$198.21–$222.30
Both codes describe breast MRI without contrast; choose 77046 for one breast and 77047 for both.
On this page
CMS RVU26D · Effective 2026-10-01
77047 Breast MRI Medicare reimbursement rates in Texas
Reports bilateral breast MRI performed without contrast, commonly for evaluating breast implant integrity or suspected implant rupture. Compare 77047 office and facility rates across CMS payment localities in Texas.
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 77047 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$201.71–$225.50
8 of 8 localities have a supported rate.
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.
Where 77047 pays more and less in Texas
8 payment localities
$201.71 to $225.50
Radiology
About 77047: Bilateral breast MRI without contrast
Reports bilateral breast MRI performed without contrast, commonly for evaluating breast implant integrity or suspected implant rupture.
This service is an MRI examination of both breasts performed without contrast material. A common use is assessment of breast implants when there is concern for rupture or another implant complication. The study is performed in an MRI department or imaging center, with a radiologist interpreting the images. It is distinct from contrast-enhanced breast MRI used for other diagnostic questions.
Report 77047 when both breasts are imaged without contrast; the documented protocol should support the lack of contrast and bilateral extent. The service may be billed globally, or its professional interpretation and technical performance may be billed separately with modifier 26 or TC. When multiple diagnostic imaging procedures are performed, the multiple-procedure reduction applies to both the professional and technical components. The code is priced for bilateral imaging, so modifier 50 does not increase payment.
CMS billing rules for 77047
- 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 RVU1.56 · 24%
- Practice expense (office) RVU4.82 · 74%
- Malpractice RVU0.10 · 2%
3.6K
Medicare services in 2024 · #2050 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.
77047 compared with similar codes
Office rates for Texas, from the same CMS release.
$310.21–$348.69
77048 is unilateral and includes imaging without and with contrast, including CAD. 77047 is bilateral and performed without contrast.
$315.95–$354.28
Both are bilateral breast MRI codes, but 77049 includes imaging without and with contrast and CAD; 77047 is without contrast.
Compare 77047 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $225.50 | Facility Unavailable |
| Beaumont | Office $201.71 | Facility Unavailable |
| Brazoria | Office $214.67 | Facility Unavailable |
| Dallas | Office $215.79 | Facility Unavailable |
| Fort Worth | Office $214.22 | Facility Unavailable |
| Galveston | Office $215.15 | Facility Unavailable |
| Houston | Office $216.98 | Facility Unavailable |
| Rest Of Texas | Office $207.90 | Facility Unavailable |
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77047 billing questions
How is 77047 distinguished from 77049?
77047 is for bilateral breast MRI without contrast. Use 77049 for bilateral MRI performed without and with contrast, including CAD.
When should 77046 be reported instead?
77046 describes breast MRI without contrast for one breast. Report 77047 when the examination covers both breasts.
Should modifier 50 be added for the bilateral study?
No. 77047 is already priced as a bilateral service, and modifier 50 does not increase payment.
Can the interpretation and imaging service 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 reporting 77047?
Document the clinical reason for the examination, that both breasts were imaged, and that the MRI was performed without contrast. For implant evaluation, record the concern being assessed, such as suspected rupture.
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.
8,94977046,,Mri breast c- unilateral,A,,1.41,4.88,,4.88,NA,0.09,6.38,6.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,7.76,7.76,0.10
8,95077046,26,Mri breast c- unilateral,A,,1.41,0.50,,0.50,,0.07,1.98,1.98,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,95177046,TC,Mri breast c- unilateral,A,,0.00,4.38,,4.38,NA,0.02,4.40,4.40,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,7.26,7.26,0.03
8,95277047,,Mri breast c- bilateral,A,,1.56,4.82,,4.82,NA,0.10,6.48,6.48,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,09,0,88,7.81,7.81,0.11
8,95377047,26,Mri breast c- bilateral,A,,1.56,0.55,,0.55,,0.08,2.19,2.19,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,95477047,TC,Mri breast c- bilateral,A,,0.00,4.27,,4.27,NA,0.02,4.29,4.29,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,02,0,88,7.26,7.26,0.03
8,95577048,,Mri breast c-+ w/cad uni,A,,2.05,7.80,,7.80,NA,0.15,10.00,10.00,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00