Radiology · CMS status A
77065
Diagnostic mammography, unilateral
Diagnostic mammography, unilateral. CMS 2026 global wRVU 0.74, total RVU approximately 3.41, Medicare global allowable approximately $114. Used when a clinical indication or recall from screening requires focused imaging of one breast.
Work RVU
0.74
2026 Medicare pays
$113.90
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.74 + Practice 2.62 + Malpractice 0.05 = 3.41 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 77065 is locked
- When to use it: the exact clinical situations that support billing 77065
- Documentation checklist: the 5 elements your note needs before submitting
- Common pitfalls: the 5 mistakes that get 77065 downcoded or denied
Start your free 3-month trial →Every new account gets full Pro Max access for 3 months. No card needed.
Common modifiers
26TCRTLT
Common ICD-10 pairings
N63.10N63.20R92.8Z12.31C50.911
Payer notes
Medicare and commercial payers cover 77065 with a documented diagnostic indication. May have patient cost share under commercial plans (unlike screening). Document the indication clearly so payer can match against medical necessity. Post-treatment surveillance is usually annual for the treated side; bilateral surveillance varies by oncology practice.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.