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CMS RVU26D · Effective 2026-10-01

77049 in Redding

Office / nonfacility

$363.39

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 77049: Bilateral breast MRI with contrast and CAD

Bilateral breast MRI performed before and after contrast, with computer-aided detection, for high-risk screening or diagnostic assessment of breast disease.

This service images both breasts using MRI before and after contrast, with computer-aided detection included in the reported service. Radiologists interpret the images in hospital imaging departments and outpatient imaging centers. Common clinical situations include screening patients at elevated breast cancer risk and assessing known breast cancer, such as its extent or response to treatment.

Select this code when the study covers both breasts and includes imaging before and after contrast; the record should support the indication, bilateral examination, contrast protocol, and interpretation. CAD is included rather than reported as a separate service under this code. The code represents bilateral imaging, so modifier 50 does not increase payment. A radiologist may report the professional component with modifier 26, the facility may report the technical component with modifier TC, or one entity may bill the global service without either modifier. When multiple diagnostic imaging procedures are furnished, the CMS multiple-procedure reduction applies to both the technical and professional components.

CMS billing rules for 77049

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 RVU2.24 · 22%
  • Practice expense (office) RVU7.77 · 76%
  • Malpractice RVU0.16 · 2%

138.8K

Medicare services in 2024 · #467 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.

77049 compared with similar codes

Office rates for Redding, from the same CMS release.

77048

Breast MRI

Unilateral, with and without contrast

$357.86

Both describe breast MRI before and after contrast with CAD; 77049 is bilateral, while 77048 is unilateral.

77047

Breast MRI

Bilateral, without contrast

$231.23

This code is for bilateral MRI without contrast. Choose 77049 when the bilateral examination includes imaging before and after contrast with CAD.

77066

Diagnostic mammogram

Bilateral, including CAD

$167.97

77066 is bilateral diagnostic mammography, not MRI. The modality and examination protocol determine which code describes the service performed.

77067

Screening mammogram

Bilateral, CAD included

$135.49

77067 is bilateral screening mammography. Use 77049 for the bilateral breast MRI service with contrast and CAD, not for mammography.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 77049 is $363.93—$0.54 higher than the $363.39 rate in Redding. Both use the same code, release and participation basis.

77049 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $363.39

  2. Bakersfield

    $363.93

    $0.54 higher than Redding

  3. Chico

    $363.39

    The same base rate than Redding

  4. El Centro

    $363.42

    $0.03 higher than Redding

  5. Fresno

    $363.39

    The same base rate than Redding

  6. Hanford-Corcoran

    $363.39

    The same base rate than Redding

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

    $388.45

    $25.06 higher than Redding

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, 77049 ranges from $300.50 in Arkansas to $460.15 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 · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 77049

    Office

    $424.30

    Facility

    Unavailable

    $60.91 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77049

    Office

    $387.00

    Facility

    Unavailable

    $23.61 higher than Redding for the office setting.

  • Rest Of California

    California · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77049

    Office

    $365.16

    Facility

    Unavailable

    $1.77 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77049

    Office

    $382.20

    Facility

    Unavailable

    $18.81 higher than Redding for the office setting.

  • Salinas

    California · 77049

    Office

    $380.79

    Facility

    Unavailable

    $17.40 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77049

    Office

    $390.35

    Facility

    Unavailable

    $26.96 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77049

    Office

    $450.31

    Facility

    Unavailable

    $86.92 higher than Redding for the office setting.

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

    California · 77049

    Office

    $450.13

    Facility

    Unavailable

    $86.74 higher than Redding for the office setting.

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

    California · 77049

    Office

    $460.15

    Facility

    Unavailable

    $96.76 higher than Redding for the office setting.

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

    California · 77049

    Office

    $459.40

    Facility

    Unavailable

    $96.01 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77049

    Office

    $374.55

    Facility

    Unavailable

    $11.16 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 77049

    Office

    $394.58

    Facility

    Unavailable

    $31.19 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 77049

    Office

    $382.38

    Facility

    Unavailable

    $18.99 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 77049

    Office

    $398.62

    Facility

    Unavailable

    $35.23 higher than Redding for the office setting.

