High impact
Payment Policy Updates
Blue Cross Blue Shield of Rhode Island·Effective Jan 1, 2026
CPT 76642, in plain terms, covers A focused ultrasound exam of just one specific area of the breast rather than the entire breast. CPT 76642 is referenced in 1 tracked payer policy change from Blue Cross Blue Shield of Rhode Island. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 76642 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 76642 on AAPC
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