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CMS RVU26D · Effective 2026-10-01

77065 in Wyoming**

Office / nonfacility

$123.40

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 77065: Unilateral diagnostic mammography with CAD

Diagnostic mammography of a single breast, including computer-aided detection when used, reported for a symptom, a callback from screening, or follow-up of a known finding.

This service is a problem-focused mammographic exam of one breast. It is ordered for a palpable lump, focal pain, nipple discharge, or skin change; a callback for an area of concern on screening; or short-interval follow-up of a probably benign finding. A technologist obtains views tailored to the question, such as spot compression or magnification views when indicated. A radiologist interprets the images and issues a report with a BI-RADS assessment and recommendations. A targeted breast ultrasound may also be performed to evaluate the area of concern.

Report 77065 when one breast is imaged diagnostically; use 77066 when both breasts receive diagnostic mammography. Identify the examined breast with RT or LT. Computer-aided detection, when performed, is included rather than separately billed. The order and report should document the reason for the diagnostic exam and the side examined. For component billing, modifier 26 identifies the radiologist's interpretation, while modifier TC identifies equipment and technologist work. An entity furnishing both components reports the global service without either component modifier.

CMS billing rules for 77065

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.

Where the value comes from

  • Work RVU0.79 · 21%
  • Practice expense (office) RVU2.86 · 77%
  • Malpractice RVU0.06 · 2%

691.9K

Medicare services in 2024 · #186 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.

77065 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

77066

Diagnostic mammogram

Bilateral, including CAD

$156.29

77066 covers diagnostic mammography of both breasts in one session; 77065 covers one breast, identified with RT or LT.

77067

Screening mammogram

Bilateral, CAD included

$125.82

77067 is a bilateral screening study; 77065 is a unilateral diagnostic exam for a symptom, screening callback, or follow-up finding.

77061

Breast tomosynthesis uni

No office rate

77061 is a unilateral diagnostic tomosynthesis add-on for payers recognizing that CPT code, not a substitute for 77065. Medicare reports G0279 with 77065 when diagnostic tomosynthesis is performed.

The same code, a different location

How does Wyoming** compare?

77065 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $123.40

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

    $141.81

    $18.41 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $142.57

    $19.17 higher than Wyoming**

  4. Miami

    $130.90

    $7.50 higher than Wyoming**

  5. Chicago

    $127.17

    $3.77 higher than Wyoming**

  6. Manhattan

    $142.26

    $18.86 higher than Wyoming**

  7. Alaska*

    $142.42

    $19.02 higher than Wyoming**

Other payment areas listed in Wyoming 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, 77065 ranges from $109.48 in Arkansas to $168.11 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

  • Alabama

    Alabama · 77065

    Office

    $111.11

    Facility

    Unavailable

    $12.29 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 77065

    Office

    $109.48

    Facility

    Unavailable

    $13.92 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 77065

    Office

    $120.67

    Facility

    Unavailable

    $2.73 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 77065

    Office

    $132.81

    Facility

    Unavailable

    $9.41 higher than Wyoming** for the office setting.

  • Chico

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • El Centro

    California · 77065

    Office

    $132.62

    Facility

    Unavailable

    $9.22 higher than Wyoming** for the office setting.

  • Fresno

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Madera

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Merced

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Modesto

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Napa

    California · 77065

    Office

    $154.97

    Facility

    Unavailable

    $31.57 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 77065

    Office

    $141.29

    Facility

    Unavailable

    $17.89 higher than Wyoming** for the office setting.

  • Redding

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 77065

    Office

    $133.27

    Facility

    Unavailable

    $9.87 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 77065

    Office

    $139.51

    Facility

    Unavailable

    $16.11 higher than Wyoming** for the office setting.

  • Salinas

    California · 77065

    Office

    $138.99

    Facility

    Unavailable

    $15.59 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 77065

    Office

    $142.51

    Facility

    Unavailable

    $19.11 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 77065

    Office

    $164.51

    Facility

    Unavailable

    $41.11 higher than Wyoming** for the office setting.

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

    California · 77065

    Office

    $164.44

    Facility

    Unavailable

    $41.04 higher than Wyoming** for the office setting.

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

    California · 77065

    Office

    $168.11

    Facility

    Unavailable

    $44.71 higher than Wyoming** for the office setting.

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

    California · 77065

    Office

    $167.83

    Facility

    Unavailable

    $44.43 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 77065

    Office

    $136.71

    Facility

    Unavailable

    $13.31 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 77065

    Office

    $144.08

    Facility

    Unavailable

    $20.68 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 77065

    Office

    $139.58

    Facility

    Unavailable

    $16.18 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 77065

    Office

    $145.56

    Facility

    Unavailable

    $22.16 higher than Wyoming** for the office setting.

  • Stockton

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Vallejo

    California · 77065

    Office

    $154.87

    Facility

    Unavailable

    $31.47 higher than Wyoming** for the office setting.

