2024 HCPCS Code C8904

Magnetic resonance imaging without contrast, breast; unilateral

Notice	HCPCS C8904 terminated on December 31, 2018.
Short Description	Mri w/o cont, breast, uni
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2019
HCPCS Code Added Date	October 01, 2001
HCPCS Pricing Indicator Code	53 - Statute
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	4 - Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity	0