CPT code 77067: Screening mammogram2026 Medicare rate & RVUs in Alabama
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.
Medicare pays $113.05 for 77067 in the office in Alabama (Alabama). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 77067 covers
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.
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 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $113.05 | Unavailable |
How the 77067 rate is calculated
Each of 77067’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 77067
RVUs × geographic indexes × conversion factor
Work0.74
0.74 RVUs× 1.000 GPCI
Practice expense2.99
2.99 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
3.7800
Conversion factor
$33.4009
Medicare rate
$126.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 77067
The CMS indicators that decide how 77067 is paid alongside other services.
CMS payment indicators · 77067
Screening mammogram
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
77067 without 26 · national office
$126.26
Screening mammogram
77067-26 · Professional component
$35.07
Pays only the interpretation and report.
77067 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 77066Diagnostic mammogram
- 77066 is a bilateral diagnostic mammogram for symptoms or findings needing evaluation; 77067 is for bilateral screening of an asymptomatic patient.
- 77063Screening breast tomosynthesis
- 77063 is the screening tomosynthesis add-on reported with 77067 when performed; it does not replace the screening mammogram code.
- 77062Breast tomosynthesis bi
- 77062 is bilateral diagnostic tomosynthesis, reported with diagnostic mammography when performed. Screening tomosynthesis is reported with add-on code 77063 alongside 77067.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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