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CPT®
0857T

CPT® Code 0857T
Add-On Code

Official Description

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)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Opto-acoustic imaging, specifically for the breast, is a sophisticated diagnostic procedure that combines traditional ultrasound with advanced imaging technology to enhance the visualization of breast masses or lumps. This technique, also known as photoacoustic imaging, utilizes laser light to provide additional information regarding tissue perfusion and oxygenation, which is not available through conventional ultrasound alone. By integrating high-resolution ultrasound images with a functional color map generated from the opto-acoustic data, healthcare providers can simultaneously assess both the anatomical structure and the functional characteristics of the breast mass. This dual approach significantly improves the detection and characterization of lesions, allowing for more informed clinical decision-making. The procedure is typically performed on a unilateral breast, and if necessary, the axilla may also be included in the imaging process. It is important to note that opto-acoustic imaging is conducted in real-time, with image documentation and augmentative analysis, culminating in a comprehensive report that aids in the evaluation of the breast condition. The procedure is performed following a separately reportable diagnostic breast ultrasound, ensuring that all relevant imaging data is considered in the assessment of the patient's breast health.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

Opto-acoustic imaging of the breast is indicated for the evaluation of specific conditions and symptoms that warrant further investigation. The following are the primary indications for performing this procedure:

  • Palpable Breast Mass or Lump This imaging technique is utilized when a palpable mass or lump is detected in the breast, necessitating a detailed assessment to determine its characteristics and potential implications.

2. Procedure

The procedure for opto-acoustic imaging of the breast involves several critical steps to ensure accurate and effective imaging. The following outlines the procedural steps:

  • Step 1: Preparation Prior to the procedure, the patient is positioned comfortably, and a diagnostic breast ultrasound is performed separately to establish a baseline for comparison. Proper safety protocols are followed, including the use of appropriate eyewear for all personnel present in the room to protect against laser exposure.
  • Step 2: Initiation of Laser Light Protocol The duplex opto-acoustic probe is prepared and activated. The laser light protocol is initiated, which involves pulsing a beam of light into the breast tissue. This step is crucial as it allows for the collection of opto-acoustic signals that will be analyzed.
  • Step 3: Scanning the Breast The opto-acoustic probe is then used to scan the breast. As the probe emits the laser light, it captures real-time data regarding the type and presence of blood vessels within the breast mass and the surrounding tissue, as well as the oxygenation levels in these areas.
  • Step 4: Image Acquisition During the scanning process, freeze-frame images are acquired. These images are captured both with and without measurements of the visualized abnormal tissue, providing a comprehensive view of the mass and its characteristics.
  • Step 5: Analysis and Reporting The findings from the opto-acoustic imaging are then compared with any previous studies to assess changes or developments in the breast mass. A detailed report is generated, summarizing the results of the imaging and any relevant observations.

3. Post-Procedure

After the opto-acoustic imaging procedure, patients may be monitored briefly to ensure there are no immediate adverse effects. The results of the imaging will be documented in a report, which will be reviewed by the physician. Follow-up appointments may be scheduled to discuss the findings and any necessary next steps in the management of the breast condition. It is essential for patients to maintain communication with their healthcare provider regarding any new symptoms or concerns that may arise following the procedure.
Short Descr OPTO-ACOUSTIC IMG BREAST UNI
Medium Descr OPTO-ACOUSTIC IMG BREAST UNI AUGMNT ALYS&REPRT
Long Descr 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)
Status Code Carriers Price the Code
Global Days ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Not Discounted when Multiple
Berenson-Eggers TOS (BETOS) none
MUE 1

This is an add-on code that must be used in conjunction with one of these primary codes.

76641 MPFS Status: Active Code APC Q1 ASC N1 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete
76642 MPFS Status: Active Code APC Q1 ASC N1 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited
Date
Action
Notes
2024-01-01 Added Code Added.
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