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CMS RVU26D · Effective 2026-10-01

77047 in El Centro

Office / nonfacility

$231.25

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Radiology

About 77047: Bilateral breast MRI without contrast

Reports bilateral breast MRI performed without contrast, commonly for evaluating breast implant integrity or suspected implant rupture.

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.

CMS billing rules for 77047

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU1.56 · 24%
  • Practice expense (office) RVU4.82 · 74%
  • Malpractice RVU0.10 · 2%

3.6K

Medicare services in 2024 · #2050 by national volume

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.

77047 compared with similar codes

Office rates for El Centro, from the same CMS release.

77046

Breast MRI

Unilateral, without contrast

$228.17

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

77048

Breast MRI

Unilateral, with and without contrast

$357.88

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

77049

Breast MRI

Bilateral, without and with contrast

$363.42

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

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 77047 is $231.58—$0.33 higher than the $231.25 rate in El Centro. Both use the same code, release and participation basis.

77047 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $231.25

  2. Bakersfield

    $231.58

    $0.33 higher than El Centro

  3. Chico

    $231.23

    $0.02 lower than El Centro

  4. Fresno

    $231.23

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $231.23

    $0.02 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $246.91

    $15.66 higher than El Centro

  7. Madera

    $231.23

    $0.02 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 77047 ranges from $192.12 in Arkansas to $291.78 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 77047

    Office

    $269.27

    Facility

    Unavailable

    $38.02 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77047

    Office

    $245.94

    Facility

    Unavailable

    $14.69 higher than El Centro for the office setting.

  • Redding

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77047

    Office

    $232.34

    Facility

    Unavailable

    $1.09 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77047

    Office

    $243.01

    Facility

    Unavailable

    $11.76 higher than El Centro for the office setting.

  • Salinas

    California · 77047

    Office

    $242.10

    Facility

    Unavailable

    $10.85 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77047

    Office

    $248.03

    Facility

    Unavailable

    $16.78 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77047

    Office

    $285.59

    Facility

    Unavailable

    $54.34 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 77047

    Office

    $285.47

    Facility

    Unavailable

    $54.22 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 77047

    Office

    $291.78

    Facility

    Unavailable

    $60.53 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 77047

    Office

    $291.31

    Facility

    Unavailable

    $60.06 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77047

    Office

    $238.15

    Facility

    Unavailable

    $6.90 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 77047

    Office

    $250.60

    Facility

    Unavailable

    $19.35 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 77047

    Office

    $243.07

    Facility

    Unavailable

    $11.82 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 77047

    Office

    $253.16

    Facility

    Unavailable

    $21.91 higher than El Centro for the office setting.

  • Stockton

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 77047

    Office

    $269.11

    Facility

    Unavailable

    $37.86 higher than El Centro for the office setting.

  • Visalia

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 77047

    Office

    $231.23

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77047

    Office

    $248.29

    Facility

    Unavailable

    $17.04 higher than El Centro for the office setting.

  • Miami

    Florida · 77047

    Office

    $228.15

    Facility

    Unavailable

    $3.10 lower than El Centro for the office setting.

  • Chicago

    Illinois · 77047

    Office

    $221.93

    Facility

    Unavailable

    $9.32 lower than El Centro for the office setting.

  • Manhattan

    New York · 77047

    Office

    $247.81

    Facility

    Unavailable

    $16.56 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 77047

    Office

    $251.46

    Facility

    Unavailable

    $20.21 higher than El Centro for the office setting.

  • Alabama

    Alabama · 77047

    Office

    $194.86

    Facility

    Unavailable

    $36.39 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 77047

    Office

    $192.12

    Facility

    Unavailable

    $39.13 lower than El Centro for the office setting.

  • Arizona

    Arizona · 77047

    Office

    $210.97

    Facility

    Unavailable

    $20.28 lower than El Centro for the office setting.

  • Colorado

    Colorado · 77047

    Office

    $226.64

    Facility

    Unavailable

    $4.61 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 77047

    Office

    $230.58

    Facility

    Unavailable

    $0.67 lower than El Centro for the office setting.

  • Delaware

    Delaware · 77047

    Office

    $214.43

    Facility

    Unavailable

    $16.82 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 77047

    Office

    $221.23

    Facility

    Unavailable

    $10.02 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 77047

    Office

    $211.03

    Facility

    Unavailable

    $20.22 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 77047

    Office

    $219.84

    Facility

    Unavailable

    $11.41 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 77047

    Office

    $199.69

    Facility

    Unavailable

    $31.56 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 77047

    Office

    $237.09

    Facility

    Unavailable

    $5.84 higher than El Centro for the office setting.

