G0252 HCPCS - PET IMAGING, FULL AND PARTIAL-RING PET SCANNERS ONLY, FOR INITIAL DIAGNOSIS OF BREAST CANCER AND/OR SURGICAL PLANNING FOR BREAST CANCER (E.G., INITIAL STAGING OF AXILLARY LYMPH NODES)

Code Information

  • HCPCS Code: G0252
  • Sequence Number: 0010
  • Short Description: Pet imaging initial dx
  • Long Description: Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes)
  • Date Added: 10/1/2002
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 10/1/2002
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: I2D - Advanced imaging - MRI/MRA: other
  • Type Of Service Code:
    • 4 - Diagnostic radiology

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:
    • 50-36
  • Medicare Carriers Manual Reference Section Number:
      N/A
    • Coverage Code: M - Non-covered by Medicare

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code G0252
    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 Pet imaging, full and partial-ring pet scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes)
    HCPCS Short Description Pet imaging initial dx
    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 Issues Manual Reference Section Number 1 50-36
    HCPCS Coverage Code M - Non-covered by Medicare
    HCPCS Berenson-Eggers Type Of Service Code I2D - Advanced imaging - MRI/MRA: other
    HCPCS Type Of Service Code 1 4 - Diagnostic radiology
    HCPCS Anesthesia Base Unit Quantity 0
    HCPCS Code Added Date 10/1/2002
    HCPCS Action Effective Date 10/1/2002
    HCPCS Action Code N - No maintenance for this code

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    This page was last updated on: 7/1/2024