CPT code 10007: Fine needle aspiration, fluoroscopy, first lesion2026 Medicare rate & RVUs in El Centro, CA
Fluoroscopic-guided fine needle aspiration biopsy samples the first lesion for cytologic evaluation when fluoroscopy directs needle placement.
In El Centro, CA, Medicare pays $367.77 for 10007 in the office and $78.21 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 10007 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 10007 covers
The physician uses live fluoroscopic imaging to guide a fine needle into a target lesion and obtain cellular material for evaluation. A radiologist, interventional radiologist, or another physician trained in image-guided procedures may perform the service in a hospital or outpatient setting. The code represents sampling of the first lesion with fluoroscopic guidance, rather than the number of needle passes or specimens collected from that lesion.
Report 10007 when fluoroscopy guides aspiration of the first lesion. The record should identify the target, document fluoroscopic guidance and needle aspiration, and support that a lesion was sampled. For each additional lesion sampled in the same session, use the corresponding add-on code, 10008. Fluoroscopic guidance is included in this service. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How El Centro, CA compares for 10007
Across 109 of 109 payment localities, the office rate for 10007 runs from $300.99 in Arkansas to $468.88 in San Benito County, CA. El Centro, CA pays $367.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$367.77
- Bakersfield, CA · California$368.50+$0.73
- Chico, CA · California$367.73−$0.04
- Fresno, CA · California$367.73−$0.04
- Hanford, CA · California$367.73−$0.04
- Los Angeles, CA · California$394.35+$26.58
- Madera, CA · California$367.73−$0.04
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $367.73 | $78.16 |
| Modesto, CACalifornia | $367.73 | $78.16 |
| Napa, CACalifornia | $431.58 | $83.36 |
| Oxnard, CACalifornia | $392.94 | $80.66 |
| Redding, CACalifornia | $367.73 | $78.16 |
| Rest of CaliforniaCalifornia | $367.73 | $78.16 |
| Riverside, CACalifornia | $370.65 | $81.08 |
| Sacramento, CACalifornia | $387.37 | $80.11 |
| Salinas, CACalifornia | $385.97 | $79.77 |
| San Diego, CACalifornia | $396.20 | $80.22 |
| Marin County, CACalifornia | $458.46 | $85.93 |
| San Francisco, CACalifornia | $458.15 | $85.63 |
| San Benito County, CACalifornia | $468.88 | $87.91 |
| Santa Clara County, CACalifornia | $467.63 | $86.65 |
| San Luis Obispo, CACalifornia | $379.62 | $78.69 |
| Santa Cruz, CACalifornia | $400.87 | $79.87 |
| Santa Maria, CACalifornia | $387.73 | $79.68 |
| Santa Rosa, CACalifornia | $405.00 | $80.56 |
| Stockton, CACalifornia | $367.73 | $78.16 |
| Vallejo, CACalifornia | $431.13 | $82.92 |
| Visalia, CACalifornia | $367.73 | $78.16 |
| Yuba City, CACalifornia | $367.73 | $78.16 |
| Washington, DC areaDistrict of Columbia | $397.78 | $86.56 |
| Miami, FLFlorida | $369.49 | $94.46 |
