Question 1

What is HCPCS code G8879?

Accepted Answer

HCPCS code G8879 is "Node neg inv brst cncr". Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer

Question 2

What category is G8879 in?

Accepted Answer

G8879 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8879?

Accepted Answer

Use G8879 when billing for node neg inv brst cncr. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G8879 covered by Medicare?

Accepted Answer

Coverage for G8879 (Node neg inv brst cncr) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G8879?

Accepted Answer

Documentation for G8879 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).