Difference between New Breast ultrasound CPT codes

New CPT codes of Breast ultrasound 

We have new breast ultrasound CPT codes introduced in 2015. Until 2014, we use to use only one code 76645 for breast ultrasound, which is deleted.  Now, we have new codes 76641 and 76642 to use for breast ultrasound. Now let us check how these codes to be coded in radiology and are different from each other

76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete
76642- Limited
Difference between New Breast ultrasound CPT codes

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The complete breast ultrasound is to be assigned only when all the four quadrant of the breast is studied along with retroareolar region. Also, not to forget ultrasound examination of the axilla is also included with 76641 and 76642 if performed. Anything less would be considered limited (76642). These new codes will also be coded for unilateral or bilateral breast ultrasound exam. We should also use LT and RT when there is complete ultrasound exam is performed on one side or both sides of the breast. So, always be sure how to use the modifiers along with the new breast ultrasound cpt codes. These tips are really important for Certification exams like CPC, you can go through sample CPC questions here which is surely help in clearing CPC exam.

CPC Practice Exam - Medical Coding Study Guide Please Click Here!

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Do and don’t with new breast ultrasound CPT codes

Do not code 76881 or 76882 along with 76642 or 76442 CPT codes. The ultrasound exams for axilla are included in the new breast ultrasound CPT codes.

Do use RT or LT along with CPT codes when the exam is performed on unilateral or bilateral breast exam.

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