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CPT 77066 Medicare payment status

Bilateral Diagnostic Mammography

Unable to determine from available CMS sources

77066 · PFS Q4 2017 · Historical

No national PFS rate in Q4 2017

Status I is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

CMS RVU17DOctober 1 – December 31, 2017

PFS status evidence

Physician relative value file (Q4 2017) · rvu17d.zip (PPRRVU17_OCT.csv row 12,656)
Inspect PFS status evidence
Code
77066
Release
Q4 2017, revision 1
Result
Unable to determine from available CMS sources

Citations

  • Shows this code’s PFS status (I). Result: Unable to determine from available CMS sources.

    Physician relative value file (PPRRVU)CMS RVU17DOctober 1 – December 31, 2017

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU17_OCT.csv row 12,656 in rvu17d.zip

    In the CMS file

    Loading rows 12,654–12,658 of PPRRVU17_OCT.csv…

    Download rvu17d.zip from CMS File fingerprint 4ec25bedea18799c66d10002a3731757548ccfd70e37379c856bb8a1fafe8da4

Report a problem

CPT 77066 has no published national rate. It carries status I (not valid) in the Q4 2017 release. Medicare uses a different code to report and pay for this service. The blank amount means unpriced, not $0.

Why is there no national PFS amount for 77066?

Its status indicator is I (not valid). Medicare uses a different code to report and pay for this service. Status I is not separately payable under the PFS.

Contract rate as % of Medicare Copy link

Arbitration outcomes for 77066 are coming Join the waitlist →

Which billing rules and modifiers apply? Copy link

CMS indicators that apply to 77066: PCTC 1 (splits into professional and technical).

Professional/technical split

Splits into professional and technical

PCTC

1

This procedure splits into a professional component (modifier 26) and a technical component (modifier TC), each separately payable.

Global surgery period XXX (does not apply).

Why would a Medicare claim for 77066 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is I (not valid)—Medicare uses a different code to report and pay for this service. See status indicators
  • 77066 splits into a professional component (modifier 26) and a technical component (modifier TC)—a claim for only one part needs that modifier to price correctly. See billing policy

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

CMS RVU17DOctober 1 – December 31, 2017

Can you bill it with another code? Copy link

This code

77066

See every current NCCI pair for 77066 →

Why a 77066 line may not pay separately Copy link

Checking a paid 77066 line?

Check an actual payment Model this code in a contract
What to check (3)

CMS publishes no separately payable amount for 77066 in this release, so reconciling the line means establishing which status governed the date of service rather than chasing a fee-schedule difference.

  • Confirm the status that governed the date of service before working this line as a short payment—CMS publishes no separately payable fee-schedule amount for it in this release.
  • Confirm which component the line carried before comparing anything: the same code prices three ways—globally, as a professional component with modifier 26, and as a technical component with modifier TC.
  • Reprice the line against the release, locality, setting, modifier and participation status that applied to the date of service before treating any difference as an underpayment.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Medicare Physician Fee Schedule Relative Value Files (status indicator field); CMS Medicare Claims Processing Manual (Pub. 100-04).

Source & method Copy link

  1. 01 PPRRVU17_OCT.csv · Q4 2017 (RVU17D) · row 12,656—status I, RVUs limits
    Source
    Physician relative value file (PPRRVU), Q4 2017 release
    Effective
    October 1 – December 31, 2017
    Locator
    PPRRVU17_OCT.csv in rvu17d.zip · row 12,656 of 16,498 · via CMS
    Fields read
    Status I (col 4)
    SHA-256 4ec25bedea18799c…
    Doesn’t establish
    A locality-adjusted allowed amount, or the payment after sequestration. National baselines use GPCI 1.000 and exclude sequestration.
    Note
    Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero.
  2. 02 Physician & Other Practitioners · CY2024—volume and who bills it limits
    Source
    CMS Physician & Other Practitioners dataset
    Effective
    Calendar-year snapshot, on a different cycle from the Q4 2017 fee schedule
    Doesn’t establish
    Medicare Advantage, Medicaid or commercial volume.
    Note
    The dataset suppresses rows under 11 beneficiaries.

