HCPCS Code S3854 for Management of Breast Cancer Treatment to Become Non-Benefit

Effective October 1, 2015, HCPCS code S3854 (gene expression profiling panel for use in the management of breast cancer treatment) is a non-benefit. Beginning October 1, 2015, providers should bill with CPT code 81519 (oncology [breast], mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score) in place of HCPCS code S3854.

SOURCE: General Medicine | September 2015 | Bulletin 495
INDUSTRY NEWS TAGS: California Medi Cal

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