Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
Short Description
Fluorescence lymph map w/icg
HCPCS Coverage Code
D = Special coverage instructions apply
HCPCS Action Code
N = No maintenance for this code
HCPCS Action Effective Date
July 01, 2019
HCPCS Code Added Date
July 01, 2019
HCPCS Pricing Indicator Code
53 = Statute
HCPCS Multiple Pricing Indicator Code
A = Not applicable as HCPCS priced under one methodology
HCPCS Statute Number
1833(t)
HCPCS Type Of Service Code
4 = Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity
0
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