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CPT 77063: Digital Breast Tomosynthesis (3D Mammography)

CPT code 77063 represents digital breast tomosynthesis, a three-dimensional X-ray imaging technique used for breast screening and diagnostic evaluation. Tomosynthesis acquires multiple angled images and reconstructs sectional views to improve detection of masses and architectural distortions compared with conventional mammography. Nationally, adoption of tomosynthesis has grown as payers and health systems seek improved diagnostic accuracy and reduced recall rates.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical purpose of 77063, typical settings where the service is delivered, and the payer landscape relevant to reimbursement and coverage. The publication highlights common billing modifiers associated with imaging services and notes related administrative details.

This summary prepares clinical and administrative stakeholders to understand where digital breast tomosynthesis fits within breast imaging workflows, how major payers approach the service, and which operational considerations to expect when coding and submitting claims for CPT code 77063.

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Billing Code Overview

CPT code 77063 describes digital breast tomosynthesis imaging, a three-dimensional mammographic technique that captures X-ray images of the breast at multiple angles to improve detection of abnormalities. The procedure provides more accurate imaging than conventional two-dimensional mammography by reconstructing sectional images for clearer visualization of breast tissue.

Service type: Diagnostic breast imaging (digital breast tomosynthesis)
Typical site of service: Outpatient imaging centers or hospital radiology departments for routine breast cancer screening and diagnostic evaluation

Data not available in the input.

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CPT 77063: Digital Breast Tomosynthesis (3D Mammography)

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Get alerted when payer policies referencing 77063 are released or updated.

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Billing Code Overview

Service type: Diagnostic breast imaging (digital breast tomosynthesis)
Typical site of service: Outpatient imaging centers or hospital radiology departments for routine breast cancer screening and diagnostic evaluation

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is a woman aged 40–75 presenting for routine breast cancer screening or surveillance after prior benign biopsy. She arrives at an outpatient imaging center or hospital radiology department for screening digital breast tomosynthesis (77063). The imaging technologist verifies identity, obtains informed consent, and performs bilateral tomosynthesis with positioning to optimize visualization of all breast tissue. A radiologist reviews the three‑dimensional reconstruction images to detect masses, architectural distortion, or calcifications. Findings may prompt additional targeted diagnostic views, ultrasound, or biopsy. The encounter is commonly billed by the interpreting provider and includes documentation of a screening or diagnostic indication, technique (tomosynthesis), and the radiologist’s interpretation.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	When billing only the radiologist’s interpretation separate from technical component
`TC`	Technical component	When billing only the facility/technical component for equipment and technologist
`25`	Significant, separately identifiable E/M service	When a same‑day unrelated evaluation by the provider precedes the imaging
`59`	Distinct procedural service	When tomosynthesis is a distinct service from another procedure on the same day
`76`	Repeat procedure by same physician	When the same provider repeats the tomosynthesis during the same day
`77`	Repeat procedure by another physician	When a different provider repeats the imaging the same day
`91`	Repeat clinical diagnostic laboratory test	Rarely used for imaging; not typically applicable but included for repeat testing contexts
`QK`	Medical direction of 2–4 technicians	When the physician medically directs multiple technologists (per payor policy)
`QX`	Certified registered nurse anesthetist (CRNA) service	Not typical for mammography; listed if applicable per modifier list
`RT`	Right side	If laterality reporting by modifier is required for single‑breast services

Taxonomy Code	Specialty	Notes
207Q00000X	Radiology	Diagnostic radiologists interpret tomosynthesis
207RC0000X	Diagnostic Radiology	Providers who commonly perform and interpret breast imaging
2085R0202X	Obstetrics & Gynecology	OB/GYNs often refer and manage screening for patients
207K00000X	Interventional Radiology	Performs image‑guided breast biopsies when needed
208000000X	Family Medicine	Primary care physicians who order screening mammography

