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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Bone/Joint Studies |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77090 |
| Medicaid Fee Schedule | View Medicaid rates for 77090 |
National average reimbursement for CPT 77090 by major payers:

$3.68

$2.82

$2.92

$13.43
Choose a payer to see a sample of rates for CPT 77090.
North Shore Radiology At Glen Cove PC
South Broward Hospital District
University Orthopaedic Services Inc
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Rate Benchmarking
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See a sample payer proposalCPT 77090 vs. Other Bone/Joint Studies Codes
The CPT 77090 code is part of the Radiology Procedures services used for Bone/Joint Studies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 77090 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 77089-CPT | Low | Tbs Dxa Cal W I R Fx Risk, Trabecular Bone Score Tbs Structural Condition Of The Bone Microarchitecture Using Dual X Ray Absorptiometry Dxa Or Other Imaging Data On Gray Scale Variogram Calculation With Interpretation And Report On Fracture Risk |
| 77090-CPT | Low | Tbs Techl Prep Transmis Data, Trabecular Bone Score Tbs Structural Condition Of The Bone Microarchitecture Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere |
| 77091-CPT | Low | Measure Of Bone Texture, The Trabecular Bone Score (Tbs) Measures Bone Texture And Structure And Helps To Predict The Risk Of Osteoporosis. |
| 77092-CPT | Low | Trabecular Bone Score (Tbs) S, Trabecular Bone Score (Tbs) Structural Condition Of The Bone Microarchitecture Interpretation And Report On Fracture-Risk Only By Other Qualified Health Care Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77090 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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