G8879 - HCPCS Code for Node neg inv brst cncr

HCPCS Code Details - G8879
HCPCS Level II Code Procedures/Professional Services (Temporary Codes) Search
HCPCS Code	`G8879`
Description	Long description: Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer Short description: Node neg inv brst cncr
HCPCS Modifier¹
HCPCS Pricing indicator	`00` - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator	`9` - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code	`C` - Carrier judgment
BETOS² code	`M5B` - Specialist - psychiatry
HCPCS Action code	`N` - No maintenance for this code
Type of service	`1` - Medical care
Effective date	Effective Jan 01, 2018
Date added	Added Jan 01, 2012
Termination date	Dec 31, 2017
HCPCS Coding Procedures

HCPCS G8878 · Sentinel lymph node biopsy procedure performed
HCPCS G9911 · Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy
HCPCS G8880 · 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, patient with significant age, comorbidities, or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change)

¹ Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

² BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Code G8879