Percutaneous Image-Guided Breast Biopsy

Medicare covers percutaneous image-guided (stereotactic or ultrasound) breast biopsy for non-palpable radiographic abnormalities graded BIRADS III, IV, or V and for palpable lesions that are difficult to biopsy by palpation alone. Coverage is limited to stereotactic or ultrasound guidance, excludes BIRADS I–II non-palpable findings, and the determination of which palpable lesions qualify is at the Medicare Administrative Contractor's discretion.

"Medicare covers percutaneous image-guided breast biopsy (stereotactic or ultrasound) for non-palpable radiographic breast abnormalities graded BIRADS III, IV, or V."

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