HCPCS G0204 Code. Dx mammo incl cad bi


Table of content for "Dx mammo incl cad bi" (HCPCS G0204)

General information on the “G0204” code

HCPCS Code: G0204
Long Description: Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
Short Description: Dx mammo incl cad bi

Original information is taken from G0204 page

Pricing indicators

Pricing Indicator Code 1: 13 – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information


Cross Reference Code 1: 77066 ;

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): I1C – Standard imaging - breast
Type Of Service 1: 4 – Diagnostic radiology

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20010401
Code Effective Date: 20180101
Termination Date: 20171231
Action Code: N – No maintenance for this code