HCPCS Level II
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)
- NDC crosswalk
- None in the loaded CMS ASP file
Codes near G8880
These sit next to G8880 in the CMS Level II file. All G codes
- 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
- G8878Sentinel lymph node biopsy procedure performed
- G8879Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer
- 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
- G8884Clinician documented reason that patient's biopsy results were not reviewed
- G8885Biopsy results not reviewed, communicated, tracked or documented