{
    "code": "77063",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/77063/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/77063/2023/D",
    "description": "The three-dimensional part of a routine screening mammogram, done on both breasts. The X-ray tube sweeps in an arc across the breast and the machine reconstructs the images into thin slices that can be scrolled through like pages, so overlapping tissue is less likely to hide or fake a lesion. It is performed at the same sitting as the standard flat screening mammogram and reported along with it. Screening means the patient has no breast symptoms.",
    "answer": {
        "question": "How much did Medicare pay for CPT 77063 in Q4 2023?",
        "text": "Medicare paid $53.54 for CPT 77063 in the office (non-facility) setting and $53.54 in a facility under the Q4 2023 Physician Fee Schedule, effective October 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 0.8%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "D",
        "label": "Q4 2023",
        "effective": "October 1 – December 31, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 53.54,
        "facility": 53.54,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.6,
        "practice_expense_non_facility": 0.94,
        "practice_expense_facility": 0.94,
        "malpractice": 0.04
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q4 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/D",
        "file": "PPRRVU23_OCT.csv",
        "row": 14073,
        "sha256": "6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd"
    },
    "modified_at": "2026-08-04T03:13:13+00:00"
}
