$90.71–$102.24
77074 describes a limited survey of selected skeletal regions; 77075 is used for a complete skeletal survey.
On this page
CMS RVU26D · Effective 2026-10-01
77074 Skeletal survey Medicare reimbursement rates in Texas
A limited series of skeletal radiographs evaluates selected bones, commonly when a clinician is assessing known or suspected metastatic bone disease. Compare 77074 office and facility rates across CMS payment localities in Texas.
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 77074 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$60.28–$67.52
8 of 8 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.
Where 77074 pays more and less in Texas
8 payment localities
$60.28 to $67.52
Radiology
About 77074: Limited skeletal radiographic survey
A limited series of skeletal radiographs evaluates selected bones, commonly when a clinician is assessing known or suspected metastatic bone disease.
This service uses plain X-rays of selected skeletal regions to assess a focused bone question, such as known or suspected metastatic involvement. A radiologic technologist obtains the images, and a radiologist typically interprets them. It may be performed in a hospital or outpatient imaging department when the clinical request calls for a limited survey rather than a comprehensive review of the skeleton.
Choose this code when the ordered and performed examination is limited in scope; a complete skeletal survey is a different service. The imaging order and report should identify the clinical reason and the regions examined, with the interpretation supporting the findings. The professional component is the radiologist’s interpretation and is reported with modifier 26; the technical component covers equipment and staff and is reported with modifier TC. Without either modifier, the claim represents the global service.
CMS billing rules for 77074
- 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 RVU0.43 · 22%
- Practice expense (office) RVU1.47 · 76%
- Malpractice RVU0.04 · 2%
2.1K
Medicare services in 2024 · #2423 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.
77074 compared with similar codes
Office rates for Texas, from the same CMS release.
$97.52–$109.35
77076 is the skeletal survey code for an infant examination. Use 77074 for a limited survey not designated for infants.
$238.44–$272.19
78306 is whole-body bone scintigraphy using a radiotracer. 77074 is a limited survey using skeletal radiographs.
Compare 77074 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $67.52 | Facility Unavailable |
| Beaumont | Office $60.28 | Facility Unavailable |
| Brazoria | Office $64.18 | Facility Unavailable |
| Dallas | Office $64.54 | Facility Unavailable |
| Fort Worth | Office $64.07 | Facility Unavailable |
| Galveston | Office $64.34 | Facility Unavailable |
| Houston | Office $65.07 | Facility Unavailable |
| Rest Of Texas | Office $62.16 | Facility Unavailable |
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77074 billing questions
When should 77074 be used instead of 77075?
Use 77074 for a limited skeletal survey of selected regions. Use 77075 when the examination is a complete skeletal survey.
How should the professional and technical services be billed?
Report modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Without a modifier, the code represents the global service.
Should each radiographic view be reported as a separate unit?
The code represents the limited survey, not individual images. The documentation should show the regions examined and support the scope of the survey.
What documentation supports reporting the limited survey?
Keep the order and imaging report showing the clinical reason, the skeletal regions examined, and the radiologist’s interpretation.
Is 77074 the appropriate code for an infant skeletal survey?
No. The infant skeletal survey is represented by 77076; 77074 is for a limited survey.
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.
8,98977073,,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
8,99077073,26,Bone length studies,A,,0.25,0.12,,0.12,,0.02,0.39,0.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,99177073,TC,Bone length studies,A,,0.00,0.99,,0.99,NA,0.01,1.00,1.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
8,99277074,,Radex osseous survey lmtd,A,,0.43,1.47,,1.47,NA,0.04,1.94,1.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.33,3.33,0.05
8,99377074,26,Radex osseous survey lmtd,A,,0.43,0.16,,0.16,,0.03,0.62,0.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,99477074,TC,Radex osseous survey lmtd,A,,0.00,1.31,,1.31,NA,0.01,1.32,1.32,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.02
8,99577075,,Radex osseous survey compl,A,,0.54,2.34,,2.34,NA,0.05,2.93,2.93,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.37,3.37,0.06