Radiology · CMS status A
77063
DBT screening, bilateral (add-on)
Screening digital breast tomosynthesis (DBT), bilateral, add-on code. CMS 2026 global wRVU 0.45, total RVU approximately 1.29, Medicare global allowable approximately $43. Reported in addition to 77067 (screening mammography bilateral) when 3D tomosynthesis is also performed.
Work RVU
0.45
2026 Medicare pays
$43.09
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.45 + Practice 0.81 + Malpractice 0.03 = 1.29 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 77063 is locked
- When to use it: the exact clinical situations that support billing 77063
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 4 mistakes that get 77063 downcoded or denied
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Common modifiers
26TC
Common ICD-10 pairings
Z12.31
Payer notes
Medicare and most commercial payers cover 77063 when paired with screening 77067. ACA preventive screening cost-share waiver typically extends to DBT as part of routine screening. Some commercial plans still apply a small DBT-specific cost share; verify with the patient's benefit. The clinical case for DBT is stronger in women with dense breasts (BI-RADS density C or D).
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.