CPT code 10009: FNA biopsy, CT guidance, first lesion2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $387.53 for 10009 in the office and $89.61 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 10009 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 10009 covers

A clinician advances a fine needle into a lesion while using CT images to plan and guide sampling. The needle collects cells or fluid for cytologic evaluation rather than a core of tissue. Radiologists and interventional radiologists commonly perform this service for lesions that need image-guided access, such as a lung or deep soft-tissue mass, in an outpatient imaging department or hospital setting.

Report 10009 for the first lesion sampled with CT guidance. For another distinct lesion sampled during the same session with CT guidance, use the applicable additional-lesion code rather than reporting another first-lesion service. The record should identify the target lesion or site, CT guidance, and the aspiration sampling performed. CT guidance is part of this service; cytology interpretation is a separate service when performed and appropriately reported. Under the standard multiple procedure reduction, the highest-valued procedure in the same session is paid in full and other procedures are paid at 50%.

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 North Carolina compares for 10009

Across 109 of 109 payment localities, the office rate for 10009 runs from $362.06 in Arkansas to $563.47 in San Benito County, CA. North Carolina pays $387.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

10009 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 10009 in every payment locality

How the 10009 rate is calculated

Each of 10009’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.

Payment rules and modifiers for 10009

The CMS indicators that decide how 10009 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 10009

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 10009 has changed in North Carolina

Price 10009 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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

Open CMS sourceHow we calculate rates