CPT 77053
Global XXX ActiveX-ray of mammary duct
CPT 77053 Billing & Documentation Guide
CPT code 77053 (X-ray of mammary duct) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.35, a non-facility practice expense RVU of 1.21, and a malpractice RVU of 0.03, a total non-facility RVU of 1.59 and facility RVU of 1.59. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $54.97, though rates vary from $46.92 to $71.79 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 77053, 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 77053 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 2 units of 77053 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 77053
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.35 | 0.35 |
| Practice Expense RVU | 1.21 | 1.21 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.59 | 1.59 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 77053
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 | $60.47 | $60.47 | $56.72 - $71.79 | 29 |
| Florida | $54.19 | $54.19 | $51.83 - $56.3 | 3 |
| Georgia | $51.46 | $51.46 | $48.93 - $53.99 | 2 |
| Illinois | $52.7 | $52.7 | $50.16 - $55.05 | 4 |
| Michigan | $51.05 | $51.05 | $49.72 - $52.38 | 2 |
| North Carolina | $50.04 | $50.04 | $50.04 - $50.04 | 1 |
| New York | $58.69 | $58.69 | $50.79 - $62.35 | 5 |
| Ohio | $49.6 | $49.6 | $49.6 - $49.6 | 1 |
| Pennsylvania | $52.46 | $52.46 | $49.74 - $55.17 | 2 |
| Texas | $52.48 | $52.48 | $49.4 - $55.36 | 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 77053
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77053 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99446 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99449 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99451 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99452 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 77054 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 77053
What does CPT code 77053 mean? +
CPT code 77053 represents: X-ray of mammary duct. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 77053? +
The 2026 Medicare national average non-facility payment for CPT 77053 is $54.97. Rates range from $46.92 to $71.79 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 77053? +
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 77053? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team