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CMS RVU26D · Effective 2026-10-01

77067 in Madera

Office / nonfacility

$135.49

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 77067: Bilateral screening mammography with computer-aided detection

Bilateral screening mammography evaluates an asymptomatic patient for breast cancer and includes computer-aided detection when performed; report it for screening rather than symptom evaluation.

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.

CMS billing rules for 77067

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.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.74 · 20%
  • Practice expense (office) RVU2.99 · 79%
  • Malpractice RVU0.05 · 1%

6.1M

Medicare services in 2024 · #35 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.

77067 compared with similar codes

Office rates for Madera, from the same CMS release.

77066

Diagnostic mammogram

Bilateral, including CAD

$167.97

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

77063

Screening breast tomosynthesis

Bilateral screening add-on

$53.89

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

77062

Breast tomosynthesis bi

No office rate

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

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 77067 is $135.66—$0.17 higher than the $135.49 rate in Madera. Both use the same code, release and participation basis.

77067 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $135.49

  2. Bakersfield

    $135.66

    $0.17 higher than Madera

  3. Chico

    $135.49

    The same base rate than Madera

  4. El Centro

    $135.50

    $0.01 higher than Madera

  5. Fresno

    $135.49

    The same base rate than Madera

  6. Hanford-Corcoran

    $135.49

    The same base rate than Madera

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

    $144.98

    $9.49 higher than Madera

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, 77067 ranges from $111.36 in Arkansas to $172.34 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 · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Modesto

    California · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Napa

    California · 77067

    Office

    $158.75

    Facility

    Unavailable

    $23.26 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77067

    Office

    $144.49

    Facility

    Unavailable

    $9.00 higher than Madera for the office setting.

  • Redding

    California · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77067

    Office

    $136.04

    Facility

    Unavailable

    $0.55 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77067

    Office

    $142.65

    Facility

    Unavailable

    $7.16 higher than Madera for the office setting.

  • Salinas

    California · 77067

    Office

    $142.13

    Facility

    Unavailable

    $6.64 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77067

    Office

    $145.81

    Facility

    Unavailable

    $10.32 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77067

    Office

    $168.65

    Facility

    Unavailable

    $33.16 higher than Madera for the office setting.

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

    California · 77067

    Office

    $168.59

    Facility

    Unavailable

    $33.10 higher than Madera for the office setting.

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

    California · 77067

    Office

    $172.34

    Facility

    Unavailable

    $36.85 higher than Madera for the office setting.

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

    California · 77067

    Office

    $172.11

    Facility

    Unavailable

    $36.62 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77067

    Office

    $139.78

    Facility

    Unavailable

    $4.29 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 77067

    Office

    $147.47

    Facility

    Unavailable

    $11.98 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 77067

    Office

    $142.75

    Facility

    Unavailable

    $7.26 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 77067

    Office

    $148.99

    Facility

    Unavailable

    $13.50 higher than Madera for the office setting.

  • Stockton

    California · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 77067

    Office

    $158.67

    Facility

    Unavailable

    $23.18 higher than Madera for the office setting.

  • Visalia

    California · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 77067

    Office

    $135.49

    Facility

    Unavailable

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77067

    Office

    $145.56

    Facility

    Unavailable

    $10.07 higher than Madera for the office setting.

  • Miami

    Florida · 77067

    Office

    $132.90

    Facility

    Unavailable

    $2.59 lower than Madera for the office setting.

  • Chicago

    Illinois · 77067

    Office

    $129.09

    Facility

    Unavailable

    $6.40 lower than Madera for the office setting.

  • Manhattan

    New York · 77067

    Office

    $144.99

    Facility

    Unavailable

    $9.50 higher than Madera for the office setting.

  • Alaska*

    Alaska · 77067

    Office

    $144.36

    Facility

    Unavailable

    $8.87 higher than Madera for the office setting.

