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Code deleted, see 77046, 77048

Official Description

Magnetic resonance imaging, breast,without and/or with contrast material(s); unilateral

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Magnetic resonance imaging (MRI) of the breast, as described by CPT® Code 77058, refers to a diagnostic imaging procedure that focuses on one breast, utilizing advanced technology to create detailed images without the use of ionizing radiation. This noninvasive technique leverages the magnetic properties of hydrogen atoms present in the body. When exposed to a strong magnetic field and radiofrequency waves, the hydrogen nuclei emit signals that are captured and processed by a computer. The result is high-resolution, three-dimensional sectional images that provide valuable insights into the internal structures of the breast. During the procedure, patients may be positioned on a motorized table and may receive a sedative to ensure they remain still, which is crucial for obtaining clear images. Additionally, the use of contrast material can enhance the visibility of certain tissues or abnormalities, allowing for a more comprehensive evaluation. This imaging modality is particularly useful in assessing various breast conditions and is an essential tool in the diagnostic process.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 77058 is indicated for various clinical scenarios where detailed imaging of the breast is necessary. The following conditions may warrant the use of this MRI technique:

  • Breast Cancer Screening Patients with a high risk of breast cancer may undergo MRI to detect early signs of malignancy that may not be visible on mammograms.
  • Assessment of Breast Abnormalities MRI is utilized to further evaluate abnormalities detected in mammograms or clinical examinations, such as lumps or changes in breast tissue.
  • Evaluation of Treatment Response Following treatment for breast cancer, MRI can help assess the effectiveness of therapy by visualizing changes in tumor size or characteristics.
  • Preoperative Planning MRI may be performed to provide surgeons with detailed anatomical information before breast surgery, aiding in the planning of the procedure.

2. Procedure

The procedure for performing an MRI of the breast, as outlined in CPT® Code 77058, involves several key steps to ensure accurate imaging results. The following procedural steps are typically followed:

  • Patient Preparation Before the MRI, the patient is informed about the procedure and any necessary preparations, such as removing metal objects and changing into a gown. A medical history is taken to assess any contraindications for MRI, such as the presence of certain implants or devices.
  • Positioning The patient is positioned on a motorized table that slides into the MRI machine. For breast imaging, the patient may lie face down, allowing the breasts to be positioned in openings designed for optimal imaging.
  • Image Acquisition Once the patient is comfortably positioned, the MRI machine is activated. The machine generates a strong magnetic field and radiofrequency pulses, which excite the hydrogen atoms in the breast tissue. The emitted signals are captured and processed to create detailed images.
  • Contrast Administration (if applicable) If contrast material is indicated for enhanced imaging, it is injected intravenously during the procedure. The timing of the contrast injection is critical to capture the best images of the breast tissue.
  • Image Processing After the imaging sequence is complete, the acquired data is processed by a computer to generate high-resolution images. These images are then reviewed by a radiologist for interpretation.

3. Post-Procedure

After the MRI procedure is completed, the patient is typically monitored for a short period, especially if contrast material was administered. Patients may experience some minor side effects, such as a warm sensation at the injection site or mild discomfort. It is generally advised that patients resume normal activities immediately following the procedure. The radiologist will analyze the images and provide a report, which will be shared with the referring physician to discuss the findings and any necessary follow-up actions. Patients should be informed about when to expect results and any further evaluations that may be required based on the MRI findings.

Short Descr MRI ONE BREAST
Medium Descr MRI BREAST UNILATERAL
Long Descr Magnetic resonance imaging, breast,without and/or with contrast material(s); unilateral
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 4 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic imaging procedures apply...
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 88 -
APC Status Indicator Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I2D - Advanced imaging - MRI/MRA: other
MUE Not applicable/unspecified.
CCS Clinical Classification 198 - Magnetic resonance imaging
Date
Action
Notes
2019-01-01 Deleted Code deleted, see 77046, 77048
2011-01-01 Changed Short description changed.
2007-01-01 Added First appearance in code book in 2007.
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