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77062 Breast tomosynthesis bi

What 77062 is

CMS fee schedule short descriptor: Breast tomosynthesis bi.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 77062 (CY2026)

This code has no Physician Fee Schedule rate: Not valid for Medicare purposes. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 77062 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 77062? These codes are bundled into it

77062 is a Column 1 code in 5 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
0694T3d vol img&rcnstj brst/ax1 - modifier may bypassCheck pair
763763d render w/intrp postproces1 - modifier may bypassCheck pair
763773d render w/intrp postproces1 - modifier may bypassCheck pair
77061Breast tomosynthesis uni0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

77062 is bundled into these codes

77062 appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 77062 is the code that denies.

Column 1 codeShort descriptionModifier indicator
19281Perq device breast 1st imag1Check pair
19282Perq device breast ea imag1Check pair
77067Scr mammo bi incl cad1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.