| Chicago, ILIllinois | $357.84 | $92.31 |
| Manhattan, NYNew York | $398.21 | $91.21 |
| AlaskaAlaska | $387.68 | $106.31 |
| AlabamaAlabama | $305.88 | $74.70 |
| ArkansasArkansas | $300.99 | $74.05 |
| ArizonaArizona | $334.49 | $78.48 |
| ColoradoColorado | $360.79 | $79.68 |
| ConnecticutConnecticut | $368.73 | $84.18 |
| DelawareDelaware | $340.43 | $79.40 |
| Fort Lauderdale, FLFlorida | $355.25 | $87.61 |
| Rest of FloridaFlorida | $336.73 | $84.15 |
| Atlanta, GAGeorgia | $350.78 | $82.35 |
| Rest of GeorgiaGeorgia | $316.23 | $80.56 |
| Hawaii, Guam, HIHawaii | $378.46 | $78.06 |
| IowaIowa | $315.42 | $73.67 |
| IdahoIdaho | $317.49 | $74.42 |
| East St. Louis, ILIllinois | $331.38 | $88.32 |
| Rest of IllinoisIllinois | $325.38 | $84.16 |
| Suburban Chicago, ILIllinois | $359.20 | $87.87 |
| IndianaIndiana | $319.54 | $74.62 |
| KansasKansas | $313.34 | $74.50 |
| KentuckyKentucky | $312.90 | $78.02 |
| New Orleans, LALouisiana | $329.27 | $80.66 |
| Rest of LouisianaLouisiana | $312.18 | $78.36 |
| Metropolitan Boston, MAMassachusetts | $399.43 | $83.98 |
| Rest of MassachusettsMassachusetts | $358.13 | $79.93 |
| Baltimore area, MDMaryland | $367.63 | $84.14 |
| Rest of MarylandMaryland | $347.53 | $80.16 |
| Rest of MaineMaine | $318.83 | $75.76 |
| Southern Maine, MEMaine | $338.55 | $76.72 |
| Detroit, MIMichigan | $340.87 | $85.92 |
| Rest of MichiganMichigan | $321.47 | $80.25 |
| MinnesotaMinnesota | $346.03 | $74.17 |
| Metropolitan Kansas City, MOMissouri | $327.29 | $79.20 |
| Metropolitan St. Louis, MOMissouri | $331.11 | $79.59 |
| Rest of MissouriMissouri | $305.96 | $78.22 |
| MississippiMississippi | $303.57 | $76.09 |
| MontanaMontana | $344.35 | $80.14 |
| North CarolinaNorth Carolina | $322.58 | $76.08 |
| North DakotaNorth Dakota | $339.01 | $74.81 |
| NebraskaNebraska | $317.46 | $73.60 |
| New HampshireNew Hampshire | $354.57 | $79.54 |
| Northern New JerseyNew Jersey | $392.93 | $86.46 |
| Rest of New JerseyNew Jersey | $373.03 | $84.53 |
| New MexicoNew Mexico | $323.22 | $80.95 |
| NevadaNevada | $343.13 | $78.67 |
| NYC suburbs and Long Island, NYNew York | $408.12 | $93.99 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $375.18 | $85.88 |
| Queens, NYNew York | $402.45 | $90.16 |
| Rest of New YorkNew York | $327.86 | $76.87 |
| OhioOhio | $320.37 | $79.16 |
| OklahomaOklahoma | $312.76 | $76.83 |
| Portland, OROregon | $373.69 | $80.17 |
| Rest of OregonOregon | $340.58 | $77.43 |
| Metropolitan Philadelphia, PAPennsylvania | $358.50 | $83.47 |
| Rest of PennsylvaniaPennsylvania | $321.19 | $78.65 |
| Puerto RicoPuerto Rico | $347.27 | $80.16 |
| Rhode IslandRhode Island | $353.63 | $80.71 |
| South CarolinaSouth Carolina | $321.99 | $77.87 |
| South DakotaSouth Dakota | $338.38 | $74.17 |
| TennesseeTennessee | $315.02 | $74.86 |
| Austin, TXTexas | $359.49 | $79.97 |
| Beaumont, TXTexas | $318.83 | $78.41 |
| Brazoria, TXTexas | $340.36 | $78.54 |
