CPT 77085
Global XXX ActiveDxa bone density axl vrt fx
CPT 77085 Billing & Documentation Guide
CPT code 77085 (Dxa bone density axl vrt fx) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.29, a non-facility practice expense RVU of 1.3, and a malpractice RVU of 0.04, a total non-facility RVU of 1.63 and facility RVU of 1.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $56.34, though rates vary from $47.67 to $74.08 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77085, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 77085 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 77085 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 77085
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.29 | 0.29 |
| Practice Expense RVU | 1.3 | 1.3 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 1.63 | 1.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77085
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $62.14 | $62.14 | $58.16 - $74.08 | 29 |
| Florida | $55.85 | $55.85 | $53.2 - $58.27 | 3 |
| Georgia | $52.72 | $52.72 | $50.01 - $55.44 | 2 |
| Illinois | $54.23 | $54.23 | $51.42 - $56.72 | 4 |
| Michigan | $52.34 | $52.34 | $50.84 - $53.84 | 2 |
| North Carolina | $51.05 | $51.05 | $51.05 - $51.05 | 1 |
| New York | $60.4 | $60.4 | $51.88 - $64.41 | 5 |
| Ohio | $50.68 | $50.68 | $50.68 - $50.68 | 1 |
| Pennsylvania | $53.74 | $53.74 | $50.81 - $56.66 | 2 |
| Texas | $53.73 | $53.73 | $50.44 - $56.83 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 77085
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77085 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0508T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 76977 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 77080 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 77081 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 77086 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| G0130 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0749T | Column 2 (secondary), bundled into primary | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 77085
What does CPT code 77085 mean? +
CPT code 77085 represents: Dxa bone density axl vrt fx. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77085? +
The 2026 Medicare national average non-facility payment for CPT 77085 is $56.34. Rates range from $47.67 to $74.08 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77085? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 77085? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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