© Copyright 2026 American Medical Association. All rights reserved.
Magnetic resonance imaging (MRI) of the breast, coded as CPT® 77048, is a sophisticated imaging procedure that utilizes powerful magnetic fields and radio waves to create detailed images of breast tissue. This procedure is specifically designed to be performed on one breast (unilateral) and involves both non-contrast and contrast-enhanced imaging techniques. MRI is a non-invasive and non-radiating method, making it a valuable tool in breast imaging. The process begins with the patient lying on a motorized table that is positioned within a large MRI machine, often referred to as a tunnel. To ensure the patient remains still during the imaging process, a sedative may be administered. During the MRI, the hydrogen atoms in the body respond to the magnetic field and radiofrequency signals, emitting radiofrequency signals that are captured and processed by a computer. This results in high-resolution, three-dimensional images of the breast's internal structures. The initial images are obtained without the use of contrast material, followed by a second set of images after a contrast dye is injected. The contrast material enhances the visibility of certain areas within the breast, allowing for better differentiation of tissues. Additionally, the procedure may incorporate real-time computer-aided detection (CAD) technology, which employs advanced algorithms to analyze the MRI images for potential lesions. This CAD system assists in identifying and characterizing any suspicious areas within the breast by marking regions that may require further investigation. It is important to note that the markings generated by the CAD system do not automatically indicate the presence of malignancy; rather, they highlight areas that warrant closer examination. Overall, CPT® 77048 represents a comprehensive approach to breast imaging, combining advanced technology with detailed analysis to aid in the detection and characterization of breast lesions.
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