# CPT 76641

> Medicare paid $108.84 for CPT 76641 in the office (non-facility) setting and $108.84 in a facility under the Q4 2019 Physician Fee Schedule, effective October 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 1.2%.

## What it is

A full ultrasound survey of one breast, sweeping through all quadrants and the tissue behind the nipple, with images documented. The distinction from the limited breast ultrasound is coverage rather than technique: this study examines the whole breast systematically instead of concentrating on one spot. Nearby armpit lymph nodes are commonly assessed as part of the same look.

## Selected release

- Release: Q4 2019 (2019 D)
- Effective: October 1 – December 31, 2019
- Status indicator: A
- Office (non-facility) national allowed amount: $108.84
- Facility national allowed amount: $108.84
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.73
- Office (non-facility) practice expense RVU: 2.24
- Facility practice expense RVU: 2.24
- Malpractice RVU: 0.05
- Conversion factor: 36.0391
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2019)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19d.zip
- Parsed file: PPRRVU19_OCT.csv, row 12,867
- Canonical page: https://localishealth.com/cpt/76641/2019/A
- Release-specific citation URL: https://localishealth.com/cpt/76641/2019/D
- Last significant update: 2026-08-04T03:09:13+00:00