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SpecialistBase2026 Compliant

CPT 77067

2026 Billing Guide

Screening Mammography

Reimbursement

$131.93

Threshold

N/A

2026 Status

Active

What is CPT Code 77067?

CPT 77067 is defined as: A preventive screening mammography procedure consisting of a bilateral, two-view study of each breast (typically craniocaudal and mediolateral oblique views). This code includes computer-aided detection (CAD) if performed. It is intended for asymptomatic women to detect early signs of breast cancer. Under the Affordable Care Act (ACA), this service is covered by Medicare with no patient cost-sharing (no deductible or coinsurance).

This code is primarily used for Specialist services. It falls under the category of Radiology / Breast Mammography and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0.85

Physician Effort

PE (Non-Fac)

3

Practice Expense

Malpractice

0.1

Risk Factor

Total RVU

3.95

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

efficiency adjustment

Subject to -2.5% Efficiency Adjustment. CMS assumes that digital breast tomosynthesis (DBT) and improved PACS workflows have increased interpretive efficiency.

cost sharing exemption

Remains exempt from the Medicare Part B deductible and coinsurance as a preventive service.

conversion factor

Payment based on the 2026 Non-QP baseline of $33.40.

Administrative Framework

Place of Service

11 (Office)22 (Outpatient Hospital)

NCCI Exclusions

Do not bill with:770637706577066

Key Modifiers

26Professional component for the radiologist's interpretation.
GGPerformance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day. Used when a screening turns into a diagnostic study due to a finding.

Operational Requirements

frequency

Medicare covers one screening mammogram every 12 months for women aged 40 and older. One baseline mammogram is covered for women between ages 35-39.

documentation standards

The report must use the BI-RADS (Breast Imaging-Reporting and Data System) assessment categories (0-6).

order not required

Unlike diagnostic tests, a physician's order is NOT required for a screening mammogram under Medicare; patients may self-refer.

cad inclusion

CPT 77067 bundled CAD in 2018; do not bill separate CAD codes (e.g., 77051/77052 are obsolete).

Compliance Checklist

Detailed time tracking (cumulative for the month).
Specific clinical decision-making documentation.
Electronic care plan availability and access log.

Audit Defense

No specific audit defense elements defined.

2026 Update

Work RVU reduced by 2.5% Efficiency Adjustment. Remains a zero-cost-sharing preventive service for patients.

Common Clinical Scenarios

No clinical examples provided.

Target Specialties & Utilization

RadiologyPrimary CareOB/GYN

Typical Clinical Indications (ICD-10)

Z12.31 (Encounter for screening mammogram for malignant neoplasm of breast)

Frequently Asked Questions

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