| Dallas, TXTexas | $342.51 | $79.36 |
| Fort Worth, TXTexas | $339.86 | $79.35 |
| Galveston, TXTexas | $341.35 | $78.99 |
| Houston, TXTexas | $346.29 | $83.94 |
| Rest of TexasTexas | $329.38 | $78.66 |
| UtahUtah | $326.85 | $78.50 |
| VirginiaVirginia | $337.01 | $77.30 |
| Virgin Islands, VIUnited States Virgin Islands | $347.27 | $80.16 |
| VermontVermont | $337.14 | $75.58 |
| Rest of WashingtonWashington | $357.63 | $79.43 |
| King County, WAWashington | $408.43 | $84.26 |
| WisconsinWisconsin | $326.51 | $73.40 |
| West VirginiaWest Virginia | $312.02 | $82.43 |
| WyomingWyoming | $342.02 | $77.82 |
10007 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$300.99
$418.31
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $387.68 | 1 |
| AL | $305.88 | 1 |
| AR | $300.99 | 1 |
| AZ | $334.49 | 1 |
| CA | $367.73–$468.88 | 29 |
| CO | $360.79 | 1 |
| CT | $368.73 | 1 |
| DC | $397.78 | 1 |
| DE | $340.43 | 1 |
| FL | $336.73–$369.49 | 3 |
| GA | $316.23–$350.78 | 2 |
| GU | $378.46 | 1 |
| HI | $378.46 | 1 |
| IA | $315.42 | 1 |
| ID | $317.49 | 1 |
| IL | $325.38–$359.20 | 4 |
| IN | $319.54 | 1 |
| KS | $313.34 | 1 |
| KY | $312.90 | 1 |
| LA | $312.18–$329.27 | 2 |
| MA | $358.13–$399.43 | 2 |
| MD | $347.53–$397.78 | 3 |
| ME | $318.83–$338.55 | 2 |
| MI | $321.47–$340.87 | 2 |
| MN | $346.03 | 1 |
| MO | $305.96–$331.11 | 3 |
| MS | $303.57 | 1 |
| MT | $344.35 | 1 |
| NC | $322.58 | 1 |
| ND | $339.01 | 1 |
| NE | $317.46 | 1 |
| NH | $354.57 | 1 |
| NJ | $373.03–$392.93 | 2 |
| NM | $323.22 | 1 |
| NV | $343.13 | 1 |
| NY | $327.86–$408.12 | 5 |
| OH | $320.37 | 1 |
| OK | $312.76 | 1 |
| OR | $340.58–$373.69 | 2 |
| PA | $321.19–$358.50 | 2 |
| PR | $347.27 | 1 |
| RI | $353.63 | 1 |
| SC | $321.99 | 1 |
| SD | $338.38 | 1 |
| TN | $315.02 | 1 |
| TX | $318.83–$359.49 | 8 |
| UT | $326.85 | 1 |
| VA | $337.01–$397.78 | 2 |
| VI | $347.27 | 1 |
| VT | $337.14 | 1 |
| WA | $357.63–$408.43 | 2 |
| WI | $326.51 | 1 |
| WV | $312.02 | 1 |
| WY | $342.02 | 1 |
How the 10007 rate is calculated
Each of 10007’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 10007
RVUs × geographic indexes × conversion factor
Work1.76
1.76 RVUs× 1.000 GPCI
Practice expense8.28
8.28 RVUs× 1.000 GPCI
Malpractice0.27
0.27 RVUs× 1.000 GPCI
Adjusted RVUs
10.3100
Conversion factor
$33.4009
Medicare rate
$344.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,063
- Code
- 10007
- Physician work
- 1.76
- Practice expense
- 8.28
- Malpractice
- 0.27
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.017 | 1.7899 |
| Practice expense | 8.28 | × 1.096 | 9.0749 |
| Malpractice | 0.27 | × 0.541 | 0.1461 |
| Total RVUs | 11.0109 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro, CA$367.77
Office: (1.76 × 1.017 + 8.28 × 1.096 + 0.27 × 0.541) × $33.4009 = $367.77
Facility: (1.76 × 1.017 + 0.37 × 1.096 + 0.27 × 0.541) × $33.4009 = $78.21
Payment rules and modifiers for 10007
The CMS indicators that decide how 10007 is paid alongside other services.