  • Iowa

    Iowa · 77047

    Office

    $200.74

    Facility

    Unavailable

    $30.51 lower than El Centro for the office setting.

  • Idaho

    Idaho · 77047

    Office

    $201.80

    Facility

    Unavailable

    $29.45 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 77047

    Office

    $206.95

    Facility

    Unavailable

    $24.30 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 77047

    Office

    $204.31

    Facility

    Unavailable

    $26.94 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 77047

    Office

    $223.73

    Facility

    Unavailable

    $7.52 lower than El Centro for the office setting.

  • Indiana

    Indiana · 77047

    Office

    $202.97

    Facility

    Unavailable

    $28.28 lower than El Centro for the office setting.

  • Kansas

    Kansas · 77047

    Office

    $199.33

    Facility

    Unavailable

    $31.92 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 77047

    Office

    $198.28

    Facility

    Unavailable

    $32.97 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 77047

    Office

    $207.39

    Facility

    Unavailable

    $23.86 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 77047

    Office

    $197.78

    Facility

    Unavailable

    $33.47 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 77047

    Office

    $249.44

    Facility

    Unavailable

    $18.19 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77047

    Office

    $225.13

    Facility

    Unavailable

    $6.12 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77047

    Office

    $229.82

    Facility

    Unavailable

    $1.43 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 77047

    Office

    $218.62

    Facility

    Unavailable

    $12.63 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 77047

    Office

    $202.30

    Facility

    Unavailable

    $28.95 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 77047

    Office

    $213.76

    Facility

    Unavailable

    $17.49 lower than El Centro for the office setting.

  • Detroit

    Michigan · 77047

    Office

    $213.09

    Facility

    Unavailable

    $18.16 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 77047

    Office

    $202.86

    Facility

    Unavailable

    $28.39 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 77047

    Office

    $218.76

    Facility

    Unavailable

    $12.49 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 77047

    Office

    $206.54

    Facility

    Unavailable

    $24.71 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 77047

    Office

    $208.72

    Facility

    Unavailable

    $22.53 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 77047

    Office

    $194.13

    Facility

    Unavailable

    $37.12 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 77047

    Office

    $193.19

    Facility

    Unavailable

    $38.06 lower than El Centro for the office setting.

  • Montana**

    Montana · 77047

    Office

    $216.43

    Facility

    Unavailable

    $14.82 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 77047

    Office

    $204.45

    Facility

    Unavailable

    $26.80 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 77047

    Office

    $214.45

    Facility

    Unavailable

    $16.80 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 77047

    Office

    $201.96

    Facility

    Unavailable

    $29.29 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 77047

    Office

    $222.62

    Facility

    Unavailable

    $8.63 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 77047

    Office

    $245.71

    Facility

    Unavailable

    $14.46 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 77047

    Office

    $233.66

    Facility

    Unavailable

    $2.41 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 77047

    Office

    $203.75

    Facility

    Unavailable

    $27.50 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 77047

    Office

    $216.04

    Facility

    Unavailable

    $15.21 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77047

    Office

    $253.06

    Facility

    Unavailable

    $21.81 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77047

    Office

    $234.78

    Facility

    Unavailable

    $3.53 higher than El Centro for the office setting.

  • Queens

    New York · 77047

    Office

    $250.55

    Facility

    Unavailable

    $19.30 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 77047

    Office

    $207.40

    Facility

    Unavailable

    $23.85 lower than El Centro for the office setting.

  • Ohio

    Ohio · 77047

    Office

    $202.46

    Facility

    Unavailable

    $28.79 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 77047

    Office

    $198.47

    Facility

    Unavailable

    $32.78 lower than El Centro for the office setting.

  • Portland

    Oregon · 77047

    Office

    $234.29

    Facility

    Unavailable

    $3.04 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 77047

    Office

    $214.80

    Facility

    Unavailable

    $16.45 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77047

    Office

    $224.62

    Facility

    Unavailable

    $6.63 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77047

    Office

    $203.05

    Facility

    Unavailable

    $28.20 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 77047

    Office

    $218.16

    Facility

    Unavailable

    $13.09 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 77047

    Office

    $222.38

    Facility

    Unavailable

    $8.87 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 77047

    Office

    $203.70

    Facility

    Unavailable

    $27.55 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 77047

    Office

    $214.22

    Facility

    Unavailable

    $17.03 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 77047

    Office

    $200.24

    Facility

    Unavailable

    $31.01 lower than El Centro for the office setting.

