CPT® Code 76645

Deleted

1. Indications

The ultrasound of the breast(s) is indicated for various clinical scenarios, particularly when there are concerns regarding breast abnormalities. The following conditions may warrant the performance of this procedure:

• Breast Abnormalities Detected: This includes any unusual findings noted during a physical examination or identified on mammography, such as lumps or masses.
• Evaluation of Cysts: The procedure is useful in determining whether a breast mass is solid or fluid-filled, which can influence management decisions.
• Assessment of Structural Features: Ultrasound can provide additional information about the characteristics of an abnormal area and the surrounding breast tissue.

2. Procedure

The procedure for performing a breast ultrasound involves several key steps that ensure accurate imaging and assessment of the breast tissue. The following outlines the procedural steps:

• Step 1: Patient Positioning The patient is positioned supine on the examination table, with the arm on the side being examined raised above the head. This positioning allows for optimal access to the breast and facilitates the examination process.
• Step 2: Application of Acoustic Coupling Gel A layer of acoustic coupling gel is applied to the breast. This gel is essential for effective transmission of the ultrasound waves, as it eliminates air pockets that could interfere with imaging.
• Step 3: Transducer Placement The transducer, which is the device that emits and receives ultrasound waves, is placed firmly against the skin of the breast. The operator ensures that the transducer maintains contact with the skin to capture clear images.
• Step 4: Image Acquisition The transducer is then swept back and forth over the area of concern, allowing for the collection of images. The ultrasonic wave pulses directed at the breast create echoes that are recorded to form real-time images of the breast tissue.
• Step 5: Evaluation of Abnormalities Any abnormalities identified during the imaging process are carefully evaluated. The characteristics of these abnormalities are assessed to aid in determining a definitive diagnosis.
• Step 6: Bilateral Examination (if applicable) If a bilateral breast ultrasound is indicated, the physician repeats the same procedure on the opposite breast to ensure comprehensive evaluation.
• Step 7: Image Review and Interpretation After the imaging is complete, the physician reviews the ultrasound images and provides a written interpretation, summarizing the findings and any necessary recommendations for further action.

3. Post-Procedure

Post-procedure care for a breast ultrasound is generally minimal, as the procedure is non-invasive and does not typically require any recovery time. Patients may resume their normal activities immediately following the ultrasound. The physician will provide the patient with the results of the ultrasound during a follow-up appointment or through a written report. It is important for patients to discuss any further diagnostic steps or treatment options based on the ultrasound findings with their healthcare provider.