Cite this rate

CPT 77066 National PFS baseline: No national PFS rate (Q4 2017; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU17D, PPRRVU17_OCT.csv row 12,656. Localis. https://localishealth.com/cpt/77066/2017/D

Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON

How has it changed? Copy link

$156.98 Office (non-facility) and $156.98 Facility since Jan 1, 2026, after a +2.2% increase in the Office (non-facility) amount. -9.9% decrease since Q1 2018; peak $174.24 in Q1 2018.

  1. Jan 1, 2026 – present

    Q1 2026

    Still in effect · 4 releases at this rate
    Office
    $156.98 (+$3.33, +2.2% increase)
    Facility
    $156.98 (+$3.33, +2.2% increase)

    Q1 2026 Jan 1, 2026 – Mar 31, 2026 · Q2 2026 Apr 1, 2026 – Jun 30, 2026 · Q3 2026 Jul 1, 2026 – Sep 30, 2026 · Q4 2026 Oct 1, 2026 – present

  2. Jan 1, 2025 – Dec 31, 2025

    Q1 2025

    4 releases at this rate
    Office
    $153.65 (−$4.80, -3.0% decrease)
    Facility
    $153.65 (−$4.80, -3.0% decrease)

    Q1 2025 Jan 1, 2025 – Mar 31, 2025 · Q2 2025 Apr 1, 2025 – Jun 30, 2025 · Q3 2025 Jul 1, 2025 – Sep 30, 2025 · Q4 2025 Oct 1, 2025 – Dec 31, 2025

  3. Mar 9, 2024 – Dec 31, 2024

    Q1 2024

    4 releases at this rate
    Office
    $158.45 (+$2.59, +1.7% increase)
    Facility
    $158.45 (+$2.59, +1.7% increase)

    Q1 2024 Mar 9, 2024 – Mar 31, 2024 · Q2 2024 Apr 1, 2024 – Jun 30, 2024 · Q3 2024 Jul 1, 2024 – Sep 30, 2024 · Q4 2024 Oct 1, 2024 – Dec 31, 2024

  4. Jan 1, 2024 – Mar 8, 2024 · Superseded revision

    Q1 2024 rev 1

    Revision 1, later corrected by CMS
    Office
    $155.86
    Facility
    $155.86

  5. Jan 1, 2023 – Dec 31, 2023

    Q1 2023

    4 releases at this rate
    Office
    $160.63 (−$3.75, -2.3% decrease)
    Facility
    $160.63 (−$3.75, -2.3% decrease)

    Q1 2023 Jan 1, 2023 – Mar 31, 2023 · Q2 2023 Apr 1, 2023 – Jun 30, 2023 · Q3 2023 Jul 1, 2023 – Sep 30, 2023 · Q4 2023 Oct 1, 2023 – Dec 31, 2023

  6. Jan 1, 2022 – Dec 31, 2022

    Q1 2022

    4 releases at this rate
    Office
    $164.38 (−$1.71, -1.0% decrease)
    Facility
    $164.38 (−$1.71, -1.0% decrease)

    Q1 2022 Jan 1, 2022 – Mar 31, 2022 · Q2 2022 Apr 1, 2022 – Jun 30, 2022 · Q3 2022 Jul 1, 2022 – Sep 30, 2022 · Q4 2022 Oct 1, 2022 – Dec 31, 2022

National baseline (GPCI 1.000), before sequestration.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

The 77066 rate last moved in Q1 2026. See its rate history.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

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Usage and related codes Copy link

In CY2024, 77066 ranked #287 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

Services
559,786
Allowed
$47.0M
Beneficiaries
526,992

CY2024 Medicare fee-for-service, from the CMS Physician & Other Practitioners dataset (limits). Localis groups related codes for payment research; the grouping isn't the AMA's code families.