G8878

Category

G. Procedures and professional services, temporary

NDC crosswalk

None in the loaded CMS ASP file

CMS HCPCS quarterly update

These sit next to G8878 in the CMS Level II file. All G codes

• G8873Patients with needle localization specimens which are not amenable to intraoperative imaging such as mri needle wire localization, or targets which are tentatively identified on mammogram or ultrasound which do not contain a biopsy marker but which can be verified on intraoperative inspection or pathology (e.g., needle biopsy site where the biopsy marker is remote from the actual biopsy site)
• G8874Excised tissue not evaluated by imaging intraoperatively to confirm successful inclusion of targeted lesion
• G8875Clinician diagnosed breast cancer preoperatively by a minimally invasive biopsy method
• G8876Documentation 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)
• G8877Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given
• G8879Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer
• G8880Documentation 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)
• G8881Stage of breast cancer is greater than t1n0m0 or t2n0m0
• G8882Sentinel lymph node biopsy procedure not performed, reason not given
• G8883Biopsy results reviewed, communicated, tracked and documented