CPT code 10007: Fine needle aspiration, fluoroscopy, first lesion2026 Medicare rate & RVUs in Nevada

Fluoroscopic-guided fine needle aspiration biopsy samples the first lesion for cytologic evaluation when fluoroscopy directs needle placement.

CMS RVU26DEffective Oct 1, 2026One payment locality553 Medicare services in 2024

In Nevada, Medicare pays $343.13 for 10007 in the office and $78.67 when it’s performed in a hospital or facility.

$343.13Office (non-facility)
$78.67Hospital or facility
−0.4%vs the national office rate ($344.36)

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.

We’ll open 10007 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 10007 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Nevada 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. Nevada pays $343.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

10007 in Nevada vs other payment areas
  1. Nevada · this page$343.13
  2. Los Angeles, CA · California$394.35+$51.22
  3. Washington, DC area · District of Columbia$397.78+$54.65
  4. Miami, FL · Florida$369.49+$26.36
  5. Chicago, IL · Illinois$357.84+$14.71
  6. Manhattan, NY · New York$398.21+$55.08
  7. Alaska · Alaska$387.68+$44.55

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

10007 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$305.88$74.70
ArkansasArkansas$300.99$74.05
ArizonaArizona$334.49$78.48
Bakersfield, CACalifornia$368.50$78.94
Chico, CACalifornia$367.73$78.16
El Centro, CACalifornia$367.77$78.21
Fresno, CACalifornia$367.73$78.16
Hanford, CACalifornia$367.73$78.16

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
10007 office rate range by state
State / territoryOffice rate rangeLocalities
AK$387.681
AL$305.881
AR$300.991
AZ$334.491
CA$367.73–$468.8829
CO$360.791
CT$368.731
DC$397.781
DE$340.431
FL$336.73–$369.493
GA$316.23–$350.782
GU$378.461
HI$378.461
IA$315.421
ID$317.491
IL$325.38–$359.204
IN$319.541
KS$313.341
KY$312.901
LA$312.18–$329.272
MA$358.13–$399.432
MD$347.53–$397.783
ME$318.83–$338.552
MI$321.47–$340.872
MN$346.031
MO$305.96–$331.113
MS$303.571
MT$344.351
NC$322.581
ND$339.011
NE$317.461
NH$354.571
NJ$373.03–$392.932
NM$323.221
NV$343.131
NY$327.86–$408.125
OH$320.371
OK$312.761
OR$340.58–$373.692
PA$321.19–$358.502
PR$347.271
RI$353.631
SC$321.991
SD$338.381
TN$315.021
TX$318.83–$359.498
UT$326.851
VA$337.01–$397.782
VI$347.271
VT$337.141
WA$357.63–$408.432
WI$326.511
WV$312.021
WY$342.021

See 10007 in every payment locality

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

Office or facility?

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 10007 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense8.28× 1.0018.2883
Malpractice0.27× 0.8330.2249
Total RVUs10.2732
Conversion factor× 33.4009

Office rate, Nevada$343.13

Office: (1.76 × 1 + 8.28 × 1.001 + 0.27 × 0.833) × $33.4009 = $343.13

Facility: (1.76 × 1 + 0.37 × 1.001 + 0.27 × 0.833) × $33.4009 = $78.67

Open 10007 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

How 10007 has changed in Nevada

10007 · Office / nonfacility

$343.13

Effective 2026-10-01

The base rate is $50.26 higher than on 2025-10-01, moving from $292.87 to $343.13 (17.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $292.87changed to$343.13

    • 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
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $302.11changed to$292.87

    • 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.

  3. March 9, 2024

    RVU24AR

    $297.18changed to$302.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $302.23changed to$297.18

    • 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
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $314.89changed to$302.23

    • 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 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $318.77changed to$314.89

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $305.34changed to$318.77

    • 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 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $294.79changed to$305.34

    • 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 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$294.79

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$343.13$78.67RVU26D
2026-07-01$343.13$78.67RVU26C
2026-04-01$343.13$78.67RVU26B
2026-01-01$343.13$78.67RVU26A
2025-10-01$292.87$84.88RVU25D
2025-07-01$292.87$84.88RVU25C
2025-04-01$292.87$84.88RVU25B
2025-01-01$292.87$84.88RVU25A
2024-10-01$302.11$87.07RVU24D
2024-07-01$302.11$87.07RVU24C
2024-04-01$302.11$87.07RVU24B
2024-03-09$302.11$87.07RVU24AR
2024-01-01$297.18$85.65RVU24A
2023-10-01$302.23$89.42RVU23D
2023-07-01$302.23$89.42RVU23C
2023-04-01$302.23$89.42RVU23B
2023-01-01$302.23$89.42RVU23A
2022-10-01$314.89$95.14RVU22D
2022-07-01$314.89$95.14RVU22C
2022-04-01$314.89$95.14RVU22B
2022-01-01$314.89$95.14RVU22A
2021-10-01$318.77$95.81RVU21D
2021-07-01$318.77$95.81RVU21C
2021-04-01$318.77$95.81RVU21B
2021-01-01$318.77$95.81RVU21A
2020-10-01$305.34$98.19RVU20D
2020-07-01$305.34$98.19RVU20C
2020-04-01$305.34$98.19RVU20B
2020-01-01$305.34$98.19RVU20A
2019-10-01$294.79$97.24RVU19D
2019-07-01$294.79$97.24RVU19C
2019-04-01$294.79$97.24RVU19B
2019-01-01$294.79$97.24RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 10007 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 10007PPRRVU2026_Oct_nonQPP.csv, line 1,063 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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