G8885 – Biopsy results not reviewed, communicated, tracked or documented

Long description

Biopsy results not reviewed, communicated, tracked or documented

Short description

No rev, comm, track biopsy

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

M5B Specialist - psychiatry

Added

January 1, 2012

Last change

January 1, 2024 – No change

Termination date

December 31, 2023

Nearby G codes

• G8877 – Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method, reason not given
• G8878 – Sentinel lymph node biopsy procedure performed
• G8879 – Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer
• 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)
• G8881 – Stage of breast cancer is greater than t1n0m0 or t2n0m0
• G8882 – Sentinel lymph node biopsy procedure not performed, reason not given
• G8883 – Biopsy results reviewed, communicated, tracked and documented
• G8884 – Clinician documented reason that patient's biopsy results were not reviewed
• G8886 – Most recent blood pressure under control
• G8887 – Documentation of medical reason(s) for most recent blood pressure not being under control (e.g., patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8888 – Most recent blood pressure not under control, results documented and reviewed
• G8889 – No documentation of blood pressure measurement, reason not given
• G8890 – Most recent ldl-c under control, results documented and reviewed
• G8891 – Documentation of medical reason(s) for most recent ldl-c not under control (e.g., patients with palliative goals for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8892 – Documentation of medical reason(s) for not performing ldl-c test (e.g. patients with palliative goals or for whom treatment of hypertension with standard treatment goals is not clinically appropriate)
• G8893 – Most recent ldl-c not under control, results documented and reviewed