CPT® Code 0633T

Official Description

Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material

Common Language Description

Computed tomography (CT) of the breast is a specialized imaging technique that utilizes advanced X-ray technology and computer processing to create detailed cross-sectional images of the breast on one side. This procedure is particularly useful for evaluating breast tissue and identifying potential abnormalities. During the CT scan, the patient is carefully positioned on an examination table, ensuring optimal alignment for imaging. An initial scan is conducted to establish the starting position, which is crucial for accurate imaging. As the examination progresses, the table moves slowly through the CT scanner, allowing multiple X-ray beams to rotate around the breast area being examined. The scanner measures the amount of radiation absorbed by the breast tissue, which is essential for generating high-quality images. A sophisticated computer program then processes the collected data to produce two-dimensional (2D) cross-sectional images that are displayed on a monitor for review. When indicated, complex three-dimensional (3D) rendering techniques may be applied to these images, enhancing the visualization of the breast anatomy. This may include methods such as shaded surface rendering, volumetric rendering, maximum intensity projections (MIPs), fusion imaging, and quantitative analysis, all of which contribute to a comprehensive assessment of the breast tissue. The procedure is performed without the use of contrast material, making it a non-invasive option for breast imaging. The physician is responsible for reviewing the CT scan results, identifying any abnormalities, and providing a detailed written interpretation of the findings to guide further clinical decision-making.

1. Indications

Computed tomography of the breast is indicated for various clinical scenarios where detailed imaging of breast tissue is necessary. The following conditions may warrant the use of this imaging technique:

Breast Abnormalities The procedure is performed to evaluate any detected abnormalities in the breast, such as masses or lesions, that may require further investigation.
Assessment of Breast Density CT imaging can be utilized to assess breast density, which is an important factor in breast cancer risk and detection.
Follow-Up Imaging This imaging modality may be indicated for follow-up assessments of previously identified breast conditions to monitor changes over time.
Preoperative Planning CT scans can assist in surgical planning by providing detailed anatomical information prior to breast surgery.

2. Procedure

The procedure for performing a computed tomography scan of the breast involves several key steps to ensure accurate imaging and patient safety. The following outlines the procedural steps:

Patient Positioning The patient is positioned on the examination table in a manner that allows for optimal imaging of the breast. Proper positioning is critical to obtain clear and accurate images.
Initial Scan An initial pass through the CT scanner is conducted to determine the starting position for the imaging process. This step is essential for aligning the scan accurately with the area of interest.
CT Scanning Once the starting position is established, the CT scan is performed. The examination table moves slowly through the scanner, while multiple X-ray beams and detectors rotate around the breast. This rotation captures various angles of the breast tissue, allowing for comprehensive imaging.
Data Processing After the scanning is complete, the data collected by the detectors is processed by a computer program. This program generates 2D cross-sectional images of the breast, which are displayed on a monitor for review.
3D Rendering (if performed) If indicated, complex 3D rendering techniques are applied to the 2D images. This may include shaded surface rendering, volumetric rendering, maximum intensity projections (MIPs), fusion imaging, and quantitative analysis, enhancing the visualization of the breast anatomy.
Review and Interpretation The physician reviews the CT scan results, noting any abnormalities present in the images. A written interpretation of the findings is then provided, which is crucial for guiding further clinical decisions.

3. Post-Procedure

After the computed tomography scan of the breast is completed, there are several considerations for post-procedure care. Patients may be advised to resume normal activities immediately, as the procedure is non-invasive and does not typically require recovery time. However, it is important for patients to follow any specific instructions provided by the healthcare provider regarding follow-up appointments or additional imaging if necessary. The physician will review the results of the CT scan and discuss any findings with the patient, including the need for further evaluation or treatment based on the interpretation of the images. Patients should be informed about the importance of reporting any new symptoms or changes in their breast health to their healthcare provider promptly.

Short Descr	CT BREAST W/3D UNI C-
Medium Descr	CT BREAST W/3D RENDERING UNI WITHOUT CONTRAST
Long Descr	Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	3 - The usual payment adjustment for bilateral procedures does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Codes That May Be Paid Through a Composite APC
ASC Payment Indicator	Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight.
Berenson-Eggers TOS (BETOS)	none
MUE	1

Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.