$36.79–$41.51
77089 covers a combined TBS calculation and interpretation/report service. Use 77092 when reporting the professional interpretation and report alone.
On this page
CMS RVU26D · Effective 2026-10-01
77092 TBS interpretation Medicare reimbursement rates in Texas
Reports a qualified health professional’s interpretation of trabecular bone score analysis from DXA data to support fracture-risk assessment. Compare 77092 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 77092 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
$9.73–$10.18
8 of 8 localities have a 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 77092 pays more and less in Texas
8 payment localities
$9.73 to $10.18
Bone density imaging
About 77092: Trabecular bone score interpretation and report
Reports a qualified health professional’s interpretation of trabecular bone score analysis from DXA data to support fracture-risk assessment.
This service covers the professional review and report of trabecular bone score (TBS) analysis derived from DXA imaging, generally of the lumbar spine. A radiologist, endocrinologist, rheumatologist, or other qualified health professional interprets the result as an adjunct to bone-density findings when assessing fracture risk, such as during osteoporosis evaluation or management. TBS evaluates aspects of bone structure not captured by bone mineral density alone; it is not a separate DXA image acquisition.
Report 77092 for the interpretation and report, not for the technical analysis. The record should identify the imaging data reviewed and include the TBS findings and their clinical interpretation for fracture-risk assessment. CMS classifies this as a professional-component-only service, with a separate code covering the technical portion. When technical calculation is separately reported, 77091 is the related technical code; 77089 represents a different, combined TBS service. The underlying DXA examination, such as an axial study, is reported separately when performed.
CMS billing rules for 77092
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.20 · 67%
- Practice expense (office) RVU0.09 · 30%
- Malpractice RVU0.01 · 3%
69.6K
Medicare services in 2024 · #674 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.
77092 compared with similar codes
Office rates for Texas, from the same CMS release.
$24.32–$28.21
77091 covers the technical calculation; 77092 covers the qualified health professional’s interpretation and report.
$36.48–$41.21
77080 reports axial DXA bone-density imaging, while 77092 reports interpretation of TBS analysis derived from imaging data.
Compare 77092 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 $10.17 | Facility $10.17 |
| Beaumont | Office $9.73 | Facility $9.73 |
| Brazoria | Office $9.97 | Facility $9.97 |
| Dallas | Office $10.02 | Facility $10.02 |
| Fort Worth | Office $10.00 | Facility $10.00 |
| Galveston | Office $10.00 | Facility $10.00 |
| Houston | Office $10.18 | Facility $10.18 |
| Rest Of Texas | Office $9.83 | Facility $9.83 |
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77092 billing questions
When should 77092 be used instead of 77089?
Use 77092 for the professional interpretation and report only. Code 77089 represents a combined TBS service that includes calculation and interpretation/report.
Which code covers the technical calculation?
77091 covers the technical calculation and may be reported with 77092 when the technical and professional work are separately performed and reported.
Is the DXA examination included in 77092?
No. 77092 reports interpretation of TBS analysis, not DXA image acquisition. Report the appropriate DXA examination separately when performed.
What documentation supports 77092?
Document the TBS data reviewed, the interpreted findings, and the resulting report addressing fracture risk. The service must reflect professional interpretation rather than technical processing alone.
Does 77092 represent a professional component?
Yes. CMS identifies 77092 as a professional-component-only code; a separate code covers the technical portion.
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.
9,02277089,,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
9,02777262,,Ther radiology tx plng intrm,A,,1.95,1.14,,1.14,,0.12,3.21,3.21,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9,02877263,,Ther radiology tx plng cplx,A,,3.06,1.74,,1.74,,0.24,5.04,5.04,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00