CPT code 76642 refers to a specific type of breast ultrasound procedure that involves creating live, moving images of one breast, often checking the underarm area (axilla) too. CPT 76642 represents “Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited.”
Procedure Explanation:
This procedure involves using sound waves to produce real-time pictures of one breast. It is a focused type of imaging and may also include the area under the arm, known as the axilla, if needed. Unlike a more comprehensive exam, this is a targeted or “limited” check, meaning it’s used to look more closely at a specific area rather than the entire breast.
Common Names:
- Breast Ultrasound
- Unilateral Breast Ultrasound
- Partial Breast Ultrasound
Relative Value Units (RVU):
The RVUs associated with this code are 0.68.
How This Procedure Appears:
- Operating Room Schedule Name: Limited Breast Ultrasound
- Surgical Consent Form Name: Limited Ultrasound of the Breast
Typical Patients and Diagnoses:
This kind of breast ultrasound is usually done for patients who may have discovered a lump or other abnormality in one breast. It helps to investigate suspicious areas or symptoms, like a lump felt during a self-exam, or unusual findings during a mammogram. It’s used when the doctor needs more detailed information about a specific part of the breast.
Associated ICD-10 Codes:
- N63: Represents an unspecified lump in the breast. This is often used when a woman feels a lump during a self-exam but further details are needed.
- R92.2: Describes an inconclusive mammogram. This means the initial images from a mammogram are not clear enough to provide a definitive result.
- Z12.31: Is for an encounter for a routine mammogram screening for breast cancer. This ensures that women are regularly checked for breast health issues.
Summary
In summary, code 76642 describes a focused breast ultrasound used to get detailed information about specific areas of the breast. Typical ICD-10 codes associated with 76642 include N63 (Lump in the breast) and R92.2 (Inconclusive mammogram).
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.