CPT code 77047: Breast MRI, bilateral, without contrast2026 Medicare rate & RVUs

Medicare pays $216.44 for 77047 nationally in the office. Local office rates run $192.12–$291.78.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 77047 covers

This service is an MRI examination of both breasts performed without contrast material. A common use is assessment of breast implants when there is concern for rupture or another implant complication. The study is performed in an MRI department or imaging center, with a radiologist interpreting the images. It is distinct from contrast-enhanced breast MRI used for other diagnostic questions.

Report 77047 when both breasts are imaged without contrast; the documented protocol should support the lack of contrast and bilateral extent. The service may be billed globally, or its professional interpretation and technical performance may be billed separately with modifier 26 or TC. When multiple diagnostic imaging procedures are performed, the multiple-procedure reduction applies to both the professional and technical components. The code is priced for bilateral imaging, so modifier 50 does not increase payment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 77047 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

77047 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 77047 rate is calculated

Each of 77047’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 77047

The CMS indicators that decide how 77047 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

77047 compared with similar codes

How to choose

77046Breast MRIUnilateral, without contrast

Both codes describe breast MRI without contrast; choose 77046 for one breast and 77047 for both.

77048Breast MRIUnilateral, with and without contrast

77048 is unilateral and includes imaging without and with contrast, including CAD. 77047 is bilateral and performed without contrast.

77049Breast MRIBilateral, without and with contrast

Both are bilateral breast MRI codes, but 77049 includes imaging without and with contrast and CAD; 77047 is without contrast.

Codes related to 77047

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates