Insurance & Reimbursement for QT Breast Scans
Understanding Your Options
At Quantum Breast Imaging, we believe patients should have clear information about their breast imaging options, including the costs and potential insurance reimbursement.
The QT Breast Scan uses advanced, FDA-cleared breast imaging technology that provides 3D visualization of breast tissue without ionizing radiation or painful breast compression.
Insurance coverage for QT Breast Imaging may vary depending on your insurance provider, individual plan, and the circumstances of your examination. We encourage patients to contact their insurance company before scheduling to understand their benefits and any potential out-of-pocket expenses.
Is the QT Breast Scan Covered by Insurance?
Insurance coverage and reimbursement policies vary among insurance companies and individual health plans. Coverage is not guaranteed, and patients may be responsible for the cost of their examination.
A dedicated CPT Category III code for QT Breast Acoustic CT imaging has been introduced, representing an important step toward standardized reporting of this technology. However, the existence of a CPT code does not guarantee insurance coverage or reimbursement.
We encourage patients to verify their benefits directly with their insurance company before their appointment.
What Is a CPT Code?
CPT stands for Current Procedural Terminology. These standardized codes are used to identify medical services and procedures for billing and reporting purposes.
QT Imaging has received a dedicated Category III CPT code for its 3D breast acoustic imaging procedure. The applicable code and billing requirements may depend on the date of service and the specific examination performed.
A CPT code helps identify a service for billing purposes, but each insurance company determines whether that service is covered under a patient's plan.
Can I Request Insurance Reimbursement?
Depending on your insurance plan, you may be able to submit a claim for possible out-of-network reimbursement.
If you pay for your scan directly, ask our team whether we can provide a superbill or itemized receipt containing the information needed for an insurance claim.
Your insurance company can explain whether your plan offers out-of-network benefits, what documentation is required, and whether reimbursement may be available.
Please remember that submitting a claim does not guarantee payment.
Questions to Ask Your Insurance Company
When contacting your insurance provider, consider asking:
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Does my plan cover QT Breast Imaging or this type of breast ultrasound procedure?
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Do I have out-of-network benefits for breast imaging?
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Can I submit a claim for a QT Breast Scan that I pay for myself?
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What CPT code and supporting documentation are required?
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Is prior authorization or a physician's order necessary?
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What forms must I complete to request reimbursement?
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If my claim is denied, can I appeal the decision?
We recommend documenting the information provided by your insurance representative, including the date of your call and any reference number.
Before Your Appointment
We encourage patients to contact their insurance company before their scheduled scan to clarify coverage, reimbursement requirements, and potential out-of-pocket costs.
Our team can help explain the available appointment and payment information and advise you about documentation you may request for insurance purposes.
Have Questions?
Our team at Quantum Breast Imaging is here to help you understand the process.
Contact us with questions about appointment costs, available billing documentation, or preparing to speak with your insurance provider.
Your breast health matters. We want you to feel informed and confident as you explore your imaging options.
Important notice: This information is provided for general educational purposes and is not a guarantee of insurance coverage or reimbursement. Coverage decisions are made by individual insurance companies according to the terms of each policy. Please verify your benefits and financial responsibility directly with your insurer.