CPT Knowledgebase - Dec 7, 2015

How should a bilateral procedure be reported when the code description only includes the word unilateral, and there are no bilateral codes? For example, when an ultrasound of both breasts is performed, code 76641, Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete, is reported; however, should the procedure be reported with modifier 50 as single-line item or as separate line items with an anatomic modifier to indicate each side?

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