HCPCS Level II · Outpatient PPS (temporary codes)
C8904Magnetic resonance imaging without contrast, breast; unilateral
Terminated 12/31/2018
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About C8904
C8904 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing magnetic resonance imaging without contrast, breast; unilateral.
It was added to HCPCS effective 10/01/2001, and its current record took effect 01/01/2019.
It was terminated on 12/31/2018 and can't be billed for later dates of service.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Mri w/o cont, breast, uni
- Date added
- 10/01/2001
- Action effective
- 01/01/2019
- Termination date
- 12/31/2018
- BETOS
- I2D
Related C89xx codes
- C8900Magnetic resonance angiography with contrast, abdomen
- C8901Magnetic resonance angiography without contrast, abdomen
- C8902Magnetic resonance angiography without contrast followed by with contrast, abdomen
- C8903Magnetic resonance imaging with contrast, breast; unilateral
- C8905Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
- C8906Magnetic resonance imaging with contrast, breast; bilateral
- C8908Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
- C8909Magnetic resonance angiography with contrast, chest (excluding myocardium)
- C8910Magnetic resonance angiography without contrast, chest (excluding myocardium)
- C8911Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)
- C8912Magnetic resonance angiography with contrast, lower extremity
- C8913Magnetic resonance angiography without contrast, lower extremity
Common questions about C8904
Is HCPCS C8904 still valid?
- No. C8904 was terminated on 12/31/2018.
Does Medicare cover C8904?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.