Find policies, billing codes, payers, states, and providers
CPT 76641: Complete Diagnostic Ultrasound of One Breast
CPT code 76641 represents a complete diagnostic ultrasound examination of one breast, including documentation of imaging. This code is used nationally to report comprehensive unilateral breast ultrasound studies performed for evaluation of breast symptoms, focal findings on other imaging, or surveillance in clinical contexts where ultrasound is indicated. Accurate reporting of 76641 supports appropriate clinical communication and claims processing for breast imaging services.
Analysis covers major national payers and public programs: Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines how coverage and payment may vary across payers, common billing considerations, and performance benchmarks where available.
Readers will learn: the clinical scope of the code and typical sites of service; payer coverage landscape and billing practices; typical modifiers and coding considerations (listed separately); and practical context for interpreting utilization and reimbursement trends. Where specific data elements were not provided in the input, the text notes that those elements are not available. The focus is national policy and billing context rather than provider recommendations.
Customize your policy alerts
Sign up for cpt 76641 policy alerts
Get alerted when payer policies referencing 76641 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 76641 describes a complete ultrasound of one breast with documented imaging. The procedure includes acquisition and formal documentation of diagnostic images for a single breast and is intended for diagnostic evaluation of breast tissue.
-
Service type: Diagnostic breast ultrasound (single breast complete study)
-
Typical site of service: Outpatient imaging centers, hospital outpatient departments, and physician offices where diagnostic ultrasound is performed