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