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QT Scan

Insurance Info

Many emerging breast imaging technologies, such as the QT scan, are not yet routinely covered by insurance, which means patients often pay out of pocket. However, that doesn’t necessarily mean you have no options for reimbursement.

QT Imaging has published a comprehensive Coding & Billing Guide that explains how healthcare providers currently bill for the QT Breast Acoustic CT™ exam and outlines the company’s roadmap toward broader insurance coverage.

QT Imaging Coding Billing Guide

Learn more: QT Imaging CPT Coding Roadmap

What Is a CPT Code?

A Current Procedural Terminology (CPT) code is a standardized medical billing code used by healthcare providers to bill insurance companies for medical procedures and services. Having a dedicated CPT code is an important step toward broader insurance reimbursement.

Where Does QT Imaging Stand Today?

QT Imaging is moving toward a standardized insurance reimbursement pathway for its breast imaging technology.

New CPT Code: X579T

The American Medical Association released Category III CPT code X579T on July 1, 2026. The code does not take effect until January 1, 2027, so it cannot be used for billing until that date.

This is an important milestone for QT Imaging and for women seeking access to this technology.

What does this mean for you?

Until X579T takes effect, providers may continue using the current coding pathway, including CPT 76999, an unlisted ultrasound procedure code. Reimbursement may be handled on a case-by-case basis.

Beginning January 1, 2027, ask your imaging provider about using CPT X579T when appropriate.

Ask for a Superbill

If you pay out of pocket for your QT scan, ask your doctor or imaging center for a Superbill.

A Superbill is an itemized receipt that documents the service you received and the associated billing information.

You can then contact your insurance company and ask whether your policy includes out-of-network or out-of-pocket benefits for breast imaging.

If it does, your insurer may provide a form for you to complete and submit along with your Superbill and any additional documentation they require.

Remember: Having a CPT code does not automatically mean your insurance will cover QT Imaging. Coverage depends on your individual insurance plan and its policies.

Questions to Ask Your Insurance Company

  • Does my plan include out-of-network benefits for breast imaging?
  • Will you reimburse me for an out-of-network QT Imaging exam?
  • What documentation do you require?
  • What form should I use to submit my claim?
  • What CPT code should I provide?
  • Is prior authorization required?

Keep your receipts and documentation. Insurance policies vary, and reimbursement decisions are made by individual insurers.

Why This Matters to Patients

A dedicated CPT code can make it easier for healthcare providers to bill insurance and may improve access to coverage over time. Until then, patients may still need to pay out of pocket or work with their provider to submit claims or appeals for reimbursement.

While this process does not guarantee insurance coverage, it represents an important milestone in bringing innovative breast imaging technologies into routine clinical practice.

How This Guide Can Help Patients

While the guide is written primarily for healthcare providers and billing professionals, it can also help patients understand the reimbursement process and prepare for conversations with their imaging center or insurance company.

You can use the information in the guide to:

  • Ask your imaging center for an itemized receipt (superbill) after your exam.
  • Confirm the CPT code used when the procedure is billed.
  • Submit an out-of-network insurance claim if your provider does not bill your insurance directly.
  • Support an appeal if your insurance company denies coverage.
  • Better understand how this emerging technology is currently coded and why reimbursement may require additional documentation.

Questions to Ask Before Your Exam

Before scheduling your appointment, consider asking the imaging center:

  • Will you bill my insurance directly?
  • If not, will you provide a superbill or itemized receipt?
  • What CPT code will be used?
  • Can you provide any supporting documentation if I need to submit a claim or file an appeal?

Important to Know

The Coding & Billing Guide is not a guarantee of insurance coverage. Coverage decisions are made by individual insurance companies and depend on your specific plan, medical necessity, and supporting documentation. However, understanding the billing process can help you advocate for yourself and improve your chances of obtaining reimbursement.