77047 Insurance Policy Changes

CPT 77047, in plain terms, covers An MRI scan of both breasts to check for abnormalities or help diagnose breast conditions. CPT 77047 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 77047 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 77047 on AAPC