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CMS RVU26D · Effective 2026-10-01

77046 in Merced

Office / nonfacility

$228.15

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.

Breast imaging

About 77046: Unilateral breast MRI without contrast

Reports a noncontrast MRI examination of one breast, commonly used to assess breast implant integrity or another indication evaluated without contrast.

This code covers MRI imaging of one breast performed without contrast. A common use is evaluating a breast implant for possible rupture or other integrity concerns. A technologist typically acquires the images in an outpatient imaging center or hospital, and a radiologist interprets them. The code is specific to a unilateral, noncontrast examination; it does not describe a contrast-enhanced breast MRI protocol.

Select the code when the documented examination covers one breast and uses no contrast. The order, imaging record, laterality, protocol, and radiologist’s report should support those details and the clinical indication. CMS recognizes separate professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.

CMS billing rules for 77046

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.

Where the value comes from

  • Work RVU1.41 · 22%
  • Practice expense (office) RVU4.88 · 76%
  • Malpractice RVU0.09 · 1%

288

Medicare services in 2024 · #4027 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.

77046 compared with similar codes

Office rates for Merced, from the same CMS release.

77047

Breast MRI

Bilateral, without contrast

$231.23

77047 covers noncontrast MRI of both breasts; 77046 covers one breast.

77048

Breast MRI

Unilateral, with and without contrast

$357.86

77048 is for a unilateral MRI performed without and with contrast, including CAD when performed. 77046 is a unilateral noncontrast examination.

77049

Breast MRI

Bilateral, without and with contrast

$363.39

77049 covers bilateral MRI performed without and with contrast, including CAD when performed. 77046 covers one breast without contrast.

77065

Diagnostic mammogram

One breast, CAD included

$132.61

77065 reports unilateral diagnostic mammography, not MRI. Choose based on the imaging modality and examination actually performed.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 77046 is $228.46—$0.31 higher than the $228.15 rate in Merced. Both use the same code, release and participation basis.

77046 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $228.15

  2. $0.31 higher than Merced

  3. Chico

    $228.15

    The same base rate than Merced

  4. El Centro

    $228.17

    $0.02 higher than Merced

  5. Fresno

    $228.15

    The same base rate than Merced

  6. The same base rate than Merced

  7. $15.70 higher than Merced

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, 77046 ranges from $188.66 in Arkansas to $288.93 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
  • Madera

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Modesto

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Napa

    California · 77046

    Office

    $266.42

    Facility

    Unavailable

    $38.27 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77046

    Office

    $242.95

    Facility

    Unavailable

    $14.80 higher than Merced for the office setting.

  • Redding

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77046

    Office

    $229.15

    Facility

    Unavailable

    $1.00 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77046

    Office

    $239.97

    Facility

    Unavailable

    $11.82 higher than Merced for the office setting.

  • Salinas

    California · 77046

    Office

    $239.08

    Facility

    Unavailable

    $10.93 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77046

    Office

    $245.08

    Facility

    Unavailable

    $16.93 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77046

    Office

    $282.77

    Facility

    Unavailable

    $54.62 higher than Merced for the office setting.

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

    California · 77046

    Office

    $282.67

    Facility

    Unavailable

    $54.52 higher than Merced for the office setting.

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

    California · 77046

    Office

    $288.93

    Facility

    Unavailable

    $60.78 higher than Merced for the office setting.

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

    California · 77046

    Office

    $288.51

    Facility

    Unavailable

    $60.36 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77046

    Office

    $235.16

    Facility

    Unavailable

    $7.01 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 77046

    Office

    $247.74

    Facility

    Unavailable

    $19.59 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 77046

    Office

    $240.08

    Facility

    Unavailable

    $11.93 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 77046

    Office

    $250.28

    Facility

    Unavailable

    $22.13 higher than Merced for the office setting.

  • Stockton

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 77046

    Office

    $266.27

    Facility

    Unavailable

    $38.12 higher than Merced for the office setting.

