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See a sample rate comparisonCPT 77065 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.
Mammogram To Aid Diagnosis, X-Ray Images Of Breast(S) Using Computer Assisted Detection System In Order To Facilitate Early Tumor Detection.
| 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 LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77065 |
| Medicaid Fee Schedule | View Medicaid rates for 77065 |
National average reimbursement for CPT 77065 by major payers:
$153.37
$159.56
$162.11
$196.42
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CPT 77065
5 of 25 sample ratesHigher to lower in this preview
Inland Imaging LLC
$422.91Published ratePaul Whaley
Anesthetics Of Worcester PC
$209.16Published rateOmar Usmani
Gila River Health Care Corporation
$161.67Published rateBradley Boyd
Town Center Orthopaedic Associates, P.C.
$120.03Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$48.43Published rate
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See a sample payer proposalCPT 77065 vs. Other Breast, Mammography Codes
The CPT 77065 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 77065 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 |
|---|---|---|
| 76940-CPT | Moderate | Ultrasou Guid For & Mnitor Of Parenchymal Tissue Ablatio, Ultrasound Guidance For And Monitoring Of Parenchymal Tissue Ablatio |
| 77065-CPT | Low | Mammogram To Aid Diagnosis, X-Ray Images Of Breast(S) Using Computer Assisted Detection System In Order To Facilitate Early Tumor Detection. |
| 77066-CPT | Low | Mammogram To Aid Diagnosis, X-Ray Images Of Breast(S) Using Computer Assisted Detection System In Order To Facilitate Early Tumor Detection. |
| 77067-CPT | Low | Mammogram, Routine Screening Mammogram (Low-Dose Breast X-Ray) Of Both Breasts. Includes Computer-Assisted Interpretation Of The Images To Improve The Accuracy Of The Diagnosis. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77065 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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