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March 6, 2013

SonoCine Ultrasound: Correct CPT Code

Whole breast ultrasound is a computer-guided system intended for use as an adjunct to mammography. It is not a replacement for mammography. CGS will allow coverage of SonoCine Ultrasound for the detection of breast cancer when preformed as follow-up exam to a screening or diagnostic mammogram. Submit this service with CPT code 76645. If this service is submitted with an unclassified code (CPT code 76999), CGS will return the claim to you as unprocessable (remark code MA130). Unprocessable claims must be corrected and resubmitted as new claims.

Reviewed: 12.09.22


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