HCPCS code C8905 — Mri w/o fol w/cont, brst, un.
Status: Active.
Effective Oct 1, 2001.
Source: CMS HCPCS Level II.
C8905
ActiveMri w/o fol w/cont, brst, un
Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Oct 1, 2001
Code type:
alphanumeric
OPPS Status:
Q3
— Codes that may be paid through a composite APC
OPPS APC:
5572
MUE — Medically Unlikely Edits
Maximum units of C8905 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
C8905 cannot be billed together with the following column 1 codes without appropriate documentation.
Source: CMS National Correct Coding Initiative (NCCI)