  • Visalia

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Yuba City

    California · 77065

    Office

    $132.61

    Facility

    Unavailable

    $9.21 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 77065

    Office

    $129.91

    Facility

    Unavailable

    $6.51 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 77065

    Office

    $132.22

    Facility

    Unavailable

    $8.82 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 77065

    Office

    $122.70

    Facility

    Unavailable

    $0.70 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 77065

    Office

    $126.78

    Facility

    Unavailable

    $3.38 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 77065

    Office

    $120.72

    Facility

    Unavailable

    $2.68 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 77065

    Office

    $125.93

    Facility

    Unavailable

    $2.53 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 77065

    Office

    $113.99

    Facility

    Unavailable

    $9.41 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 77065

    Office

    $136.16

    Facility

    Unavailable

    $12.76 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 77065

    Office

    $114.59

    Facility

    Unavailable

    $8.81 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 77065

    Office

    $115.22

    Facility

    Unavailable

    $8.18 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 77065

    Office

    $118.31

    Facility

    Unavailable

    $5.09 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 77065

    Office

    $116.73

    Facility

    Unavailable

    $6.67 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 77065

    Office

    $128.23

    Facility

    Unavailable

    $4.83 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 77065

    Office

    $115.91

    Facility

    Unavailable

    $7.49 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 77065

    Office

    $113.75

    Facility

    Unavailable

    $9.65 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 77065

    Office

    $113.14

    Facility

    Unavailable

    $10.26 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 77065

    Office

    $118.55

    Facility

    Unavailable

    $4.85 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 77065

    Office

    $112.85

    Facility

    Unavailable

    $10.55 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 77065

    Office

    $143.31

    Facility

    Unavailable

    $19.91 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 77065

    Office

    $129.00

    Facility

    Unavailable

    $5.60 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 77065

    Office

    $131.79

    Facility

    Unavailable

    $8.39 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 77065

    Office

    $125.16

    Facility

    Unavailable

    $1.76 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 77065

    Office

    $115.52

    Facility

    Unavailable

    $7.88 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 77065

    Office

    $122.32

    Facility

    Unavailable

    $1.08 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 77065

    Office

    $121.95

    Facility

    Unavailable

    $1.45 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 77065

    Office

    $115.87

    Facility

    Unavailable

    $7.53 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 77065

    Office

    $125.28

    Facility

    Unavailable

    $1.88 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 77065

    Office

    $118.04

    Facility

    Unavailable

    $5.36 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 77065

    Office

    $119.34

    Facility

    Unavailable

    $4.06 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 77065

    Office

    $110.68

    Facility

    Unavailable

    $12.72 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 77065

    Office

    $110.12

    Facility

    Unavailable

    $13.28 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 77065

    Office

    $123.91

    Facility

    Unavailable

    $0.51 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 77065

    Office

    $116.79

    Facility

    Unavailable

    $6.61 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 77065

    Office

    $122.73

    Facility

    Unavailable

    $0.67 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 77065

    Office

    $115.32

    Facility

    Unavailable

    $8.08 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 77065

    Office

    $127.58

    Facility

    Unavailable

    $4.18 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 77065

    Office

    $141.00

    Facility

    Unavailable

    $17.60 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 77065

    Office

    $133.96

    Facility

    Unavailable

    $10.56 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 77065

    Office

    $116.39

    Facility

    Unavailable

    $7.01 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 77065

    Office

    $123.68

    Facility

    Unavailable

    $0.28 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 77065

    Office

    $145.38

    Facility

    Unavailable

    $21.98 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 77065

    Office

    $134.60

    Facility

    Unavailable

    $11.20 higher than Wyoming** for the office setting.

  • Queens

    New York · 77065

    Office

    $143.88

    Facility

    Unavailable

    $20.48 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 77065

    Office

    $118.55

    Facility

    Unavailable

    $4.85 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 77065

    Office

    $115.62

    Facility

    Unavailable

    $7.78 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 77065

    Office

    $113.25

    Facility

    Unavailable

    $10.15 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 77065

    Office

    $134.43

    Facility

    Unavailable

    $11.03 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 77065

    Office

    $122.94

    Facility

    Unavailable

    $0.46 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 77065

    Office

    $128.70

    Facility

    Unavailable

    $5.30 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 77065

    Office

    $115.97

    Facility

    Unavailable

    $7.43 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 77065

    Office

    $124.94

    Facility

    Unavailable

    $1.54 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 77065

    Office

    $127.35

    Facility

    Unavailable

    $3.95 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 77065

    Office

    $116.36

    Facility

    Unavailable

    $7.04 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 77065

    Office

    $122.59

    Facility

    Unavailable

    $0.81 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 77065

    Office

    $114.30

    Facility

    Unavailable

    $9.10 lower than Wyoming** for the office setting.

