What does CPT code 76641 mean?

Procedure code 76641 represents a complete examination of all four quadrants of the breast and the retroareolar region. The limited code, 76642, is for a focused exam of the breast that is limited to one or more of the elements included in 76641.

Does 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.

What was is the CPT code for breast cancer screening?

These codes are being replaced by the following CPT codes: • 77067 – “screening mammography, bilateral (2-view study of each breast), including CAD when performed” • 77066 – “diagnostic mammography, including (CAD) when performed; bilateral” and • 77065 – “diagnostic mammography, including CAD when performed; …

What is the CPT code for Abus?

76641
As such, ABUS exams are ideal for screening and can be billed using CPT 76641.

What is the difference between complete and limited breast ultrasound?

According to the American College of Radiology, a complete examination must include all four quadrants of the breast and the retroareolar region. It also includes ultrasound examination of the axilla, if performed. A study that does not meet these criteria is considered to be limited.

What is the CPT code for axilla ultrasound?

For ultrasound exam of the axilla, only, see 76882 Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific. Example 1: Ultrasound exam of four quadrants of left breast and left axilla. Report 76641.

Can a radiologist order a breast biopsy?

Image-guided, minimally invasive procedures such as ultrasound-guided breast biopsy are most often performed by a specially trained radiologist. Breast biopsies are usually done on an outpatient basis.

Does Medicare cover stereotactic breast biopsy?

Medicare covers percutaneous image guided breast biopsy using stereotactic or ultrasound imaging for palpable lesions that are difficult to biopsy using palpation alone. UnitedHealthcare has the discretion to decide what types of palpable lesions are difficult to biopsy using palpation.

Is breast MRI covered by Medicare?

In addition to 3D mammograms, Medicare covers 3D breast MRIs if necessary. You can expect to pay 20% of the cost of an MRI if you don’t have supplemental insurance.

What is the replacement code for CPT 76641?

CPT codes 76641 and 76642 were added as replacement codes. HCPCS code G0279 was added to the “CPT/HCPCS Codes” section. The descriptors were changed for HCPCS codes G0204 and G0206. HCPCS code G0279 must be billed with the primary code of G0204 or G0206.

What does 76641 mean on a mammogram?

76641 – Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete. For a bilateral breast ultrasound, a modifier 50 should be added to either 76641 or 76642 to indicate a bilateral procedure.

Will Medicare accept ultrasound code 76641 with a 50 modifier?

To start viewing messages, select the forum that you want to visit from the selection below.. New ultrasound breast code 76641 when billed with a 50 modifier is being denied by Medicare. Should these code be billed twice with RT LT?

What CPT codes have been added to the CPT codebook?

CPT codes 76641 and 76642 were added as replacement codes. HCPCS code G0279 was added to the “CPT/HCPCS Codes” section.