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z12.31`	Encounter for screening mammogram for malignant neoplasm of breast	Standard screening indication for bilateral tomosynthesis
`N63`	Unspecified lump in breast	Symptomatic presentation prompting diagnostic tomosynthesis
`R92.8`	Other abnormal and inconclusive findings on diagnostic imaging of breast	Indicates imaging findings that may be clarified with tomosynthesis
`C50.919`	Malignant neoplasm of unspecified site of unspecified female breast	Known or suspected breast cancer where tomosynthesis assists staging/assessment
`Z85.3`	Personal history of malignant neoplasm of breast	Surveillance imaging with tomosynthesis for prior breast cancer

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`77067`	Screening mammography, bilateral (2-view study of each breast)	Often performed as the conventional 2‑D screening mammogram; tomosynthesis may be performed in addition or instead
`77065`	Diagnostic mammography, including CAD when performed; unilateral	Used when focal symptoms or prior abnormal screening require diagnostic views
`76641`	Ultrasound, breast, unilateral, real time with image documentation	Performed as adjunct when a tomosynthesis abnormality needs targeted evaluation
`19083`	Image-guided percutaneous breast biopsy, each lesion, with stereotactic guidance	Performed when tomosynthesis or mammography identifies a lesion requiring tissue diagnosis
`76098`	Stereotactic guidance for placement of radiation therapy fields; simple	Used in workflows requiring localization or pre‑operative marking related to mammographic findings

CPT 77046: Breast MRI, Non-Contrast, Single Breast

CPT-77047-BREAST-MRI-NON-CONTRAST-BILATERAL

CPT 77047: Bilateral Breast MRI, Non-Contrast

CPT-77048-BREAST-MRI-SINGLE-BREAST-CONTRAST-3D

CPT 77048: Breast MRI (single breast), Contrast-Enhanced 3D

CPT-77049-BREAST-MRI-WITH-AND-WITHOUT-CONTRAST-BILATERAL

CPT 77049: Bilateral Breast MRI with and without Contrast

CPT-77053-DUCTOGRAM-RADIOLOGICAL-SUPERVISION-INTERPRETATION-SINGLE-DUCT

CPT 77053: Radiological Supervision & Interpretation of Ductogram, Single Duct

CPT-77054-DUCTOGRAM-GALACTOGRAM-MULTIPLE-DUCTS-RADIOLOGICAL-INTERPRETATION

CPT 77054: Ductogram (Galactogram) Radiological Supervision and Interpretation

CPT-77061-DIGITAL-TOMOSYNTHESIS-ONE-BREAST-DIAGNOSTIC

CPT 77061: Digital Tomosynthesis of One Breast, Diagnostic

CPT-77062-DIGITAL-BREAST-TOMOSYNTHESIS-BILATERAL-DIAGNOSTIC

CPT 77062: Digital Breast Tomosynthesis, Bilateral, Diagnostic

CPT-77065-DIAGNOSTIC-BREAST-IMAGING-COMPUTER-AIDED-DETECTION

CPT 77065: Diagnostic X-ray Imaging of One Breast with Computer Analysis

CPT-77066-DIAGNOSTIC-BILATERAL-MAMMOGRAPHY-WITH-CAD

CPT 77066: Diagnostic Bilateral Mammography with Computer‑Aided Detection

Showing 1–10 of 11

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	When billing only the radiologist’s interpretation separate from technical component
`TC`	Technical component	When billing only the facility/technical component for equipment and technologist
`25`	Significant, separately identifiable E/M service	When a same‑day unrelated evaluation by the provider precedes the imaging
`59`	Distinct procedural service	When tomosynthesis is a distinct service from another procedure on the same day
`76`	Repeat procedure by same physician	When the same provider repeats the tomosynthesis during the same day
`77`	Repeat procedure by another physician	When a different provider repeats the imaging the same day
`91`	Repeat clinical diagnostic laboratory test	Rarely used for imaging; not typically applicable but included for repeat testing contexts
`QK`	Medical direction of 2–4 technicians	When the physician medically directs multiple technologists (per payor policy)
`QX`	Certified registered nurse anesthetist (CRNA) service	Not typical for mammography; listed if applicable per modifier list
`RT`	Right side	If laterality reporting by modifier is required for single‑breast services

