What CPT code is 76641?
CPT code 77048 and 77049 should not be used by OPPS providers.
| Code | Description |
|---|---|
| 76641 | ULTRASOUND, BREAST, UNILATERAL, REAL TIME WITH IMAGE DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; COMPLETE |
| 76642 | ULTRASOUND, BREAST, UNILATERAL, REAL TIME WITH IMAGE DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED; LIMITED |
What is the CPT code for ultrasound of breast?
76641
Breast ultrasound (CPT® 76641: unilateral, complete OR CPT® 76642: unilateral, limited) can be used to further evaluate abnormalities found on mammogram, especially in differentiating cysts from solid lesions.
What is the CPT code for bilateral diagnostic mammography?
77066
77066, Diagnostic mammography, including CAD when performed; bilateral. 77067, Screening mammography, bilateral (two-view study of each breast), including CAD when performed. In a perfect world, the new CPT codes would result in uniform coding of mammography services.
Does CPT code 76641 need a modifier?
For a bilateral breast ultrasound, a modifier 50 should be added to either CPT code 76641 or 76642 to indicate a bilateral procedure. The physician reviews the ultrasound images of the breast and provides a written interpretation.
Does Medicare pay for 76641?
The 2015 Medicare Physician Fee Schedule assigns a “1” bilateral indicator to both CPT codes 76641 and 76642 which means that Medicare will allow 150 percent of the standard reimbursement rate.
How do you bill a unilateral screening mammogram?
When a screening mammography study is ordered and performed on a patient who has only one breast, it is appropriate to report 77067 (Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed.
What is better breast ultrasound or mammogram?
As a rule of thumb, a breast ultrasound is more accurate in women younger than 45 years. A mammography is preferred in women older than 45 years. An ultrasound uses high-frequency sound waves on the breast and converts them into images. A mammography uses low-dose X-ray to produce breast images known as a mammogram.
