G0279
Tomosynthesis, mammo
Code typeAdd-on
Paid with — select a primary to see the real payable total
77065
Dx mammo incl cad uni
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary77065Dx mammo incl cad uni
1
$123.92
$123.92
Whole procedure · 0.79 wRVU credited
$123.92
$123.92
RVU Breakdown
Component
Office
Facility
Work
0.79
0.79
Practice expense
2.86
2.86
Malpractice
0.06
0.06
Total RVU
3.71
3.71
Payment Policy & Modifiers
Allowed adjustments
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
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66