  • Alabama

    Alabama · 77067

    Office

    $113.05

    Facility

    Unavailable

    $22.44 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 77067

    Office

    $111.36

    Facility

    Unavailable

    $24.13 lower than Madera for the office setting.

  • Arizona

    Arizona · 77067

    Office

    $122.92

    Facility

    Unavailable

    $12.57 lower than Madera for the office setting.

  • Colorado

    Colorado · 77067

    Office

    $132.58

    Facility

    Unavailable

    $2.91 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 77067

    Office

    $134.79

    Facility

    Unavailable

    $0.70 lower than Madera for the office setting.

  • Delaware

    Delaware · 77067

    Office

    $125.01

    Facility

    Unavailable

    $10.48 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 77067

    Office

    $128.90

    Facility

    Unavailable

    $6.59 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 77067

    Office

    $122.70

    Facility

    Unavailable

    $12.79 lower than Madera for the office setting.

  • Atlanta

    Georgia · 77067

    Office

    $128.26

    Facility

    Unavailable

    $7.23 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 77067

    Office

    $115.79

    Facility

    Unavailable

    $19.70 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 77067

    Office

    $139.23

    Facility

    Unavailable

    $3.74 higher than Madera for the office setting.

  • Iowa

    Iowa · 77067

    Office

    $116.76

    Facility

    Unavailable

    $18.73 lower than Madera for the office setting.

  • Idaho

    Idaho · 77067

    Office

    $117.39

    Facility

    Unavailable

    $18.10 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 77067

    Office

    $119.96

    Facility

    Unavailable

    $15.53 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 77067

    Office

    $118.51

    Facility

    Unavailable

    $16.98 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 77067

    Office

    $130.41

    Facility

    Unavailable

    $5.08 lower than Madera for the office setting.

  • Indiana

    Indiana · 77067

    Office

    $118.11

    Facility

    Unavailable

    $17.38 lower than Madera for the office setting.

  • Kansas

    Kansas · 77067

    Office

    $115.84

    Facility

    Unavailable

    $19.65 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 77067

    Office

    $115.03

    Facility

    Unavailable

    $20.46 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 77067

    Office

    $120.59

    Facility

    Unavailable

    $14.90 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 77067

    Office

    $114.70

    Facility

    Unavailable

    $20.79 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 77067

    Office

    $146.46

    Facility

    Unavailable

    $10.97 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77067

    Office

    $131.60

    Facility

    Unavailable

    $3.89 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77067

    Office

    $134.34

    Facility

    Unavailable

    $1.15 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 77067

    Office

    $127.56

    Facility

    Unavailable

    $7.93 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 77067

    Office

    $117.63

    Facility

    Unavailable

    $17.86 lower than Madera for the office setting.

  • Southern Maine

    Maine · 77067

    Office

    $124.74

    Facility

    Unavailable

    $10.75 lower than Madera for the office setting.

  • Detroit

    Michigan · 77067

    Office

    $123.91

    Facility

    Unavailable

    $11.58 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 77067

    Office

    $117.78

    Facility

    Unavailable

    $17.71 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 77067

    Office

    $127.98

    Facility

    Unavailable

    $7.51 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 77067

    Office

    $120.13

    Facility

    Unavailable

    $15.36 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 77067

    Office

    $121.47

    Facility

    Unavailable

    $14.02 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 77067

    Office

    $112.43

    Facility

    Unavailable

    $23.06 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 77067

    Office

    $111.94

    Facility

    Unavailable

    $23.55 lower than Madera for the office setting.

  • Montana**

    Montana · 77067

    Office

    $126.25

    Facility

    Unavailable

    $9.24 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 77067

    Office

    $118.96

    Facility

    Unavailable

    $16.53 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 77067

    Office

    $125.26

    Facility

    Unavailable

    $10.23 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 77067

    Office

    $117.53

    Facility

    Unavailable

    $17.96 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 77067

    Office

    $130.14

    Facility

    Unavailable

    $5.35 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 77067

    Office

    $143.91

    Facility

    Unavailable

    $8.42 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 77067

    Office

    $136.59

    Facility

    Unavailable

    $1.10 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 77067

    Office

    $118.30

    Facility

    Unavailable

    $17.19 lower than Madera for the office setting.

