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North Carolina Breast and Cervical Cancer Control Program <br /> 2017 Services Fee Schedule(1) <br /> Breast Procedures Continued 2017 Office Fee <br /> Code Fee Allowed <br /> Cytopathology,evaluation of fine needle aspirate 88172 $ 55.62 No <br /> 88172TC $ 18.64 <br /> 88172-26 $ 36.98 <br /> Cytopathology,evaluation of fine needle aspirate 88173 $ 148.09 No <br /> >Interpretation and Report 88173TC $ 75.70 <br /> 88173-26 $ 72.39 <br /> Puncture Aspiration 19000 $ 108.21 Yes <br /> -each additional procedure,use in addition to 19000 19001 $ 26.41 Yes <br /> Breast Biopsy(with placement of localization device and imaging of 19081 $ 661.72 Yes <br /> biopsy specimen,percutaneous;stereotactic guidance;first lesion)(4) <br /> Each additional lesion(4) 19082 $ 544.34 Yes <br /> Breast Biopsy(with placement of localization device and imaging of 19083 $ 641.75 Yes <br /> biopsy specimen,percutaneous;ultrasound guidance;first lesion)(4) <br /> Each additional lesion(4) 19084 $ 523.26 Yes <br /> Needle Core Biopsy 19100 $ 144.08 Yes <br /> Needle Core Biopsy(open,Incisional) 19101 $ 326.89 Yes <br /> Excision of cyst,fibroadenoma,or other tumor,aberrant breast tissue 19120 $ 475.51 Yes <br /> -duct lesion,nipple or areolar lesion,open, <br /> - 1 or more lesions. <br /> Excision of breast lesion identified by preop placement 19125 $ 527.04 Yes <br /> -of radiological marker,open,single lesion. <br /> -each additional lesion separately identified by a preop <br /> radiological marker(list separately) 19126 $ 158.70 Yes <br /> Placement of breast localization device,percutaneous;mammographic 19281 $ 231.54 Yes <br /> guidance;first lesion(5) <br /> Each additional lesion(5) 19282 $ 159.87 Yes <br /> Placement of breast localization device,percutaneous;stereotactic 19283 $ 260.73 Yes <br /> guidance;first lesion(5) <br /> Each additional lesion(5) 19284 $ 195.08 Yes <br /> Placement of breast localization device,percutaneous;ultrasound 19285 $ 493.16 Yes <br /> guidance;first lesion(5) <br /> Each additional lesion(5) 19286 $ 428.81 Yes <br /> Surgical Pathology-Level IV 88305 $ 66.46 No <br /> gross and microscopic examination 88305TC $ 27.66 <br /> 88305-26 $ 38.80 <br /> Surgical Pathology-Level V 88307 $ 254.77 No <br /> gross and microscopic examination, 88307TC $ 169.26 <br /> requiring microscopic evaluation of surgical margins 88307-26 $ 85.51 <br /> Cervical Procedures continued on next page <br /> N.C.Department of Health and Human Services,Division of Public Health, Page 2 <br /> Chronic Disease and Injury Section,Cancer Prevention and Control Branch 2/2017 <br />