2025 Coding and Reimbursement Guide for Breast Imaging The following table provides CPT coding and description of mammographic and ultrasound breast imaging services for screening, diagnostic,and biopsy purposes as a 2025 Medicare unadjusted national average, which does not reflect specific geographic location
Medicare NCCI 2026 Coding Policy Manual Chapter 9 CPT codes for fluoroscopy fluoroscopic guidance (e g , 76000, 77002, 77003) or ultrasound ultrasound guidance (e g , 76942, 76998) shall not be reported separately
CPT (current procedural terminology) Basics - ACEP The Medicare Physician Fee Schedule MPFS lists three distinct ways to code for these CPT codes: (1) global codes, (2) professional component (PC), and (3) technical component (TC)
Complete Ultrasound CPT Codes List and Reimbursement Rates This will require knowledge of the different ultrasound CPT codes and how much you may potentially bill and get reimbursed Below I have tables with CPT codes listed and approximate reimbursement rates to get you started
Ultrasound CPT Codes: Documentation and Billing Guidelines When a physician both performs and interprets an ultrasound in their own office (global service), the total technical and professional component is captured in a single code without modifiers
Reimbursement Information for Diagnostic Ultrasound Procedures . . . A physician who performs the interpretation of an ultrasound exam in the hospital outpatient setting may submit a charge for the professional component of the ultrasound service using a modifier (26) appended to the ultrasound code