77089 Tbs dxa cal with i & r fracture risk
Also known as: TBS calculation, Trabecular bone score
Trabecular bone score calculation with fracture risk assessment via dual-energy X-ray absorptiometry.
In Plain Language
Computer analysis of bone quality to predict fracture risk
Clinical Context
Advanced analysis of trabecular bone microarchitecture to refine fracture risk prediction. Improves risk stratification beyond bone mineral density alone.
RVU Breakdown
| Work RVU | 0.20 |
| Total RVU | 0.20 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Radiology codes require a written order, clinical indication, and a formal interpretation report. The professional component (modifier -26) and technical component (modifier -TC) may be billed separately.
How This Code Compares
With a work RVU of 0.20, this code ranks in the 11th percentile among Radiology codes — 4.0x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 77089?
CPT 77089 (Tbs dxa cal with i & r fracture risk) is a Radiology code. Trabecular bone score calculation with fracture risk assessment via dual-energy X-ray absorptiometry.
Who uses CPT code 77089?
CPT 77089 is used by Radiology, Endocrinology, Rheumatology. Advanced analysis of trabecular bone microarchitecture to refine fracture risk prediction. Improves risk stratification beyond bone mineral density alone.
When is CPT 77089 used?
Advanced analysis of trabecular bone microarchitecture to refine fracture risk prediction. Improves risk stratification beyond bone mineral density alone.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.