CPT code 77047: Breast MRI, bilateral, without contrast2026 Medicare rate & RVUs in Florida
Reports bilateral breast MRI performed without contrast, commonly for evaluating breast implant integrity or suspected implant rupture.
Medicare pays $211.03–$228.15 for 77047 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$211.03 to $228.15
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $221.23 | Unavailable |
| Miami, FL | $228.15 | Unavailable |
| Rest of Florida | $211.03 | Unavailable |
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.
How the rate is built · 77047
RVUs × geographic indexes × conversion factor
Work1.56
1.56 RVUs× 1.000 GPCI
Practice expense4.82
4.82 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
6.4800
Conversion factor
$33.4009
Medicare rate
$216.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77047
The CMS indicators that decide how 77047 is paid alongside other services.
CMS payment indicators · 77047
Breast MRI, bilateral, without contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77047 without 26 · national office
$216.44
Breast MRI, bilateral, without contrast
77047-26 · Professional component
$73.15
Pays only the interpretation and report.
77047 compared with similar codes
Compare codes · National
4 codes, side by side
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.
77047 billing questions
How is 77047 distinguished from 77049?
77047 is for bilateral breast MRI without contrast. Use 77049 for bilateral MRI performed without and with contrast, including CAD.
When should 77046 be reported instead?
77046 describes breast MRI without contrast for one breast. Report 77047 when the examination covers both breasts.
Should modifier 50 be added for the bilateral study?
No. 77047 is already priced as a bilateral service, and modifier 50 does not increase payment.
Can the interpretation and imaging service be billed separately?
Yes. Modifier 26 identifies the professional interpretation and modifier TC identifies the technical service; without either modifier, the claim represents the global service.
What documentation supports reporting 77047?
Document the clinical reason for the examination, that both breasts were imaged, and that the MRI was performed without contrast. For implant evaluation, record the concern being assessed, such as suspected rupture.
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
Show the CMS file lines behind this rate
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