HCPCS code C8906 — Mri w/cont, breast, bi. Status: Active. Effective Oct 1, 2001. Source: CMS HCPCS Level II.

C8906

Active

Mri w/cont, breast, bi

Magnetic resonance imaging with contrast, breast; bilateral

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 C8906 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

The following codes cannot be billed together with C8906 without appropriate documentation.

Column 2 Code Modifier
C8903 Modifier may bypass edit
C8905 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)