  • Stockton

    California · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 77049

    Office

    $424.04

    Facility

    Unavailable

    $60.65 higher than Redding for the office setting.

  • Visalia

    California · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 77049

    Office

    $363.39

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 77049

    Office

    $390.53

    Facility

    Unavailable

    $27.14 higher than Redding for the office setting.

  • Miami

    Florida · 77049

    Office

    $358.50

    Facility

    Unavailable

    $4.89 lower than Redding for the office setting.

  • Chicago

    Illinois · 77049

    Office

    $348.43

    Facility

    Unavailable

    $14.96 lower than Redding for the office setting.

  • Manhattan

    New York · 77049

    Office

    $389.65

    Facility

    Unavailable

    $26.26 higher than Redding for the office setting.

  • Alaska*

    Alaska · 77049

    Office

    $391.57

    Facility

    Unavailable

    $28.18 higher than Redding for the office setting.

  • Alabama

    Alabama · 77049

    Office

    $304.93

    Facility

    Unavailable

    $58.46 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 77049

    Office

    $300.50

    Facility

    Unavailable

    $62.89 lower than Redding for the office setting.

  • Arizona

    Arizona · 77049

    Office

    $330.87

    Facility

    Unavailable

    $32.52 lower than Redding for the office setting.

  • Colorado

    Colorado · 77049

    Office

    $356.02

    Facility

    Unavailable

    $7.37 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 77049

    Office

    $362.29

    Facility

    Unavailable

    $1.10 lower than Redding for the office setting.

  • Delaware

    Delaware · 77049

    Office

    $336.41

    Facility

    Unavailable

    $26.98 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 77049

    Office

    $347.38

    Facility

    Unavailable

    $16.01 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 77049

    Office

    $330.96

    Facility

    Unavailable

    $32.43 lower than Redding for the office setting.

  • Atlanta

    Georgia · 77049

    Office

    $345.14

    Facility

    Unavailable

    $18.25 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 77049

    Office

    $312.68

    Facility

    Unavailable

    $50.71 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 77049

    Office

    $372.99

    Facility

    Unavailable

    $9.60 higher than Redding for the office setting.

  • Iowa

    Iowa · 77049

    Office

    $314.41

    Facility

    Unavailable

    $48.98 lower than Redding for the office setting.

  • Idaho

    Idaho · 77049

    Office

    $316.11

    Facility

    Unavailable

    $47.28 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 77049

    Office

    $324.34

    Facility

    Unavailable

    $39.05 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 77049

    Office

    $320.12

    Facility

    Unavailable

    $43.27 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 77049

    Office

    $351.34

    Facility

    Unavailable

    $12.05 lower than Redding for the office setting.

  • Indiana

    Indiana · 77049

    Office

    $317.99

    Facility

    Unavailable

    $45.40 lower than Redding for the office setting.

  • Kansas

    Kansas · 77049

    Office

    $312.12

    Facility

    Unavailable

    $51.27 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 77049

    Office

    $310.43

    Facility

    Unavailable

    $52.96 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 77049

    Office

    $325.10

    Facility

    Unavailable

    $38.29 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 77049

    Office

    $309.62

    Facility

    Unavailable

    $53.77 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 77049

    Office

    $392.51

    Facility

    Unavailable

    $29.12 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77049

    Office

    $353.55

    Facility

    Unavailable

    $9.84 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77049

    Office

    $361.10

    Facility

    Unavailable

    $2.29 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 77049

    Office

    $343.11

    Facility

    Unavailable

    $20.28 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 77049

    Office

    $316.91

    Facility

    Unavailable

    $46.48 lower than Redding for the office setting.

  • Southern Maine

    Maine · 77049

    Office

    $335.38

    Facility

    Unavailable

    $28.01 lower than Redding for the office setting.

  • Detroit

    Michigan · 77049

    Office

    $334.27

    Facility

    Unavailable

    $29.12 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 77049

    Office

    $317.80

    Facility

    Unavailable

    $45.59 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 77049

    Office

    $343.45

    Facility

    Unavailable

    $19.94 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 77049

    Office

    $323.73

    Facility

    Unavailable

    $39.66 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 77049

    Office

    $327.24

    Facility

    Unavailable

    $36.15 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 77049

    Office

    $303.73

    Facility

    Unavailable

    $59.66 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 77049

    Office

    $302.22

    Facility

    Unavailable

    $61.17 lower than Redding for the office setting.

