Article - Billing and Coding: Breast Imaging: Breast Echography . . . If performed bilaterally, a modifier 50 may be reported with CPT code 76641 or 76642 Only CPT codes 77046, 77047, 77048, 77049 may be reported for any given date of service Only CPT code 77053 or 77054 may be reported for any given date of service Use CPT code 19030 for the injection of contrast
Breast Ultrasound CPT Codes and 2026 Billing Clinical Guidelines 76641 (Complete): Requires documentation of 4 quadrants + retroareolar region 76642 (Limited): Used for focused checks (e g , lump check, single quadrant) New Payer Rules: UnitedHealthcare now covers the first diagnostic ultrasound at $0 cost-share in 2026
CPT Code 76641: What It Is, Modifiers, Reimbursement CPT code 76641 is used to describe a comprehensive ultrasound examination of the breast This procedure involves a detailed evaluation of the breast tissue, including all four quadrants of the breast and the retroareolar region
Breast Ultrasound CPT Code Explained for Beginners The two primary codes used for breast ultrasound are 76641 and 76642 While they may appear similar, they represent different types of examinations and must be used correctly
CPT 76641 Medicare Reimbursement Rate 2026 | RVUs, Fee Schedule . . . CPT code 76641 (Ultrasound breast complete) had a 2026 Medicare non-facility reimbursement rate of $100 20 This reflects a 1 23% change from the prior year The code carries 3 00 total RVUs across work, practice expense, and malpractice components
MEDICAL POLICY - ULTRASOUND FOR BREAST CANCER SCREENING - BCBSM Ultrasound of the breast is an imaging technique to obtain pictures of breast tissue Breast ultrasound for breast cancer screening as an adjunct to mammography is established when criteria are met
CPT® Code 76641 in section: Ultrasound, breast, unilateral, real time . . . 76641 - CPT® Code in category: Ultrasound, breast, unilateral, real time with image documentation, in CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more CPT code information is copyright by the AMA