  • Nevada**

    Nevada · 77067

    Office

    $126.08

    Facility

    Unavailable

    $9.41 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77067

    Office

    $148.14

    Facility

    Unavailable

    $12.65 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77067

    Office

    $137.21

    Facility

    Unavailable

    $1.72 higher than Madera for the office setting.

  • Queens

    New York · 77067

    Office

    $146.75

    Facility

    Unavailable

    $11.26 higher than Madera for the office setting.

  • Rest Of New York

    New York · 77067

    Office

    $120.77

    Facility

    Unavailable

    $14.72 lower than Madera for the office setting.

  • Ohio

    Ohio · 77067

    Office

    $117.58

    Facility

    Unavailable

    $17.91 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 77067

    Office

    $115.20

    Facility

    Unavailable

    $20.29 lower than Madera for the office setting.

  • Portland

    Oregon · 77067

    Office

    $137.31

    Facility

    Unavailable

    $1.82 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 77067

    Office

    $125.36

    Facility

    Unavailable

    $10.13 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77067

    Office

    $131.12

    Facility

    Unavailable

    $4.37 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77067

    Office

    $117.97

    Facility

    Unavailable

    $17.52 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 77067

    Office

    $127.33

    Facility

    Unavailable

    $8.16 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 77067

    Office

    $129.84

    Facility

    Unavailable

    $5.65 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 77067

    Office

    $118.41

    Facility

    Unavailable

    $17.08 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 77067

    Office

    $125.15

    Facility

    Unavailable

    $10.34 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 77067

    Office

    $116.39

    Facility

    Unavailable

    $19.10 lower than Madera for the office setting.

  • Austin

    Texas · 77067

    Office

    $131.91

    Facility

    Unavailable

    $3.58 lower than Madera for the office setting.

  • Beaumont

    Texas · 77067

    Office

    $117.15

    Facility

    Unavailable

    $18.34 lower than Madera for the office setting.

  • Brazoria

    Texas · 77067

    Office

    $125.19

    Facility

    Unavailable

    $10.30 lower than Madera for the office setting.

  • Dallas

    Texas · 77067

    Office

    $125.84

    Facility

    Unavailable

    $9.65 lower than Madera for the office setting.

  • Fort Worth

    Texas · 77067

    Office

    $124.86

    Facility

    Unavailable

    $10.63 lower than Madera for the office setting.

  • Galveston

    Texas · 77067

    Office

    $125.47

    Facility

    Unavailable

    $10.02 lower than Madera for the office setting.

  • Houston

    Texas · 77067

    Office

    $126.38

    Facility

    Unavailable

    $9.11 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 77067

    Office

    $121.00

    Facility

    Unavailable

    $14.49 lower than Madera for the office setting.

  • Utah

    Utah · 77067

    Office

    $120.09

    Facility

    Unavailable

    $15.40 lower than Madera for the office setting.

  • Virginia

    Virginia · 77067

    Office

    $124.07

    Facility

    Unavailable

    $11.42 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77067

    Office

    $127.33

    Facility

    Unavailable

    $8.16 lower than Madera for the office setting.

  • Vermont

    Vermont · 77067

    Office

    $124.43

    Facility

    Unavailable

    $11.06 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 77067

    Office

    $131.47

    Facility

    Unavailable

    $4.02 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 77067

    Office

    $149.86

    Facility

    Unavailable

    $14.37 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 77067

    Office

    $120.91

    Facility

    Unavailable

    $14.58 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 77067

    Office

    $113.89

    Facility

    Unavailable

    $21.60 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 77067

    Office

    $125.82

    Facility

    Unavailable

    $9.67 lower than Madera for the office setting.

See how rates vary across the country

77067 · 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.