  • Montana**

    Montana · 77049

    Office

    $339.68

    Facility

    Unavailable

    $23.71 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 77049

    Office

    $320.37

    Facility

    Unavailable

    $43.02 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 77049

    Office

    $336.51

    Facility

    Unavailable

    $26.88 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 77049

    Office

    $316.38

    Facility

    Unavailable

    $47.01 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 77049

    Office

    $349.66

    Facility

    Unavailable

    $13.73 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 77049

    Office

    $386.29

    Facility

    Unavailable

    $22.90 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 77049

    Office

    $367.07

    Facility

    Unavailable

    $3.68 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 77049

    Office

    $319.22

    Facility

    Unavailable

    $44.17 lower than Redding for the office setting.

  • Nevada**

    Nevada · 77049

    Office

    $339.05

    Facility

    Unavailable

    $24.34 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77049

    Office

    $398.11

    Facility

    Unavailable

    $34.72 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77049

    Office

    $368.83

    Facility

    Unavailable

    $5.44 higher than Redding for the office setting.

  • Queens

    New York · 77049

    Office

    $394.07

    Facility

    Unavailable

    $30.68 higher than Redding for the office setting.

  • Rest Of New York

    New York · 77049

    Office

    $325.12

    Facility

    Unavailable

    $38.27 lower than Redding for the office setting.

  • Ohio

    Ohio · 77049

    Office

    $317.15

    Facility

    Unavailable

    $46.24 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 77049

    Office

    $310.73

    Facility

    Unavailable

    $52.66 lower than Redding for the office setting.

  • Portland

    Oregon · 77049

    Office

    $368.32

    Facility

    Unavailable

    $4.93 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 77049

    Office

    $337.06

    Facility

    Unavailable

    $26.33 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77049

    Office

    $352.71

    Facility

    Unavailable

    $10.68 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77049

    Office

    $318.11

    Facility

    Unavailable

    $45.28 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 77049

    Office

    $342.46

    Facility

    Unavailable

    $20.93 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 77049

    Office

    $349.10

    Facility

    Unavailable

    $14.29 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 77049

    Office

    $319.16

    Facility

    Unavailable

    $44.23 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 77049

    Office

    $336.14

    Facility

    Unavailable

    $27.25 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 77049

    Office

    $313.60

    Facility

    Unavailable

    $49.79 lower than Redding for the office setting.

  • Austin

    Texas · 77049

    Office

    $354.28

    Facility

    Unavailable

    $9.11 lower than Redding for the office setting.

  • Beaumont

    Texas · 77049

    Office

    $315.95

    Facility

    Unavailable

    $47.44 lower than Redding for the office setting.

  • Brazoria

    Texas · 77049

    Office

    $336.77

    Facility

    Unavailable

    $26.62 lower than Redding for the office setting.

  • Dallas

    Texas · 77049

    Office

    $338.56

    Facility

    Unavailable

    $24.83 lower than Redding for the office setting.

  • Fort Worth

    Texas · 77049

    Office

    $336.04

    Facility

    Unavailable

    $27.35 lower than Redding for the office setting.

  • Galveston

    Texas · 77049

    Office

    $337.55

    Facility

    Unavailable

    $25.84 lower than Redding for the office setting.

  • Houston

    Texas · 77049

    Office

    $340.48

    Facility

    Unavailable

    $22.91 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 77049

    Office

    $325.93

    Facility

    Unavailable

    $37.46 lower than Redding for the office setting.

  • Utah

    Utah · 77049

    Office

    $323.57

    Facility

    Unavailable

    $39.82 lower than Redding for the office setting.

  • Virginia

    Virginia · 77049

    Office

    $333.70

    Facility

    Unavailable

    $29.69 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77049

    Office

    $342.46

    Facility

    Unavailable

    $20.93 lower than Redding for the office setting.