  • Austin

    Texas · 77065

    Office

    $129.28

    Facility

    Unavailable

    $5.88 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 77065

    Office

    $115.18

    Facility

    Unavailable

    $8.22 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 77065

    Office

    $122.83

    Facility

    Unavailable

    $0.57 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 77065

    Office

    $123.49

    Facility

    Unavailable

    $0.09 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 77065

    Office

    $122.56

    Facility

    Unavailable

    $0.84 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 77065

    Office

    $123.12

    Facility

    Unavailable

    $0.28 lower than Wyoming** for the office setting.

  • Houston

    Texas · 77065

    Office

    $124.21

    Facility

    Unavailable

    $0.81 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 77065

    Office

    $118.85

    Facility

    Unavailable

    $4.55 lower than Wyoming** for the office setting.

  • Utah

    Utah · 77065

    Office

    $117.98

    Facility

    Unavailable

    $5.42 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 77065

    Office

    $121.70

    Facility

    Unavailable

    $1.70 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 77065

    Office

    $124.94

    Facility

    Unavailable

    $1.54 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 77065

    Office

    $121.97

    Facility

    Unavailable

    $1.43 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 77065

    Office

    $128.84

    Facility

    Unavailable

    $5.44 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 77065

    Office

    $146.55

    Facility

    Unavailable

    $23.15 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 77065

    Office

    $118.52

    Facility

    Unavailable

    $4.88 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 77065

    Office

    $112.27

    Facility

    Unavailable

    $11.13 lower than Wyoming** for the office setting.

See how rates vary across the country

77065 · 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.

$109.48

$150.36

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$142.421
AL$111.111
AR$109.481
AZ$120.671
CA$132.61–$168.1129
CO$129.911
CT$132.221
DC$142.571
DE$122.701
FL$120.72–$130.903
GA$113.99–$125.932
GU$136.161
HI$136.161
IA$114.591
ID$115.221
IL$116.73–$128.234
IN$115.911
KS$113.751
KY$113.141
LA$112.85–$118.552
MA$129.00–$143.312
MD$125.16–$142.573
ME$115.52–$122.322
MI$115.87–$121.952
MN$125.281
MO$110.68–$119.343
MS$110.121
MT$123.911
NC$116.791
ND$122.731
NE$115.321
NH$127.581
NJ$133.96–$141.002
NM$116.391
NV$123.681
NY$118.55–$145.385
OH$115.621
OK$113.251
OR$122.94–$134.432
PA$115.97–$128.702
PR$124.941
RI$127.351
SC$116.361
SD$122.591
TN$114.301
TX$115.18–$129.288
UT$117.981
VA$121.70–$142.572
VI$124.941
VT$121.971
WA$128.84–$146.552
WI$118.521
WV$112.271
WY$123.401

Explore 77065 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 77065 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$135.74

$123.40 × 110% = $135.74

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 77065 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,976

Code
77065
Physician work
0.79
Practice expense
2.86
Malpractice
0.06

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 77065 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.79× 1.0000.7900
Practice expense2.86× 1.0002.8600
Malpractice0.06× 0.7400.0444
Total RVUs3.6944
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$123.40

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

Open 77065 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.791
Practice expense2.861
Malpractice0.060.74

(0.79 × 1 + 2.86 × 1 + 0.06 × 0.74) × $33.4009 = $123.40

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

77065 · Office / nonfacility

$123.40

Effective 2026-10-01

The base rate is $1.96 higher than on 2025-10-01, moving from $121.44 to $123.40 (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

    $121.44changed to$123.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.81 changed to 0.79
    • Practice expense RVU 2.90 changed to 2.86
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $121.44

    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$123.40Not available in this settingRVU26D
2026-07-01$123.40Not available in this settingRVU26C
2026-04-01$123.40Not available in this settingRVU26B
2026-01-01$123.40Not available in this settingRVU26A
2025-10-01$121.44Not available in this settingRVU25D
2025-07-01$121.44Not available in this settingRVU25C
2025-04-01$121.44Not available in this settingRVU25B
2025-01-01$121.44Not available in this settingRVU25A

77065 billing questions

When should the bilateral diagnostic code be used instead?

Report 77066 when both breasts are imaged diagnostically at the same session. Use 77065 when only one breast receives a diagnostic exam, even if the other breast had a screening study earlier.

Can CAD be billed separately with this code?

No. Computer-aided detection is included when performed; do not report a separate CAD code.

How is a same-day screening followed by a diagnostic exam reported to Medicare?

When a screening mammogram leads to a diagnostic mammogram on the same day, report the screening and diagnostic codes and append modifier GG to the diagnostic code.

How is diagnostic tomosynthesis reported with this code for Medicare?

Medicare uses add-on code G0279 for diagnostic digital breast tomosynthesis performed with 77065; it does not replace the diagnostic mammography code.

Which modifiers identify the professional and technical components?

A radiologist billing only the interpretation reports 77065-26. A provider billing only image acquisition reports 77065-TC; an entity furnishing both components reports 77065 without either component modifier.

How is the examined breast identified?

Append RT or LT to 77065 to identify the breast examined.

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 77065PPRRVU2026_Oct_nonQPP.csv, line 8,976 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet