CQW Panacea-re-brand-rev3

Radiology

For the Week of March 23, 2015

Question:

The previously used breast ultrasound code was unilateral or bilateral. The new 2015 codes (76641 and 76642) are unilateral. What codes do we assign when a bilateral breast ultrasound is performed?

Answer:

If a bilateral breast ultrasound is ordered and medically necessary, code the appropriate unilateral code for each breast. Depending on payer preference, modifier -50, or modifiers -RT and -LT, could be appended to the code.

76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete
76642 limited

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