  • Vermont

    Vermont · 77049

    Office

    $334.45

    Facility

    Unavailable

    $28.94 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 77049

    Office

    $353.14

    Facility

    Unavailable

    $10.25 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 77049

    Office

    $401.36

    Facility

    Unavailable

    $37.97 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 77049

    Office

    $325.09

    Facility

    Unavailable

    $38.30 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 77049

    Office

    $307.99

    Facility

    Unavailable

    $55.40 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 77049

    Office

    $338.30

    Facility

    Unavailable

    $25.09 lower than Redding for the office setting.

See how rates vary across the country

77049 · 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.

$300.50

$411.77

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$391.571
AL$304.931
AR$300.501
AZ$330.871
CA$363.39–$460.1529
CO$356.021
CT$362.291
DC$390.531
DE$336.411
FL$330.96–$358.503
GA$312.68–$345.142
GU$372.991
HI$372.991
IA$314.411
ID$316.111
IL$320.12–$351.344
IN$317.991
KS$312.121
KY$310.431
LA$309.62–$325.102
MA$353.55–$392.512
MD$343.11–$390.533
ME$316.91–$335.382
MI$317.80–$334.272
MN$343.451
MO$303.73–$327.243
MS$302.221
MT$339.681
NC$320.371
ND$336.511
NE$316.381
NH$349.661
NJ$367.07–$386.292
NM$319.221
NV$339.051
NY$325.12–$398.115
OH$317.151
OK$310.731
OR$337.06–$368.322
PA$318.11–$352.712
PR$342.461
RI$349.101
SC$319.161
SD$336.141
TN$313.601
TX$315.95–$354.288
UT$323.571
VA$333.70–$390.532
VI$342.461
VT$334.451
WA$353.14–$401.362
WI$325.091
WV$307.991
WY$338.301

Explore 77049 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 77049 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$399.73

$363.39 × 110% = $399.73

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 77049 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,958

Code
77049
Physician work
2.24
Practice expense
7.77
Malpractice
0.16

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 77049 in Redding
ComponentRVULocality factorAdjusted
Physician work2.24× 1.0172.2781
Practice expense7.77× 1.0968.5159
Malpractice0.16× 0.5360.0858
Total RVUs10.8798
Conversion factor× 33.4009

Office / nonfacility rate, Redding$363.39

Open 77049 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.241.017
Practice expense7.771.096
Malpractice0.160.536

(2.24 × 1.017 + 7.77 × 1.096 + 0.16 × 0.536) × $33.4009 = $363.39

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

77049 · Office / nonfacility

$363.39

Effective 2026-10-01

The base rate is $3.98 higher than on 2025-10-01, moving from $359.41 to $363.39 (1.1%).

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

    $359.41changed to$363.39

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.30 changed to 2.24
    • Practice expense RVU 7.95 changed to 7.77
    • 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: $359.41

    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$363.39Not available in this settingRVU26D
2026-07-01$363.39Not available in this settingRVU26C
2026-04-01$363.39Not available in this settingRVU26B
2026-01-01$363.39Not available in this settingRVU26A
2025-10-01$359.41Not available in this settingRVU25D
2025-07-01$359.41Not available in this settingRVU25C
2025-04-01$359.41Not available in this settingRVU25B
2025-01-01$359.41Not available in this settingRVU25A

77049 billing questions

When should 77049 be selected instead of 77048?

Use 77049 for a bilateral breast MRI performed before and after contrast with CAD. Code 77048 describes the corresponding unilateral examination.

Is CAD reported separately with 77049?

No. CAD is included in this code’s service; do not report a separate CAD code for the same breast MRI.

Can the radiologist and imaging facility report separate components?

Yes. The interpreting professional may report modifier 26, and the entity providing the equipment and staff may report modifier TC. Without either modifier, the claim represents the global service.

Should modifier 50 be appended for the two breasts?

The code already represents bilateral imaging. CMS pricing does not increase when modifier 50 is appended.

How does the multiple-procedure reduction affect this code?

When the CMS diagnostic imaging multiple-procedure reduction applies, it affects both the professional and technical components of 77049.

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 77049PPRRVU2026_Oct_nonQPP.csv, line 8,958 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet