Home Small Parts Ultrasound CPT Codes

2017 Small Parts Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2017. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Small Parts Ultrasound CPT Codes and Descriptions

Medicare Physician Fee Schedule – National Average*
CPT Code Description Private Office Hospital Professional 1  Component Technical 2  Component
Breast Ultrasound
19000 Puncture aspiration of cyst of breast $114.84 $45.22 n/a n/a
19001 Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) $27.63 $22.61 n/a n/a
19083 first lesion, including ultrasound guidance $683.68 $165.09 n/a n/a
19084 each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure) $82.19 $610.87 n/a n/a
19285 first lesion, including ultrasound guidance $526.49 $90.08 n/a n/a
19286 each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure) $459.02 $45.22 n/a n/a
76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete $109.46 $109.46 $37.32 $72.14
76642 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited $90.08 $90.08 $34.81 $55.27
Thyroid Ultrasound
60100 Biopsy thyroid, percutaneous core needle $115.56 $81.83 n/a n/a
60300 Aspir/inj thyroid cyst $120.59 $51.68 n/a n/a
76536 Us exam of head and neck $118.79 $118.79 $28.71 $90.08
Scrotal Ultrasound
76870 Us exam scrotum $69.62 $69.62 $33.02 $36.61
76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation $61.37 $61.37 $33.02 $28.35

 
1Professional Payment: use to estimate the reimbursement to the physician.
2Technical Payment: use to estimate the reimbursement to the technologist.

CPT™ five digit codes, nomenclature and other data are Copyright 2015 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. 

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.