  • Visalia

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 77046

    Office

    $228.15

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77046

    Office

    $244.99

    Facility

    Unavailable

    $16.84 higher than Merced for the office setting.

  • Miami

    Florida · 77046

    Office

    $224.38

    Facility

    Unavailable

    $3.77 lower than Merced for the office setting.

  • Chicago

    Illinois · 77046

    Office

    $218.14

    Facility

    Unavailable

    $10.01 lower than Merced for the office setting.

  • Manhattan

    New York · 77046

    Office

    $244.28

    Facility

    Unavailable

    $16.13 higher than Merced for the office setting.

  • Alaska*

    Alaska · 77046

    Office

    $245.89

    Facility

    Unavailable

    $17.74 higher than Merced for the office setting.

  • Alabama

    Alabama · 77046

    Office

    $191.42

    Facility

    Unavailable

    $36.73 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 77046

    Office

    $188.66

    Facility

    Unavailable

    $39.49 lower than Merced for the office setting.

  • Arizona

    Arizona · 77046

    Office

    $207.61

    Facility

    Unavailable

    $20.54 lower than Merced for the office setting.

  • Colorado

    Colorado · 77046

    Office

    $223.44

    Facility

    Unavailable

    $4.71 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 77046

    Office

    $227.22

    Facility

    Unavailable

    $0.93 lower than Merced for the office setting.

  • Delaware

    Delaware · 77046

    Office

    $211.07

    Facility

    Unavailable

    $17.08 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 77046

    Office

    $217.65

    Facility

    Unavailable

    $10.50 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 77046

    Office

    $207.44

    Facility

    Unavailable

    $20.71 lower than Merced for the office setting.

  • Atlanta

    Georgia · 77046

    Office

    $216.45

    Facility

    Unavailable

    $11.70 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 77046

    Office

    $196.07

    Facility

    Unavailable

    $32.08 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 77046

    Office

    $234.16

    Facility

    Unavailable

    $6.01 higher than Merced for the office setting.

  • Iowa

    Iowa · 77046

    Office

    $197.43

    Facility

    Unavailable

    $30.72 lower than Merced for the office setting.

  • Idaho

    Idaho · 77046

    Office

    $198.47

    Facility

    Unavailable

    $29.68 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 77046

    Office

    $203.11

    Facility

    Unavailable

    $25.04 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 77046

    Office

    $200.61

    Facility

    Unavailable

    $27.54 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 77046

    Office

    $220.15

    Facility

    Unavailable

    $8.00 lower than Merced for the office setting.

  • Indiana

    Indiana · 77046

    Office

    $199.65

    Facility

    Unavailable

    $28.50 lower than Merced for the office setting.

  • Kansas

    Kansas · 77046

    Office

    $195.96

    Facility

    Unavailable

    $32.19 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 77046

    Office

    $194.75

    Facility

    Unavailable

    $33.40 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 77046

    Office

    $203.89

    Facility

    Unavailable

    $24.26 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 77046

    Office

    $194.23

    Facility

    Unavailable

    $33.92 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 77046

    Office

    $246.32

    Facility

    Unavailable

    $18.17 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77046

    Office

    $221.88

    Facility

    Unavailable

    $6.27 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77046

    Office

    $226.46

    Facility

    Unavailable

    $1.69 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 77046

    Office

    $215.28

    Facility

    Unavailable

    $12.87 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 77046

    Office

    $198.92

    Facility

    Unavailable

    $29.23 lower than Merced for the office setting.

  • Southern Maine

    Maine · 77046

    Office

    $210.52

    Facility

    Unavailable

    $17.63 lower than Merced for the office setting.

  • Detroit

    Michigan · 77046

    Office

    $209.46

    Facility

    Unavailable

    $18.69 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 77046

    Office

    $199.30

    Facility

    Unavailable

    $28.85 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 77046

    Office

    $215.71

    Facility

    Unavailable

    $12.44 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 77046

    Office

    $203.09

    Facility

    Unavailable

    $25.06 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 77046

    Office

    $205.28

    Facility

    Unavailable

    $22.87 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 77046

    Office

    $190.53

    Facility

    Unavailable

    $37.62 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 77046

    Office

    $189.66

    Facility

    Unavailable

    $38.49 lower than Merced for the office setting.

