# CPT 77065

> Medicare paid $135.87 for CPT 77065 in the office (non-facility) setting and $135.87 in a facility under the Q4 2019 Physician Fee Schedule, effective October 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 1.5%.

## What it is

A mammogram of a single breast performed to investigate a specific problem, with computer-aided detection included when it is used. Diagnostic means the study is driven by a finding - a lump, nipple discharge, focal pain, or something flagged on a screening exam - so the technologist tailors the views and the radiologist typically reviews images while the patient is still there. The one-breast version is used when the concern is confined to a single side.

## Selected release

- Release: Q4 2019 (2019 D)
- Effective: October 1 – December 31, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $135.87
- Facility national allowed amount: $135.87
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.81
- Office (non-facility) practice expense RVU: 2.90
- Facility practice expense RVU: 2.90
- Malpractice RVU: 0.06
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip
- Parsed file: PPRRVU19_OCT.csv, row 13,101
- Canonical page: https://localishealth.com/cpt/77065/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/77065/2019/D
- Last significant update: 2026-08-04T03:09:13+00:00