CPT code 76641 refers to a complete breast ultrasound, which is a kind of imaging test used to examine one breast, including the underarm area, using sound waves. CPT 76641 represents “Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete.”
Procedure Explanation:
This procedure involves using a handheld device that emits sound waves to create images of the breast and possibly the underarm area. During the scan, these images are captured in real-time to help doctors understand what’s going on inside the breast. It is called “complete” because it examines the whole breast. Sometimes the underarm area, or axilla, is included if needed. This procedure does not involve incisions or radiation, which means it’s quite safe and non-invasive.
Common Names:
- Complete Breast Ultrasound
- Unilateral Breast Ultrasound
- Ultrasound of One Breast
Relative Value Units (RVU):
The RVUs associated with this code are 0.73.
How This Procedure Appears:
- Operating Room Schedule Name: Complete Breast Ultrasound
- Surgical Consent Form Name: Breast Ultrasound, Unilateral with Axilla
Typical Patients and Diagnoses:
Typically, this procedure is suggested for patients who exhibit symptoms like lumps or changes in breast tissue. It is also common for people who have had previous breast issues or for those undergoing routine checks due to a family history of breast cancer. For example, if someone feels a new lump in their breast, a doctor might order this ultrasound to investigate further.
Associated ICD-10 Codes:
- N63: This code refers to an unspecified lump in the breast, meaning there is a noticeable lump, but it hasn’t yet been identified as a specific type.
- C50.911: This code is used when there’s a malignant (cancerous) lump in the right breast. It helps in identifying which breast and what kind of condition is present.
- Z12.31: This is a screening code for a routine checkup for breast cancer, usually used when there are no current symptoms, but the patient is being proactive in checking for cancer.
Summary
In summary, code 76641 describes a complete ultrasound of one breast, which may include the underarm area. Typical ICD-10 codes associated with 76641 include N63 (Unspecified lump in the breast) and C50.911 (Malignant breast lump, right side).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.