$111.36

$153.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$144.361
AL$113.051
AR$111.361
AZ$122.921
CA$135.49–$172.3429
CO$132.581
CT$134.791
DC$145.561
DE$125.011
FL$122.70–$132.903
GA$115.79–$128.262
GU$139.231
HI$139.231
IA$116.761
ID$117.391
IL$118.51–$130.414
IN$118.111
KS$115.841
KY$115.031
LA$114.70–$120.592
MA$131.60–$146.462
MD$127.56–$145.563
ME$117.63–$124.742
MI$117.78–$123.912
MN$127.981
MO$112.43–$121.473
MS$111.941
MT$126.251
NC$118.961
ND$125.261
NE$117.531
NH$130.141
NJ$136.59–$143.912
NM$118.301
NV$126.081
NY$120.77–$148.145
OH$117.581
OK$115.201
OR$125.36–$137.312
PA$117.97–$131.122
PR$127.331
RI$129.841
SC$118.411
SD$125.151
TN$116.391
TX$117.15–$131.918
UT$120.091
VA$124.07–$145.562
VI$127.331
VT$124.431
WA$131.47–$149.862
WI$120.911
WV$113.891
WY$125.821

Explore 77067 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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 77067 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$149.04

$135.49 × 110% = $149.04

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.

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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 77067 in Madera.

PPRRVU2026_Oct_nonQPP.csv

8,982

Code
77067
Physician work
0.74
Practice expense
2.99
Malpractice
0.05

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77067 in Madera
ComponentRVULocality factorAdjusted
Physician work0.74× 1.0170.7526
Practice expense2.99× 1.0963.2770
Malpractice0.05× 0.5360.0268
Total RVUs4.0564
Conversion factor× 33.4009

Office / nonfacility rate, Madera$135.49

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 77067 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.741.017
Practice expense2.991.096
Malpractice0.050.536

(0.74 × 1.017 + 2.99 × 1.096 + 0.05 × 0.536) × $33.4009 = $135.49

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

77067 · Office / nonfacility

$135.49

Effective 2026-10-01

The base rate is $2.18 higher than on 2025-10-01, moving from $133.31 to $135.49 (1.6%).

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

    $133.31changed to$135.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.76 changed to 0.74
    • Practice expense RVU 3.04 changed to 2.99
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $133.31

    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$135.49Not available in this settingRVU26D
2026-07-01$135.49Not available in this settingRVU26C
2026-04-01$135.49Not available in this settingRVU26B
2026-01-01$135.49Not available in this settingRVU26A
2025-10-01$133.31Not available in this settingRVU25D
2025-07-01$133.31Not available in this settingRVU25C
2025-04-01$133.31Not available in this settingRVU25B
2025-01-01$133.31Not available in this settingRVU25A

77067 billing questions

When should a mammogram be coded as screening rather than diagnostic?

Use 77067 for routine bilateral screening of an asymptomatic patient. Use 77065 or 77066 when the examination evaluates a symptom or an abnormal finding that needs diagnostic workup.

Can CAD be billed separately with this code?

No. Computer-aided detection is included in 77067 when performed, so no separate CAD code is reported.

How is 3D screening tomosynthesis reported with this mammogram?

Report add-on code 77063 for screening digital breast tomosynthesis along with 77067. Code 77063 is not reported alone.

Should modifier 50 be appended?

No. Code 77067 covers both breasts and is priced as bilateral, so modifier 50 does not increase Medicare payment.

How do the radiologist and imaging provider bill this service?

Under the physician fee schedule, the radiologist reports modifier 26 for the interpretation, and the entity furnishing the images reports modifier TC for the technical component. An imaging center furnishing both components reports the global code without either modifier.

What documentation supports reporting 77067?

The record should show a screening indication, bilateral image acquisition, and the radiologist's interpretation. A symptom or abnormal finding requiring evaluation supports diagnostic mammography instead.

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 77067PPRRVU2026_Oct_nonQPP.csv, line 8,982 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet