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HCPCS codes / G / G8876

G8876

Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer preoperatively (e.g., lesion too close to skin, implant, chest wall, etc., lesion could not be adequately visualized for needle biopsy, patient condition prevents needle biopsy [weight, breast thickness, etc.], duct excision without imaging abnormality, prophylactic mastectomy, reduction mammoplasty, excisional biopsy performed by another physician)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
M5B
Pricing indicator
00
Effective date
20150101
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