C8904 – Magnetic resonance imaging without contrast, breast; unilateral
HCPCS Level II code · C codes: Outpatient PPS (Hospital Outpatient)
HCPCS codeC8904
- Long description
- Magnetic resonance imaging without contrast, breast; unilateral
- Short description
- Mri w/o cont, breast, uni
- Pricing indicator
53Statute- Medicare coverage
DSpecial coverage instructions apply- BETOS category
I2DAdvanced imaging - MRI/MRA: other- Cross reference
- 77046
- Added
- October 1, 2001
- Last change
- January 1, 2019 – No change
- Termination date
- December 31, 2018
Frequently asked questions
What is HCPCS code C8904?
C8904 is a HCPCS Level II code for magnetic resonance imaging without contrast, breast; unilateral. It was discontinued on December 31, 2018.
Does Medicare cover C8904?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby C codes
- C8011 – Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components
- C8012 – Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver
- C8013 – Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver
- C8014 – Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed)
- C8900 – Magnetic resonance angiography with contrast, abdomen
- C8901 – Magnetic resonance angiography without contrast, abdomen
- C8902 – Magnetic resonance angiography without contrast followed by with contrast, abdomen
- C8903 – Magnetic resonance imaging with contrast, breast; unilateral
- C8905 – Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
- C8906 – Magnetic resonance imaging with contrast, breast; bilateral
- C8907 – Magnetic resonance imaging without contrast, breast; bilateral
- C8908 – Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
- C8909 – Magnetic resonance angiography with contrast, chest (excluding myocardium)
- C8910 – Magnetic resonance angiography without contrast, chest (excluding myocardium)
- C8911 – Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)
- C8912 – Magnetic resonance angiography with contrast, lower extremity
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.