Radiology Question for the Week of December 28, 2015

Question:

Question 

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? 

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

Answer: