G8880 HCPCS - DOCUMENTATION OF REASON(S) SENTINEL LYMPH NODE BIOPSY NOT PERFORMED (E.G., REASONS COULD INCLUDE BUT NOT LIMITED TO; NON-INVASIVE CANCER, INCIDENTAL DISCOVERY OF BREAST CANCER ON PROPHYLACTIC MASTECTOMY, INCIDENTAL DISCOVERY OF BREAST CANCER ON REDUCTION MAMMOPLASTY, PRE-OPERATIVE BIOPSY PROVEN LYMPH NODE (LN) METASTASES, INFLAMMATORY CARCINOMA, STAGE 3 LOCALLY ADVANCED CANCER, RECURRENT INVASIVE BREAST CANCER, CLINICALLY NODE POSITIVE AFTER NEOADJUVANT SYSTEMIC THERAPY, PATIENT REFUSAL AFTER INFORMED CONSENT)

Code Information

HCPCS Code: G8880

Sequence Number: 0010

Short Description: Sen lym p node biop not perf

Long Description: Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent)

Code Added Date: 1/1/2012

Action Code: C - Change in long description of procedure or modifier code

Action Effective Date: 1/1/2018

Classification: Temporary Procedures & Professional Services

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: M5B - Specialist - psychiatry
Type Of Service Code:
  • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

Pricing Indicator Code:
  • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G8880
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., reasons could include but not limited to; non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, incidental discovery of breast cancer on reduction mammoplasty, pre-operative biopsy proven lymph node (ln) metastases, inflammatory carcinoma, stage 3 locally advanced cancer, recurrent invasive breast cancer, clinically node positive after neoadjuvant systemic therapy, patient refusal after informed consent)
      HCPCS Short Description Sen lym p node biop not perf
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code M5B - Specialist - psychiatry
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2012
      HCPCS Action Effective Date 1/1/2018
      HCPCS Action Code C - Change in long description of procedure or modifier code

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      This page was last updated on: 1/1/2018