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Unilateral breast ultrasound, including axilla when performed

Q.

Can you please help us find the correct CPT® code for a complete (US) bilateral breast ultrasound?

A.

You can report 76641-50, or 76641-RT, and 76641-LT, or 76641 x 2.

It really depends on the 3rd party payers preference. Try starting with 76641-50 and if denied for an inappropriate modifier then assign CPT codes 76641RT and 76641LT. There is no bilateral breast ultrasound code listed as a choice in the CPT manual.

The code and full description are as follows:

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