  • Montana**

    Montana · 77046

    Office

    $213.09

    Facility

    Unavailable

    $15.06 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 77046

    Office

    $201.09

    Facility

    Unavailable

    $27.06 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 77046

    Office

    $211.31

    Facility

    Unavailable

    $16.84 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 77046

    Office

    $198.68

    Facility

    Unavailable

    $29.47 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 77046

    Office

    $219.40

    Facility

    Unavailable

    $8.75 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 77046

    Office

    $242.35

    Facility

    Unavailable

    $14.20 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 77046

    Office

    $230.27

    Facility

    Unavailable

    $2.12 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 77046

    Office

    $200.17

    Facility

    Unavailable

    $27.98 lower than Merced for the office setting.

  • Nevada**

    Nevada · 77046

    Office

    $212.76

    Facility

    Unavailable

    $15.39 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77046

    Office

    $249.49

    Facility

    Unavailable

    $21.34 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77046

    Office

    $231.33

    Facility

    Unavailable

    $3.18 higher than Merced for the office setting.

  • Queens

    New York · 77046

    Office

    $247.11

    Facility

    Unavailable

    $18.96 higher than Merced for the office setting.

  • Rest Of New York

    New York · 77046

    Office

    $204.06

    Facility

    Unavailable

    $24.09 lower than Merced for the office setting.

  • Ohio

    Ohio · 77046

    Office

    $198.94

    Facility

    Unavailable

    $29.21 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 77046

    Office

    $194.99

    Facility

    Unavailable

    $33.16 lower than Merced for the office setting.

  • Portland

    Oregon · 77046

    Office

    $231.17

    Facility

    Unavailable

    $3.02 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 77046

    Office

    $211.55

    Facility

    Unavailable

    $16.60 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77046

    Office

    $221.21

    Facility

    Unavailable

    $6.94 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77046

    Office

    $199.57

    Facility

    Unavailable

    $28.58 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 77046

    Office

    $214.85

    Facility

    Unavailable

    $13.30 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 77046

    Office

    $219.05

    Facility

    Unavailable

    $9.10 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 77046

    Office

    $200.26

    Facility

    Unavailable

    $27.89 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 77046

    Office

    $211.10

    Facility

    Unavailable

    $17.05 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 77046

    Office

    $196.87

    Facility

    Unavailable

    $31.28 lower than Merced for the office setting.

  • Austin

    Texas · 77046

    Office

    $222.30

    Facility

    Unavailable

    $5.85 lower than Merced for the office setting.

  • Beaumont

    Texas · 77046

    Office

    $198.21

    Facility

    Unavailable

    $29.94 lower than Merced for the office setting.

  • Brazoria

    Texas · 77046

    Office

    $211.35

    Facility

    Unavailable

    $16.80 lower than Merced for the office setting.

  • Dallas

    Texas · 77046

    Office

    $212.44

    Facility

    Unavailable

    $15.71 lower than Merced for the office setting.

  • Fort Worth

    Texas · 77046

    Office

    $210.85

    Facility

    Unavailable

    $17.30 lower than Merced for the office setting.

  • Galveston

    Texas · 77046

    Office

    $211.82

    Facility

    Unavailable

    $16.33 lower than Merced for the office setting.

  • Houston

    Texas · 77046

    Office

    $213.46

    Facility

    Unavailable

    $14.69 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 77046

    Office

    $204.49

    Facility

    Unavailable

    $23.66 lower than Merced for the office setting.

  • Utah

    Utah · 77046

    Office

    $203.01

    Facility

    Unavailable

    $25.14 lower than Merced for the office setting.

  • Virginia

    Virginia · 77046

    Office

    $209.44

    Facility

    Unavailable

    $18.71 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77046

    Office

    $214.85

    Facility

    Unavailable

    $13.30 lower than Merced for the office setting.

