77047

Mri breast c- bilateral

Add to my model
Code typePrimary
Payment statusActive (A)
Global periodNone

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary77047Mri breast c- bilateral
1
$216.44
$216.44
Add-on0649TQuan mr tiss w/mri 1orgn
0
$0.00/ unit
$0.00/ unit
Add-on0698TQuan mr tiss w/mri mlt orgn
0
$0.00/ unit
$0.00/ unit
Whole procedure · 1.56 wRVU credited
$216.44
$216.44
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
1.56
1.56
Practice expense
4.82
4.82
Malpractice
0.10
0.10
Total RVU
6.48
6.48

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
Multiple procedure MPPRApplies
Technical component of multiple diagnostic-imaging services reduced 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Co-surgeon -62Team surgeon -66