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CMS RVU26D · Effective 2026-10-01

77084 Marrow MRI Medicare reimbursement rates in Texas

Reports MRI focused on bone marrow blood supply when the diagnostic question concerns marrow perfusion rather than bone density or regional anatomy alone. Compare 77084 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 77084 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

$290.17–$328.28

8 of 8 localities have a supported rate.

Lowest: Beaumont

Highest: Austin

A spread of $38.11 per service.

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.

Find 77084 in your payment locality →

Where 77084 pays more and less in Texas

8 payment localities

$290.17 to $328.28

$290.17$309.23$328.28
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Magnetic resonance imaging

About 77084: MRI assessment of marrow blood supply

Reports MRI focused on bone marrow blood supply when the diagnostic question concerns marrow perfusion rather than bone density or regional anatomy alone.

This study uses magnetic resonance imaging to assess blood supply to bone marrow. It is selected when the ordering clinician specifically needs information about marrow perfusion, rather than a general anatomic MRI or a measurement of bone mineral density. A radiologist interprets the images; the technical portion involves the MRI equipment and staff. It may be performed in hospital or outpatient imaging settings.

Report 77084 when the performed study is directed at evaluating marrow blood supply and the record supports that purpose. The order and imaging report should identify the clinical question and the findings relevant to marrow perfusion. CMS recognizes a professional component for interpretation, reportable with modifier 26, and a technical component for equipment and staff, reportable with modifier TC. Billing without either modifier represents the global service, including both components.

CMS billing rules for 77084

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 RVU1.56 · 17%
  • Practice expense (office) RVU7.72 · 82%
  • Malpractice RVU0.11 · 1%

2K

Medicare services in 2024 · #2478 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.

77084 compared with similar codes

Office rates for Texas, from the same CMS release.

72195

Pelvic MRI

Without contrast

$211.31–$237.48

72195 describes MRI of the pelvis for anatomic evaluation. Choose 77084 when the requested and performed study specifically assesses bone marrow blood supply.

77080

DXA bone density scan

Axial skeleton, spine or hip

$36.48–$41.21

77080 is axial bone-density testing by DXA. It measures bone mineral density, not marrow perfusion.

77085

DXA bone density

Axial with fracture assessment

$50.44–$56.83

77085 is axial DXA with vertebral fracture assessment. It evaluates bone density and vertebral fracture status, not blood supply to marrow.

Compare 77084 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

77084 office and facility rates by payment locality
Payment localityOfficeFacility
Austin

Office

$328.28

Facility

Unavailable
Beaumont

Office

$290.17

Facility

Unavailable
Brazoria

Office

$310.92

Facility

Unavailable
Dallas

Office

$312.55

Facility

Unavailable
Fort Worth

Office

$310.02

Facility

Unavailable
Galveston

Office

$311.61

Facility

Unavailable
Houston

Office

$313.63

Facility

Unavailable
Rest Of Texas

Office

$300.13

Facility

Unavailable

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77084 billing questions

When should 77084 be chosen instead of a standard regional MRI?

Use 77084 for a study specifically assessing bone marrow blood supply. A regional MRI code describes an anatomic MRI examination, not this dedicated perfusion focus.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the professional interpretation and report, or modifier TC for the technical service. Without either modifier, the claim represents the global service.

What documentation supports reporting 77084?

The order and report should establish that evaluation of bone marrow blood supply was the purpose of the MRI, with findings addressing that question.

Is 77084 a bone-density study?

No. It evaluates marrow blood supply by MRI; bone-density codes measure bone mineral density using a different test.

Does a routine MRI that includes bone marrow qualify?

Not solely because marrow appears in the images. The study must be focused on assessing marrow blood supply, as shown by the order and report.

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.

RVUs for 77084PPRRVU2026_Oct_nonQPP.csv, line 9,013 (RVU26D)