  • Vermont

    Vermont · 77046

    Office

    $209.98

    Facility

    Unavailable

    $18.17 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 77046

    Office

    $221.63

    Facility

    Unavailable

    $6.52 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 77046

    Office

    $251.90

    Facility

    Unavailable

    $23.75 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 77046

    Office

    $204.17

    Facility

    Unavailable

    $23.98 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 77046

    Office

    $193.04

    Facility

    Unavailable

    $35.11 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 77046

    Office

    $212.32

    Facility

    Unavailable

    $15.83 lower than Merced for the office setting.

See how rates vary across the country

77046 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$188.66

$258.54

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$245.891
AL$191.421
AR$188.661
AZ$207.611
CA$228.15–$288.9329
CO$223.441
CT$227.221
DC$244.991
DE$211.071
FL$207.44–$224.383
GA$196.07–$216.452
GU$234.161
HI$234.161
IA$197.431
ID$198.471
IL$200.61–$220.154
IN$199.651
KS$195.961
KY$194.751
LA$194.23–$203.892
MA$221.88–$246.322
MD$215.28–$244.993
ME$198.92–$210.522
MI$199.30–$209.462
MN$215.711
MO$190.53–$205.283
MS$189.661
MT$213.091
NC$201.091
ND$211.311
NE$198.681
NH$219.401
NJ$230.27–$242.352
NM$200.171
NV$212.761
NY$204.06–$249.495
OH$198.941
OK$194.991
OR$211.55–$231.172
PA$199.57–$221.212
PR$214.851
RI$219.051
SC$200.261
SD$211.101
TN$196.871
TX$198.21–$222.308
UT$203.011
VA$209.44–$244.992
VI$214.851
VT$209.981
WA$221.63–$251.902
WI$204.171
WV$193.041
WY$212.321

Explore 77046 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77046 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$250.97

$228.15 × 110% = $250.97

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 77046 in Merced.

PPRRVU2026_Oct_nonQPP.csv

8,949

Code
77046
Physician work
1.41
Practice expense
4.88
Malpractice
0.09

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77046 in Merced
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0171.4340
Practice expense4.88× 1.0965.3485
Malpractice0.09× 0.5360.0482
Total RVUs6.8307
Conversion factor× 33.4009

Office / nonfacility rate, Merced$228.15

Open 77046 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.411.017
Practice expense4.881.096
Malpractice0.090.536

(1.41 × 1.017 + 4.88 × 1.096 + 0.09 × 0.536) × $33.4009 = $228.15

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

77046 · Office / nonfacility

$228.15

Effective 2026-10-01

The base rate is $5.20 higher than on 2025-10-01, moving from $222.95 to $228.15 (2.3%).

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

    $222.95changed to$228.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.45 changed to 1.41
    • Practice expense RVU 4.92 changed to 4.88
    • Malpractice RVU 0.08 changed to 0.09
    • 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: $222.95

    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$228.15Not available in this settingRVU26D
2026-07-01$228.15Not available in this settingRVU26C
2026-04-01$228.15Not available in this settingRVU26B
2026-01-01$228.15Not available in this settingRVU26A
2025-10-01$222.95Not available in this settingRVU25D
2025-07-01$222.95Not available in this settingRVU25C
2025-04-01$222.95Not available in this settingRVU25B
2025-01-01$222.95Not available in this settingRVU25A

77046 billing questions

When should 77046 be used instead of 77047?

Use 77046 for a noncontrast MRI of one breast. Use 77047 when the noncontrast examination covers both breasts.

How does 77046 differ from 77048?

77046 is unilateral and performed without contrast. 77048 is unilateral and uses a without-and-with-contrast protocol, including CAD when performed.

Can the professional and technical portions 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.

Does a multiple imaging reduction affect 77046?

CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.

What documentation supports reporting 77046?

The record should establish the clinical indication, the breast examined, the noncontrast protocol, the imaging performed, and the radiologist’s interpretation.

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 77046PPRRVU2026_Oct_nonQPP.csv, line 8,949 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)