May is Women’s Health Month—a powerful reminder of the importance of prioritizing preventive care, especially when it comes to breast health. Mammography and breast-related coding remain among the most effective tools for the early detection of breast cancer, often identifying issues before symptoms arise and leading to better outcomes. Imaging scans also play an integral role in treatment programs following a diagnosis. This month, we explore the nuances of ultrasound breast scans and opto-acoustic imaging, along with professional tips and an exclusive offer to help you succeed.
76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete
76642 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited
+0857T Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition to code for primary procedure)
If you’ve been coding breast ultrasound services for a while, you may remember when CPT code 76645 was retired back in 2015. To replace these codes, two new codes 76641 and 76642 were created to give more specified options for reporting—both designed to report unilateral breast ultrasound services.
Both codes include imaging of the axilla when medically necessary, and you’ll often see them used alongside mammography.
Fast forward to 2023—add-on code +0857T has now entered the picture. This new Category III code was introduced for opto-acoustic (OA) imaging—a hybrid technique combining laser light and ultrasound to visualize breast masses. What was the reasoning for entering a new code? Better identification of benign pathology and, ideally, fewer unnecessary biopsies. Code +0857T is used in addition to 76641 or 76642 and active still in 2025.
These are not all the tips and knowledge necessary for mammography success. Now through May 30, get 30% off the Breast and Bone Density Procedure Coding Guide using code WOMENSHEALTH25.
This expert resource is packed with:
✔ 2025 CPT code updates and explanations
✔ Billing tips and guidance for tricky procedures
✔ Insight into dense breast notification laws
✔ COVID-19 coding clarification
Stay compliant, protect reimbursement, and code with confidence—all while supporting better outcomes in women’s health.
This week Blue Cross Blue Shield published an article titled “Study suggests AI is boosting hospital billing.” The study was based on data analyzed by
The Centers for Medicare & Medicaid Services (CMS) operates a surveillance platform called the Fraud Prevention System (FPS) that analyzes Medicare claims across the full
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