$58.22
This is the closely related mammary duct imaging code. Compare the full CPT descriptors with the documented duct study before choosing between them.
On this page
CMS RVU26D · Effective 2026-10-01
77054 Ductography Medicare reimbursement rates in Hawaii
Reports radiographic imaging of mammary ducts after contrast is introduced into a duct, commonly during evaluation of abnormal nipple discharge. Compare 77054 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 77054 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$75.09
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Breast imaging
About 77054: Mammary duct contrast imaging
Reports radiographic imaging of mammary ducts after contrast is introduced into a duct, commonly during evaluation of abnormal nipple discharge.
This diagnostic breast study uses radiographic imaging to show mammary ducts after contrast is introduced through a nipple duct. It is most often performed by a radiologist in an imaging department when a patient has concerning nipple discharge and duct imaging is part of the evaluation. The images can help locate an abnormality within the ductal system for clinical assessment.
Report the code when the documented service is mammary duct X-ray imaging, rather than routine breast imaging alone. The record should support the clinical indication and the duct imaging performed, including the interpreting physician’s findings. CMS recognizes separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier when billing the global service. The professional and technical services may be billed by different entities when each performs its respective portion.
CMS billing rules for 77054
- 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 RVU0.44 · 21%
- Practice expense (office) RVU1.57 · 77%
- Malpractice RVU0.04 · 2%
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.
77054 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$136.16
77065 reports unilateral diagnostic mammography; 77054 is for mammary duct X-ray imaging after contrast is introduced into a duct.
$172.52
77066 reports bilateral diagnostic mammography; it does not describe the contrast-based imaging of mammary ducts reported with 77054.
Compare 77054 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$75.09
Facility
Unavailable
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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 77054 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
8,964
- Code
- 77054
- Physician work
- 0.44
- Practice expense
- 1.57
- Malpractice
- 0.04
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.000 | 0.4400 |
| Practice expense | 1.57 | × 1.137 | 1.7851 |
| Malpractice | 0.04 | × 0.579 | 0.0232 |
| Total RVUs | 2.2483 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$75.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 1.57 | 1.137 |
| Malpractice | 0.04 | 0.579 |
(0.44 × 1 + 1.57 × 1.137 + 0.04 × 0.579) × $33.4009 = $75.09
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.
77054 billing questions
When is ductography reported instead of diagnostic mammography?
Use this code for imaging of mammary ducts after contrast is introduced into a duct. Diagnostic mammography images breast tissue and is not a substitute for duct imaging.
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.
What documentation supports this service?
Document the clinical reason for duct imaging, the duct study performed, and the radiologist’s interpretation. Abnormal nipple discharge is a common reason for this examination.
Is this code for a routine mammogram?
No. It describes radiographic imaging of mammary ducts, not standard screening or diagnostic mammography.
How should this code be distinguished from 77053?
Both codes concern mammary duct X-ray imaging. Check the full current CPT descriptors and the documented study details to select the applicable code.
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.
8,96177053,,X-ray of mammary duct,A,,0.35,1.21,,1.21,NA,0.03,1.59,1.59,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,7.36,7.36,0.09
8,96277053,26,X-ray of mammary duct,A,,0.35,0.13,,0.13,,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,96377053,TC,X-ray of mammary duct,A,,0.00,1.08,,1.08,NA,0.01,1.09,1.09,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,03,0,99,7.23,7.23,0.07
8,96477054,,X-ray of mammary ducts,A,,0.44,1.57,,1.57,NA,0.04,2.05,2.05,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,7.41,7.41,0.08
8,96577054,26,X-ray of mammary ducts,A,,0.44,0.16,,0.16,,0.03,0.63,0.63,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,96677054,TC,X-ray of mammary ducts,A,,0.00,1.41,,1.41,NA,0.01,1.42,1.42,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,03,0,99,7.25,7.25,0.05
8,96777061,,Breast tomosynthesis uni,I,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014