Radiology Question for the Week of December 28, 2015



The old 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? 


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