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2020 Office Fee <br />Code Fee Allowed <br />Excision of cyst, fibroadenoma or other benign or malignant tumor, 19120 493.62$ Yes <br /> aberrant breast tissue, duct lesion, nipple or areolar lesion; open; <br /> one or more lesions <br />Excision of breast lesion identified by preoperative placement of 19125 545.54$ Yes <br /> radiological marker; open; single lesion <br /> Each additional lesion separately identified by a preoperative 19126 160.23$ Yes <br /> radiological marker <br />Placement of breast localization device, percutaneous; mammographic 19281 237.99$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19282 167.10$ Yes <br />Placement of breast localization device, percutaneous; stereotactic 19283 263.65$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19284 199.80$ Yes <br />Placement of breast localization device, percutaneous; ultrasound 19285 438.95$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19286 373.47$ Yes <br />Ultrasonic guidance for needle placement, imaging 76942 55.82$ No <br /> supervision and interpretation 76942-TC 24.10$ <br />76942-26 31.71$ <br />Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 88172 54.65$ No <br /> study to determine adequacy of specimen(s), first evaluation episode 88172TC 18.06$ <br />88172-26 36.59$ <br />Cytopathology, evaluation of fine need aspirate; immediate cytohistologic 88177 29.19$ No <br /> study to determine adequacy of specimen(s), each separate additional 88177TC 6.71$ <br /> evaluation episode 88177-26 22.48$ <br />Cytopathology, evaluation of fine needle aspirate; interpretation and report 88173 149.54$ No <br />88173TC 77.41$ <br />88173-26 72.13$ <br />Surgical pathology, gross and microscopic examination 88305 68.23$ No <br />88305TC 29.81$ <br />88305-26 38.42$ <br />Surgical pathology, gross and microscopic examination; requiring microscopic 88307 265.44$ No <br /> evaluation of surgical margins 88307TC 181.05$ <br />88307-26 84.38$ <br />Morphometric analysis, tumor immunohistochemistry, per specimen; manual 88360 120.50$ <br /> 88360TC 77.47$ <br /> 88360-26 43.03$ <br />Morphometric analysis, tumor immunohistochemistry, per specimen; 88361 122.43$ <br /> using computer-assisted technology 88361TC 76.80$ <br /> 88361-26 45.63$ <br />00400 21.63$ <br />Moderate (concious) sedation (10-22 minutes for individuals 5 yr. or older) (8)99156 77.74$ <br /> Each additional 15 minutes (8)99157 63.35$ <br />Anesthesia for procedures on the integumentary system, anterior trunk, not <br />otherwise specified (7) <br />Breast Cancer Screening and Diagnostic Procedures <br />2020 Services Fee Schedule (1) <br />North Carolina Breast and Cervical Cancer Control Program <br />DocuSign Envelope ID: FB8633A7-7427-4234-85C2-8B1508ED7177