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

In Puerto Rico, Medicare pays $218.16 for 77047 in the office.

Check a contract rate as a % of Medicare · 77047 nationwide

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.

How Puerto Rico compares for 77047

Across 109 of 109 payment localities, the office rate for 77047 runs from $192.12 in Arkansas to $291.78 in San Benito County, CA. Puerto Rico pays $218.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

77047 rates by state

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

See 77047 in every payment locality

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

Codes related to 77047

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

How 77047 has changed in Puerto Rico

Price 77047 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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