  • Austin

    Texas · 77047

    Office

    $225.50

    Facility

    Unavailable

    $5.75 lower than El Centro for the office setting.

  • Beaumont

    Texas · 77047

    Office

    $201.71

    Facility

    Unavailable

    $29.54 lower than El Centro for the office setting.

  • Brazoria

    Texas · 77047

    Office

    $214.67

    Facility

    Unavailable

    $16.58 lower than El Centro for the office setting.

  • Dallas

    Texas · 77047

    Office

    $215.79

    Facility

    Unavailable

    $15.46 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 77047

    Office

    $214.22

    Facility

    Unavailable

    $17.03 lower than El Centro for the office setting.

  • Galveston

    Texas · 77047

    Office

    $215.15

    Facility

    Unavailable

    $16.10 lower than El Centro for the office setting.

  • Houston

    Texas · 77047

    Office

    $216.98

    Facility

    Unavailable

    $14.27 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 77047

    Office

    $207.90

    Facility

    Unavailable

    $23.35 lower than El Centro for the office setting.

  • Utah

    Utah · 77047

    Office

    $206.44

    Facility

    Unavailable

    $24.81 lower than El Centro for the office setting.

  • Virginia

    Virginia · 77047

    Office

    $212.72

    Facility

    Unavailable

    $18.53 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77047

    Office

    $218.16

    Facility

    Unavailable

    $13.09 lower than El Centro for the office setting.

  • Vermont

    Vermont · 77047

    Office

    $213.18

    Facility

    Unavailable

    $18.07 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 77047

    Office

    $224.85

    Facility

    Unavailable

    $6.40 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 77047

    Office

    $254.98

    Facility

    Unavailable

    $23.73 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 77047

    Office

    $207.36

    Facility

    Unavailable

    $23.89 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 77047

    Office

    $196.79

    Facility

    Unavailable

    $34.46 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 77047

    Office

    $215.57

    Facility

    Unavailable

    $15.68 lower than El Centro for the office setting.

See how rates vary across the country

77047 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$192.12

$261.51

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$251.461
AL$194.861
AR$192.121
AZ$210.971
CA$231.23–$291.7829
CO$226.641
CT$230.581
DC$248.291
DE$214.431
FL$211.03–$228.153
GA$199.69–$219.842
GU$237.091
HI$237.091
IA$200.741
ID$201.801
IL$204.31–$223.734
IN$202.971
KS$199.331
KY$198.281
LA$197.78–$207.392
MA$225.13–$249.442
MD$218.62–$248.293
ME$202.30–$213.762
MI$202.86–$213.092
MN$218.761
MO$194.13–$208.723
MS$193.191
MT$216.431
NC$204.451
ND$214.451
NE$201.961
NH$222.621
NJ$233.66–$245.712
NM$203.751
NV$216.041
NY$207.40–$253.065
OH$202.461
OK$198.471
OR$214.80–$234.292
PA$203.05–$224.622
PR$218.161
RI$222.381
SC$203.701
SD$214.221
TN$200.241
TX$201.71–$225.508
UT$206.441
VA$212.72–$248.292
VI$218.161
VT$213.181
WA$224.85–$254.982
WI$207.361
WV$196.791
WY$215.571

Explore 77047 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77047 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$254.38

$231.25 × 110% = $254.38

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 77047 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

8,952

Code
77047
Physician work
1.56
Practice expense
4.82
Malpractice
0.10

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 77047 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.56× 1.0171.5865
Practice expense4.82× 1.0965.2827
Malpractice0.10× 0.5410.0541
Total RVUs6.9233
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$231.25

Open 77047 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.561.017
Practice expense4.821.096
Malpractice0.10.541

(1.56 × 1.017 + 4.82 × 1.096 + 0.1 × 0.541) × $33.4009 = $231.25

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

77047 · Office / nonfacility

$231.25

Effective 2026-10-01

The base rate is $1.75 higher than on 2025-10-01, moving from $229.50 to $231.25 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $229.50changed to$231.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.60 changed to 1.56
    • Practice expense RVU 4.96 changed to 4.82
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $229.50

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$231.25Not available in this settingRVU26D
2026-07-01$231.25Not available in this settingRVU26C
2026-04-01$231.25Not available in this settingRVU26B
2026-01-01$231.25Not available in this settingRVU26A
2025-10-01$229.50Not available in this settingRVU25D
2025-07-01$229.50Not available in this settingRVU25C
2025-04-01$229.50Not available in this settingRVU25B
2025-01-01$229.50Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 77047PPRRVU2026_Oct_nonQPP.csv, line 8,952 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet