CPT code 77063: Screening breast tomosynthesis, bilateral screening add-on2026 Medicare rate & RVUs in Elgin, Texas
CPT 77063: $49.46–$52.79 office across 2 localities in Elgin, TX in 2026 Medicare. Compare each area.
Medicare pays $49.46–$52.79 for 77063 in the office in Elgin, Texas, from Rest of Texas to Austin, TX. 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.
On this page 6 sections
Where 77063 pays more and less in Elgin, Texas
Elgin, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $52.79 | Unavailable |
| Rest of Texas | $49.46 | Unavailable |
How payment areas work in Elgin
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Rest Of State · Bastrop County
- Austin · Travis County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 77063 rate is calculated
Each of 77063’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 · 77063
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense0.91
0.91 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.5300
Conversion factor
$33.4009
Medicare rate
$51.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77063
The CMS indicators that decide how 77063 is paid alongside other services.
CMS payment indicators · 77063
Screening breast tomosynthesis, bilateral screening add-on
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| 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
77063 without 26 · national office
$51.10
Screening breast tomosynthesis, bilateral screening add-on
77063-26 · Professional component
$27.72
Pays only the interpretation and report.
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
Fee sheets · Coming soon
Put 77063 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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