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See a sample rate comparisonCPT 77049 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Mri Breast C W Cad Bi, Magnetic Resonance Imaging Breast Without And With Contrast Material S Including Computer Aided Detection Cad Real Time Lesion Detection Characterization And Pharmacokinetic Analysis When Performed Bilateral
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Breast, Mammography |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 77049 |
| Medicaid Fee Schedule | View Medicaid rates for 77049 |
National average reimbursement for CPT 77049 by major payers:
$423.31
$660.55
$495.39
$567.92
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CPT 77049
5 of 25 sample ratesHigher to lower in this preview
Elise Connell-Boudoya
Mass General Brigham Incorporated
$1,349.33Published rateLaura Young
$605.76Published rateRonald Pritchard
$237.00Published rateJeremiah Jansen
$129.41Published rateJustin Mccoy
$69.26Published rate
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See a sample payer proposalCPT 77049 vs. Other Breast, Mammography Codes
The CPT 77049 code is part of the Radiology Procedures services used for Breast, Mammography. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 77049 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 77046-CPT | Moderate | Mri Of One Or Both Breasts, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Breasts. Multiple Images May Be Taken. |
| 77047-CPT | Moderate | Mri Of One Or Both Breasts, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of One Or Both Breasts. Multiple Images May Be Taken. |
| 77048-CPT | Moderate | Mri Breast C W Cad Uni, Magnetic Resonance Imaging Breast Without And With Contrast Material S Including Computer Aided Detection Cad Real Time Lesion Detection Characterization And Pharmacokinetic Analysis When Performed Unilateral |
| 77049-CPT | Moderate | Mri Breast C W Cad Bi, Magnetic Resonance Imaging Breast Without And With Contrast Material S Including Computer Aided Detection Cad Real Time Lesion Detection Characterization And Pharmacokinetic Analysis When Performed Bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77049. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77049 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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