Taxonomy Code	Specialty	Notes
207Q00000X	Radiology	Diagnostic radiologists interpret tomosynthesis
207RC0000X	Diagnostic Radiology	Providers who commonly perform and interpret breast imaging
2085R0202X	Obstetrics & Gynecology	OB/GYNs often refer and manage screening for patients
207K00000X	Interventional Radiology	Performs image‑guided breast biopsies when needed
208000000X	Family Medicine	Primary care physicians who order screening mammography

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z12.31`	Encounter for screening mammogram for malignant neoplasm of breast	Standard screening indication for bilateral tomosynthesis
`N63`	Unspecified lump in breast	Symptomatic presentation prompting diagnostic tomosynthesis
`R92.8`	Other abnormal and inconclusive findings on diagnostic imaging of breast	Indicates imaging findings that may be clarified with tomosynthesis
`C50.919`	Malignant neoplasm of unspecified site of unspecified female breast	Known or suspected breast cancer where tomosynthesis assists staging/assessment
`Z85.3`	Personal history of malignant neoplasm of breast	Surveillance imaging with tomosynthesis for prior breast cancer

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`77067`	Screening mammography, bilateral (2-view study of each breast)	Often performed as the conventional 2‑D screening mammogram; tomosynthesis may be performed in addition or instead
`77065`	Diagnostic mammography, including CAD when performed; unilateral	Used when focal symptoms or prior abnormal screening require diagnostic views
`76641`	Ultrasound, breast, unilateral, real time with image documentation	Performed as adjunct when a tomosynthesis abnormality needs targeted evaluation
`19083`	Image-guided percutaneous breast biopsy, each lesion, with stereotactic guidance	Performed when tomosynthesis or mammography identifies a lesion requiring tissue diagnosis
`76098`	Stereotactic guidance for placement of radiation therapy fields; simple	Used in workflows requiring localization or pre‑operative marking related to mammographic findings

CPT 77046: Breast MRI, Non-Contrast, Single Breast

CPT-77047-BREAST-MRI-NON-CONTRAST-BILATERAL

CPT 77047: Bilateral Breast MRI, Non-Contrast

CPT-77048-BREAST-MRI-SINGLE-BREAST-CONTRAST-3D

CPT 77048: Breast MRI (single breast), Contrast-Enhanced 3D

CPT-77049-BREAST-MRI-WITH-AND-WITHOUT-CONTRAST-BILATERAL

CPT 77049: Bilateral Breast MRI with and without Contrast

CPT-77053-DUCTOGRAM-RADIOLOGICAL-SUPERVISION-INTERPRETATION-SINGLE-DUCT

CPT 77053: Radiological Supervision & Interpretation of Ductogram, Single Duct

CPT-77054-DUCTOGRAM-GALACTOGRAM-MULTIPLE-DUCTS-RADIOLOGICAL-INTERPRETATION

CPT 77054: Ductogram (Galactogram) Radiological Supervision and Interpretation

CPT-77061-DIGITAL-TOMOSYNTHESIS-ONE-BREAST-DIAGNOSTIC

CPT 77061: Digital Tomosynthesis of One Breast, Diagnostic

CPT-77062-DIGITAL-BREAST-TOMOSYNTHESIS-BILATERAL-DIAGNOSTIC

CPT 77062: Digital Breast Tomosynthesis, Bilateral, Diagnostic

CPT-77065-DIAGNOSTIC-BREAST-IMAGING-COMPUTER-AIDED-DETECTION

CPT 77065: Diagnostic X-ray Imaging of One Breast with Computer Analysis

CPT-77066-DIAGNOSTIC-BILATERAL-MAMMOGRAPHY-WITH-CAD

CPT 77066: Diagnostic Bilateral Mammography with Computer‑Aided Detection

Showing 1–10 of 11

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 77063: Digital Breast Tomosynthesis (3D Mammography)

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Billing Code Overview

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CPT 77063: Digital Breast Tomosynthesis (3D Mammography)

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References