# CPT 77065

> Medicare paid $125.16 for CPT 77065 in the office (non-facility) setting and $125.16 in a facility under the Q2 2024 Physician Fee Schedule, effective April 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 1.8%.

## 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: Q2 2024 (2024 B)
- Effective: April 1 – June 30, 2024
- Status indicator: A
- Office (non-facility) national allowed amount: $125.16
- Facility national allowed amount: $125.16
- 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: 0.05
- Conversion factor: 33.2875
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2024)
- CMS file: https://www.cms.gov/files/zip/rvu24b-updated-03/18/2024.zip
- Parsed file: PPRRVU24_APR.csv, row 14,409
- Canonical page: https://localishealth.com/cpt/77065/2024/A
- Release-specific citation URL: https://localishealth.com/cpt/77065/2024/B
- Last significant update: 2026-08-04T03:13:49+00:00
