77063

Breast tomosynthesis bi

Code typeAdd-on
Paid with — select a primary to see the real payable total

77067

Scr mammo bi incl cad

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

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary77067Scr mammo bi incl cad
1
$126.26
$126.26
Add-on77063Breast tomosynthesis bi
0
$51.10/ unit
$51.10/ unit
Add-onG0513Prolong prev svcs, first 30m
0
$64.80/ unit
$50.77/ unit
Whole procedure · 0.74 wRVU credited
$126.26
$126.26

RVU Breakdown

Component
Office
Facility
Work
0.74
0.74
Practice expense
2.99
2.99
Malpractice
0.05
0.05
Total RVU
3.78
3.78

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50Built in
The fee already assumes a bilateral service — modifier 50 doesn't change payment.
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
Multiple procedure Co-surgeon -62Team surgeon -66