CPT code 19082: Breast biopsy, additional stereotactic lesion2026 Medicare rate & RVUs
Reports percutaneous biopsy of an additional breast lesion sampled with stereotactic guidance during an encounter that includes the primary lesion biopsy.
Medicare pays $363.40 for 19082 nationally in the office and $69.47 in a hospital or facility. Local office rates run $317.79–$501.03.
Medicare rate · 19082
Breast biopsy, additional stereotactic lesion
- Work RVUs
- 1.61
- Total RVUs
- 10.88
- Global days
- ZZZ
National rate · 2026
$363.40
Office setting, before claim adjustments.
See every locality for 19082 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 19082 covers
This add-on code covers percutaneous needle sampling of an additional breast lesion using stereotactic imaging to guide the biopsy. A radiologist or breast surgeon typically performs the procedure in a breast imaging center, outpatient department, or office equipped for stereotactic biopsy. Localization-device placement and imaging of the specimen are included when performed. The additional lesion must be distinct from the lesion reported with the primary biopsy.
Report 19082 with 19081 for each additional lesion biopsied using stereotactic guidance; it is not reported by itself. Documentation should identify the separately sampled lesion and support stereotactic guidance, with separate specimen labeling or pathology identification when applicable. CMS treats 19082 as an add-on billed with a primary procedure, and its payment falls within that primary procedure's global period.
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.
Where 19082 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$317.79 to $501.03
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $322.94 | $65.76 |
| Alaska | $407.50 | $94.46 |
| Arizona | $353.16 | $68.35 |
| Arkansas | $317.79 | $65.31 |
| Atlanta, GA | $369.57 | $70.94 |
| Austin, TX | $380.49 | $69.52 |
| Bakersfield, CA | $391.38 | $69.24 |
| Baltimore area, MD | $387.80 | $72.41 |
| Beaumont, TX | $335.64 | $68.17 |
| Brazoria, TX | $359.85 | $68.56 |
| Chicago, IL | $372.65 | $77.25 |
| Chico, CA | $390.86 | $68.72 |
| Colorado | $382.26 | $69.52 |
| Connecticut | $389.07 | $72.51 |
| Dallas, TX | $361.86 | $69.11 |
| Delaware | $359.45 | $69.05 |
| Detroit, MI | $356.66 | $73.02 |
| East St. Louis, IL | $344.84 | $74.43 |
| El Centro, CA | $390.89 | $68.74 |
| Fort Lauderdale, FL | $371.94 | $74.19 |
| Fort Worth, TX | $358.90 | $69.09 |
| Fresno, CA | $390.86 | $68.72 |
| Galveston, TX | $360.73 | $68.86 |
| Hanford, CA | $390.86 | $68.72 |
| Hawaii, Guam, HI | $402.65 | $68.46 |
| Houston, TX | $363.84 | $71.97 |
| Idaho | $336.09 | $65.68 |
| Indiana | $338.30 | $65.82 |
| Iowa | $334.14 | $65.20 |
| Kansas | $331.41 | $65.70 |
| Kentucky | $329.18 | $67.88 |
| King County, WA | $434.05 | $73.40 |
| Los Angeles, CA | $419.32 | $71.60 |
| Madera, CA | $390.86 | $68.72 |
| Manhattan, NY | $419.41 | $77.87 |
| Marin County, CA | $490.06 | $75.62 |
| Merced, CA | $390.86 | $68.72 |
| Metropolitan Boston, MA | $423.95 | $73.00 |
| Metropolitan Kansas City, MO | $344.73 | $68.73 |
| Metropolitan Philadelphia, PA | $377.93 | $71.95 |
| Metropolitan St. Louis, MO | $348.82 | $69.00 |
