CPT code 77067: Screening mammogram, bilateral, CAD included2026 Medicare rate & RVUs

Medicare pays $126.26 for 77067 nationally in the office. Local office rates run $111.36–$172.34.

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

What 77067 covers

This service is a bilateral screening mammogram, typically with craniocaudal and mediolateral oblique views of each breast, for a patient without breast symptoms. A mammography technologist acquires the images in a hospital outpatient department, imaging center, or mobile unit. A radiologist interprets them and typically documents a BI-RADS assessment. Computer-aided detection software, when used to flag areas for review, is included rather than billed separately.

Report 77067 for a screening examination, typically with a screening diagnosis such as Z12.31. A breast lump, nipple discharge, or abnormal finding that needs evaluation instead calls for diagnostic mammography, using 77065 or 77066 according to the breasts examined. The screening order, bilateral images, and interpretation support the claim. Under the physician fee schedule, modifier TC identifies the equipment and staff portion, while modifier 26 identifies the radiologist's interpretation; billing without either modifier represents both components. The code is already priced for both breasts, so modifier 50 does not increase Medicare payment. Screening tomosynthesis performed with this examination is reported with add-on code 77063.

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 77067 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

77067 rates by state

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

How the 77067 rate is calculated

Each of 77067’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 77067

The CMS indicators that decide how 77067 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

77067 compared with similar codes

How to choose

77066Diagnostic mammogramBilateral, including CAD

77066 is a bilateral diagnostic mammogram for symptoms or findings needing evaluation; 77067 is for bilateral screening of an asymptomatic patient.

77063Screening breast tomosynthesisBilateral screening add-on

77063 is the screening tomosynthesis add-on reported with 77067 when performed; it does not replace the screening mammogram code.

77062Breast tomosynthesisDiagnostic, bilateral

77062 is bilateral diagnostic tomosynthesis, reported with diagnostic mammography when performed. Screening tomosynthesis is reported with add-on code 77063 alongside 77067.

Codes related to 77067

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