CPT 77048
Global XXX ActiveMri breast c-+ w/cad uni
CPT 77048 Billing & Documentation Guide
CPT code 77048 (Mri breast c-+ w/cad uni) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.05, a non-facility practice expense RVU of 7.8, and a malpractice RVU of 0.15, a total non-facility RVU of 10 and facility RVU of 10. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $346.06, though rates vary from $294.84 to $454.37 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77048, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 77048 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 77048 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 77048
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.05 | 2.05 |
| Practice Expense RVU | 7.8 | 7.8 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 10 | 10 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77048
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $381.92 | $381.92 | $357.86 - $454.37 | 29 |
| Florida | $339.62 | $339.62 | $325.07 - $352.35 | 3 |
| Georgia | $323.11 | $323.11 | $306.83 - $339.39 | 2 |
| Illinois | $330.02 | $330.02 | $314.16 - $345.39 | 4 |
| Michigan | $320.16 | $320.16 | $311.99 - $328.33 | 2 |
| North Carolina | $314.75 | $314.75 | $314.75 - $314.75 | 1 |
| New York | $369.17 | $369.17 | $319.49 - $391.92 | 5 |
| Ohio | $311.38 | $311.38 | $311.38 - $311.38 | 1 |
| Pennsylvania | $329.63 | $329.63 | $312.37 - $346.89 | 2 |
| Texas | $329.99 | $329.99 | $310.21 - $348.69 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 77048
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77048 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0694T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76376 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 77048
What does CPT code 77048 mean? +
CPT code 77048 represents: Mri breast c-+ w/cad uni. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77048? +
The 2026 Medicare national average non-facility payment for CPT 77048 is $346.06. Rates range from $294.84 to $454.37 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77048? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 77048? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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