CPT 77046, in plain terms, covers An MRI scan of one breast to look for abnormalities or evaluate breast tissue. CPT 77046 is referenced in 2 tracked payer policy changes from Sentara Health Plans and Texas Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 77046 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 77046 on AAPC
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