Description: Diagnostic Mammogram and ultrasound of the breast.
Exam: Bilateral diagnostic mammogram and right breast ultrasound. History of palpable abnormality at 11 o'clock in the right breast. Family history of mother with breast cancer at age 45.
Technique: CC and MLO views of both breasts were obtained. Spot compression views of the palpable area were also obtained. Right breast ultrasound was performed. Comparison is made with 10/31/11.
Findings: The breast parenchymal pattern is stable with heterogeneous scattered areas of fibroglandular tissue. No new mass or architectural distortion is evident. Asymmetric density in the upper outer posterior left breast and a nodule in the upper outer right breast are unchanged. There is no suspicious cluster of microcalcifications.
Directed ultrasonography of the upper outer quadrant of the right breast revealed no cystic or solid mass.
Impression:
1) Stable mammographic appearance from 10/31/11.
2) No sonographic evidence of a mass at 11 o'clock in the right breast to correspond to the palpable abnormality. The need for further assessment of a palpable abnormality should be determined clinically.
Select the appropriate CPT codes for this encounter.

Question

Quizplus · Accepted Answer

The correct CPT codes are 77066 for the bilateral diagnostic mammogram and 76641-RT for the right breast ultrasound. The "-RT" modifier indicates that the ultrasound was performed on the right side.

Description: Diagnostic Mammogram and Ultrasound of the Breast