$71.12–$80.87
77053 describes duct imaging of one breast; 77054 is for bilateral duct imaging.
On this page
CMS RVU26D · Effective 2026-10-01
77053 Mammary duct X-ray Medicare reimbursement rates in Washington
Reports contrast imaging of one breast duct, typically during evaluation of unilateral nipple discharge when the ductal system needs focused assessment. Compare 77053 office and facility rates across CMS payment localities in Washington.
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 77053 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$55.16–$62.68
2 of 2 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.
Breast imaging
About 77053: Unilateral mammary ductogram imaging
Reports contrast imaging of one breast duct, typically during evaluation of unilateral nipple discharge when the ductal system needs focused assessment.
A ductogram images the milk ducts of one breast after a radiologist or other qualified imaging professional cannulates a duct opening at the nipple and introduces contrast. Mammographic images then show the opacified ductal pathway and may help assess an abnormality associated with nipple discharge, such as a suspected intraductal lesion. This is a focused duct study, not a routine screening mammogram or a standard diagnostic mammogram of the breast.
Select this unilateral service when only one breast is examined; use 77054 for a bilateral ductogram. Documentation should identify the side, clinical reason for the study, duct cannulation and contrast administration, imaging performed, and interpretation. The service has professional and technical components: report modifier 26 for interpretation only, modifier TC for equipment and staff only, or no component modifier when billing the global service.
CMS billing rules for 77053
- 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 RVU0.35 · 22%
- Practice expense (office) RVU1.21 · 76%
- Malpractice RVU0.03 · 2%
90
Medicare services in 2024 · #4964 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.
77053 compared with similar codes
Office rates for Washington, from the same CMS release.
$128.84–$146.55
77065 is unilateral diagnostic mammography. Use 77053 for a focused contrast study of one breast duct.
$163.21–$185.73
77066 is bilateral diagnostic mammography, while 77053 images a duct in one breast after contrast administration.
Compare 77053 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.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
$55.16
Facility
Unavailable
Seattle (King Cnty) →
Office / nonfacility
$62.68
Facility
Unavailable
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77053 billing questions
When should 77053 be selected instead of 77054?
Use 77053 for a ductogram of one breast. Use 77054 when the ductogram is bilateral.
Is this the same as a diagnostic mammogram?
No. A ductogram opacifies and images a breast duct after contrast is introduced through the nipple. Diagnostic mammography images breast tissue without that duct cannulation and contrast study.
How should the professional and technical portions be reported?
Use modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither when billing the global service.
What documentation supports reporting 77053?
Record the unilateral side, the indication for duct imaging, the duct cannulated, contrast administration, images obtained, and the interpretation.
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.
8,95877049,,Mri breast c-+ w/cad bi,A,,2.24,7.77,,7.77,NA,0.16,10.17,10.17,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,95977049,26,Mri breast c-+ w/cad bi,A,,2.24,0.80,,0.80,,0.13,3.17,3.17,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,96077049,TC,Mri breast c-+ w/cad bi,A,,0.00,6.97,,6.97,NA,0.03,7.00,7.00,1,XXX,0.00,0.00,0.00,4,2,0,0,0,9,,33.4009,02,0,88,0.00,0.00,0.00
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