CPT 2026 · Radiology

CPT 77062

Global XXX

Breast tomosynthesis bi

Effective 2026-04-01 Conv. factor $33.4009
No national RVU
Payment Methodology
I
Status Indicator
10
NCCI Partners
XXX
Global Period
No national RVU

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

CPT 77062 Billing & Documentation Guide

CPT code 77062 (Breast tomosynthesis bi) is classified under Radiology with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 77062, 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 77062 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator
I

Invalid for Medicare; not separately payable

Global Period
XXX

No global period (E/M and other non-procedural services)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service
1
Rationale: Code Descriptor / CPT Instruction
Adjudication: Date of Service (Policy)
Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 77062 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.

NCCI Bundling Edits, CPT 77062

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 77062 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
76376 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
76377 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
77052 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
77057 Column 1 (primary), can be billed with modifier Yes CPT Manual or CMS manual coding instruction
77061 Column 1 (primary), can be billed with modifier No HCPCS/CPT procedure code definition
96523 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
G0202 Column 1 (primary), can be billed with modifier Yes Misuse of Column Two code with Column One code
19281 Column 2 (secondary), bundled into primary Yes HCPCS/CPT procedure code definition
19281 Column 2 (secondary), bundled into primary 9 HCPCS/CPT procedure code definition

Frequently Asked Questions, CPT 77062

What does CPT code 77062 mean? +

CPT code 77062 represents: Breast tomosynthesis bi. It's in the Radiology category with a global period of XXX.

What is the Medicare reimbursement for CPT 77062? +

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

What modifiers can I use with CPT 77062? +

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 77062? +

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 May 31, 2026.

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