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2022 Office Fee <br />Code Fee Allowed <br />Excision of cyst, fibroadenoma or other benign or malignant tumor, 19120 508.42$ 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 560.85$ Yes <br /> radiological marker; open; single lesion <br /> Each additional lesion separately identified by a preoperative 19126 157.73$ Yes <br /> radiological marker <br />Placement of breast localization device, percutaneous; mammographic 19281 234.57$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19282 166.26$ Yes <br />Placement of breast localization device, percutaneous; stereotactic 19283 255.36$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19284 189.95$ Yes <br />Placement of breast localization device, percutaneous; ultrasound 19285 371.95$ Yes <br /> guidance; first lesion (6) <br /> Each additional lesion (6)19286 305.90$ Yes <br />Ultrasonic guidance for needle placement, imaging 76942 56.72$ No <br /> supervision and interpretation 76942-TC 26.30$ <br />76942-26 30.42$ <br />Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 88172 52.71$ No <br /> study to determine adequacy of specimen(s), first evaluation episode 88172TC 18.27$ <br />88172-26 34.44$ <br />Cytopathology, evaluation of fine need aspirate; immediate cytohistologic 88177 27.98$ No <br /> study to determine adequacy of specimen(s), each separate additional 88177TC 6.74$ <br /> evaluation episode 88177-26 21.24$ <br />Cytopathology, evaluation of fine needle aspirate; interpretation and report 88173 151.21$ No <br />88173TC 82.70$ <br />88173-26 68.51$ <br />Surgical pathology, gross and microscopic examination 88305 68.59$ No <br />88305TC 32.08$ <br />88305-26 36.51$ <br />Surgical pathology, gross and microscopic examination; requiring microscopic 88307 273.42$ No <br /> evaluation of surgical margins 88307TC 193.18$ <br />88307-26 80.24$ <br />Morphometric analysis, tumor immunohistochemistry, per specimen; manual 88360 115.73$ <br /> 88360TC 75.11$ <br /> 88360-26 40.62$ <br />Morphometric analysis, tumor immunohistochemistry, per specimen; 88361 115.66$ <br /> using computer-assisted technology 88361TC 72.86$ <br /> 88361-26 42.79$ <br />00400 21.07$ <br />Moderate anesthesia, 10-22 minutes for individuals 5 years or older (8)99156 75.05$ <br /> Each additional 15 minutes (8)99157 61.15$ <br />North Carolina Breast and Cervical Cancer Control Program <br />2022 Services Fee Schedule (1) <br />Breast Cancer Screening and Diagnostic Procedures <br />Anesthesia for procedures on the integumentary system, anterior trunk, not <br />otherwise specified (7) <br />DocuSign Envelope ID: F603CD10-1FD6-4458-9C7C-EC1EB8CD2D18