# CPT 76642

> Medicare paid $87.90 for CPT 76642 in the office (non-facility) setting and $87.90 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 2.0%.

## What it is

A focused ultrasound of part of one breast rather than the whole thing - typically the single area where a lump was felt or where a mammogram flagged something. The difference from the complete breast study is scope: this one answers a question about a specific region and does not survey every quadrant. It is the workhorse study for characterizing one finding and for follow-up of a known spot.

## Selected release

- Release: Q4 2022 (2022 D)
- Effective: October 1 – December 31, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $87.90
- Facility national allowed amount: $87.90
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.68
- Office (non-facility) practice expense RVU: 1.81
- Facility practice expense RVU: 1.81
- Malpractice RVU: 0.05
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22d.zip
- Parsed file: PPRRVU22_OCT.csv, row 13,416
- Canonical page: https://localishealth.com/cpt/76642/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/76642/2022/D
- Last significant update: 2026-08-04T03:12:03+00:00