes from
- Work RVU0.20 · 17%
- Practice expense (office) RVU0.96 · 81%
- Malpractice RVU0.03 · 3%
67.4K
Medicare services in 2024 · #686 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.
77089 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$49.87
77085 reports axial DXA with vertebral fracture assessment. 77089 reports TBS analysis of a DXA image and fracture-risk information.
$9.59
77092 is the professional interpretation and report portion of TBS services. 77089 represents the complete global service.
$2.61
77090 covers technical preparation and transmission of TBS data. 77089 represents the complete service rather than that technical work alone.
Compare 77089 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
Tennessee →
Office / nonfacility
$36.37
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 77089 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
9,022
- Code
- 77089
- Physician work
- 0.20
- Practice expense
- 0.96
- Malpractice
- 0.03
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.20 | × 1.000 | 0.2000 |
| Practice expense | 0.96 | × 0.909 | 0.8726 |
| Malpractice | 0.03 | × 0.537 | 0.0161 |
| Total RVUs | 1.0888 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$36.37
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.2 | 1 |
| Practice expense | 0.96 | 0.909 |
| Malpractice | 0.03 | 0.537 |
(0.2 × 1 + 0.96 × 0.909 + 0.03 × 0.537) × $33.4009 = $36.37
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.
77089 billing questions
How does this differ from a standard axial DXA?
An axial DXA measures bone mineral density. TBS analyzes texture in a lumbar-spine DXA image to add information about trabecular microarchitecture and fracture risk.
Can 77089 be reported with an axial DXA?
TBS analysis may accompany an axial DXA when the DXA image is analyzed for TBS and a fracture-risk assessment is provided. The TBS analysis is distinct from the bone-density measurement.
When should the component codes be used instead?
CMS identifies 77089 as a global-test-only code, with separate codes for technical work and professional interpretation. CPT lists 77090 and 77091 for technical services and 77092 for interpretation and reporting.
What documentation supports 77089?
Document the DXA image analyzed, the TBS result, and the professional interpretation addressing fracture risk. The record should make clear that TBS analysis and reporting were performed, not only routine bone-density measurement.
Is 77089 a code for a new DXA scan?
No. TBS analysis evaluates texture in a lumbar-spine DXA image; it does not describe acquisition of a separate bone-density scan.
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.
9,01977086,,Vrt fracture assmt via dxa,A,,0.17,0.85,,0.85,NA,0.02,1.04,1.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.04
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
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780