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BETA v.3.0

2025 CPT code 77047

Magnetic resonance imaging (MRI) of both breasts, without the use of contrast material.

Modifiers such as 26 (professional component) and TC (technical component) can be used if appropriate.

Medical necessity must be established for each case. Factors supporting medical necessity may include high risk for breast cancer, inconclusive mammography results, or follow-up for previous breast cancer.

The physician analyzes the MRI images to evaluate breast tissue and identify any abnormalities, such as lesions or fibrosis. They interpret the findings and prepare a report.

In simple words: An MRI of both breasts is performed using a powerful magnet and radio waves to create detailed pictures. No dye is used in this type of MRI.

This code represents a bilateral breast MRI performed without the administration of a contrast agent. The procedure uses magnetic fields and radio waves to generate detailed images of both breasts, aiding in the evaluation of breast tissue and the detection of potential abnormalities.

Example 1: A patient with a strong family history of breast cancer but no other risk factors undergoes a bilateral breast MRI without contrast as a screening tool., A patient with dense breast tissue and a palpable lump that is not clearly visible on mammography requires further evaluation with a breast MRI without contrast., A patient who previously had breast cancer undergoes routine surveillance with a bilateral breast MRI without contrast to monitor for recurrence.

Documentation should include the patient's medical history, the reason for the MRI, the interpretation of the images, and any relevant findings.

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