CMS payment indicators · 10007
Fine needle aspiration, fluoroscopy, first lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
10007 without 51 · national office
$344.36
Fine needle aspiration, fluoroscopy, first lesion
10007-51 · Second procedure: 50%
$172.18
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 10007 has changed in El Centro, CA
10007 · Office / nonfacility
$367.77
Effective 2026-10-01
The base rate is $54.91 higher than on 2025-10-01, moving from $312.86 to $367.77 (17.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$312.86changed to$367.77
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.81 changed to 1.76
- Practice expense RVU 7.05 changed to 8.28
- Malpractice RVU 0.23 changed to 0.27
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$322.86changed to$312.86
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.08 changed to 7.05
- Malpractice RVU 0.22 changed to 0.23
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$317.59changed to$322.86
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$318.75changed to$317.59
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.90 changed to 7.08
- Malpractice RVU 0.19 changed to 0.22
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.595 changed to 0.570
January 1, 2023
RVU23A
$326.98changed to$318.75
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.01 changed to 6.90
- Malpractice RVU 0.20 changed to 0.19
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.620 changed to 0.595
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$331.30changed to$326.98
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.06 changed to 7.01
- Malpractice RVU 0.19 changed to 0.20
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$319.51changed to$331.30
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.44 changed to 7.06
- Malpractice RVU 0.18 changed to 0.19
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.606 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$306.16changed to$319.51
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.09 changed to 6.44
- Malpractice RVU 0.19 changed to 0.18
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.570 changed to 0.606
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$306.16
Held through RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $367.77 | $78.21 | RVU26D |
| 2026-07-01 | $367.77 | $78.21 | RVU26C |
| 2026-04-01 | $367.77 | $78.21 | RVU26B |
| 2026-01-01 | $367.77 | $78.21 | RVU26A |
| 2025-10-01 | $312.86 | $85.53 | RVU25D |
| 2025-07-01 | $312.86 | $85.53 | RVU25C |
| 2025-04-01 | $312.86 | $85.53 | RVU25B |
| 2025-01-01 | $312.86 | $85.53 | RVU25A |
| 2024-10-01 | $322.86 | $87.83 | RVU24D |
| 2024-07-01 | $322.86 | $87.83 | RVU24C |
| 2024-04-01 | $322.86 | $87.83 | RVU24B |
| 2024-03-09 | $322.86 | $87.83 | RVU24AR |
| 2024-01-01 | $317.59 | $86.39 | RVU24A |
| 2023-10-01 | $318.75 | $89.12 | RVU23D |
| 2023-07-01 | $318.75 | $89.12 | RVU23C |
| 2023-04-01 | $318.75 | $89.12 | RVU23B |
| 2023-01-01 | $318.75 | $89.12 | RVU23A |
| 2022-10-01 | $326.98 | $92.94 | RVU22D |
| 2022-07-01 | $326.98 | $92.94 | RVU22C |
| 2022-04-01 | $326.98 | $92.94 | RVU22B |
| 2022-01-01 | $326.98 | $92.94 | RVU22A |
| 2021-10-01 | $331.30 | $93.84 | RVU21D |
| 2021-07-01 | $331.30 | $93.84 | RVU21C |
| 2021-04-01 | $331.30 | $93.84 | RVU21B |
| 2021-01-01 | $331.30 | $93.84 | RVU21A |
| 2020-10-01 | $319.51 | $97.86 | RVU20D |
| 2020-07-01 | $319.51 | $97.86 | RVU20C |
| 2020-04-01 | $319.51 | $97.86 | RVU20B |
| 2020-01-01 | $319.51 | $97.86 | RVU20A |
| 2019-10-01 | $306.16 | $97.53 | RVU19D |
| 2019-07-01 | $306.16 | $97.53 | RVU19C |
| 2019-04-01 | $306.16 | $97.53 | RVU19B |
| 2019-01-01 | $306.16 | $97.53 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
10007 billing questions
When should 10007 be chosen instead of 10005 or 10009?
Use 10007 when fluoroscopy guides the aspiration. Code 10005 is for ultrasound guidance, and 10009 is for CT guidance.
How is another lesion sampled during the same session reported?
Report 10008 for each additional lesion sampled with fluoroscopic guidance. Do not count separate needle passes into one lesion as additional lesions.
Can fluoroscopic guidance be billed separately?
No. Fluoroscopic guidance is included in 10007.
What documentation supports reporting 10007?
Document the lesion sampled, the use of fluoroscopy to guide needle placement, and the fine needle aspiration performed.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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