| Miami, FL | $384.55 | $78.57 |
| Minnesota | $368.22 | $65.77 |
| Mississippi | $319.67 | $66.60 |
| Modesto, CA | $390.86 | $68.72 |
| Montana | $363.39 | $69.46 |
| Napa, CA | $460.65 | $73.25 |
| Nebraska | $336.47 | $65.17 |
| Nevada | $362.76 | $68.54 |
| New Hampshire | $375.15 | $69.17 |
| New Mexico | $339.32 | $69.78 |
| New Orleans, LA | $346.24 | $69.65 |
| North Carolina | $340.99 | $66.75 |
| North Dakota | $360.03 | $66.10 |
| Northern New Jersey | $415.81 | $74.85 |
| NYC suburbs and Long Island, NY | $429.16 | $79.68 |
| Ohio | $337.00 | $68.65 |
| Oklahoma | $329.61 | $67.14 |
| Oxnard, CA | $418.09 | $70.66 |
| Portland, OR | $396.55 | $69.99 |
| Poughkeepsie and northern NYC suburbs, NY | $395.89 | $74.04 |
| Puerto Rico | $366.66 | $69.50 |
| Queens, NY | $424.67 | $77.25 |
| Redding, CA | $390.86 | $68.72 |
| Rest of California | $390.86 | $68.72 |
| Rest of Florida | $352.88 | $71.89 |
| Rest of Georgia | $331.67 | $69.48 |
| Rest of Illinois | $340.16 | $71.80 |
| Rest of Louisiana | $328.21 | $68.08 |
| Rest of Maine | $336.94 | $66.53 |
| Rest of Maryland | $367.12 | $69.67 |
| Rest of Massachusetts | $379.22 | $69.71 |
| Rest of Michigan | $337.69 | $69.33 |
| Rest of Missouri | $321.31 | $67.94 |
| Rest of New Jersey | $394.07 | $73.10 |
| Rest of New York | $346.52 | $67.29 |
| Rest of Oregon | $360.50 | $67.75 |
| Rest of Pennsylvania | $338.17 | $68.34 |
| Rest of Texas | $347.35 | $68.41 |
| Rest of Washington | $378.85 | $69.35 |
| Rhode Island | $373.84 | $70.21 |
| Riverside, CA | $392.71 | $70.57 |
| Sacramento, CA | $412.25 | $70.41 |
| Salinas, CA | $410.76 | $70.10 |
| San Benito County, CA | $501.03 | $77.18 |
| San Diego, CA | $421.99 | $70.45 |
| San Francisco, CA | $489.86 | $75.43 |
| San Luis Obispo, CA | $403.93 | $69.15 |
| Santa Clara County, CA | $500.24 | $76.39 |
| Santa Cruz, CA | $427.25 | $70.12 |
| Santa Maria, CA | $412.73 | $70.01 |
| Santa Rosa, CA | $431.68 | $70.74 |
| South Carolina | $339.45 | $67.86 |
| South Dakota | $359.63 | $65.70 |
| Southern Maine, ME | $358.57 | $67.29 |
| Stockton, CA | $390.86 | $68.72 |
| Suburban Chicago, IL | $376.37 | $74.50 |
| Tennessee | $333.11 | $65.93 |
| Utah | $344.59 | $68.29 |
| Vallejo, CA | $460.37 | $72.98 |
| Vermont | $357.56 | $66.57 |
| Virgin Islands, VI | $366.66 | $69.50 |
| Virginia | $356.57 | $67.63 |
| Visalia, CA | $390.86 | $68.72 |
| Washington, DC area | $421.05 | $74.80 |
| West Virginia | $326.03 | $70.61 |
| Wisconsin | $346.71 | $65.12 |
| Wyoming | $361.93 | $68.00 |
| Yuba City, CA | $390.86 | $68.72 |
19082 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.
$317.79
$445.95
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 | $407.50 | 1 |
| AL | $322.94 | 1 |
| AR | $317.79 | 1 |
| AZ | $353.16 | 1 |
| CA | $390.86–$501.03 | 29 |
| CO | $382.26 | 1 |
| CT | $389.07 | 1 |
| DC | $421.05 | 1 |
| DE | $359.45 | 1 |
| FL | $352.88–$384.55 | 3 |
| GA | $331.67–$369.57 | 2 |
| GU | $402.65 | 1 |
| HI | $402.65 | 1 |
| IA | $334.14 | 1 |
| ID | $336.09 | 1 |
| IL | $340.16–$376.37 | 4 |
| IN | $338.30 | 1 |
| KS | $331.41 | 1 |
| KY | $329.18 | 1 |
| LA | $328.21–$346.24 | 2 |
| MA | $379.22–$423.95 | 2 |
| MD | $367.12–$421.05 | 3 |
| ME | $336.94–$358.57 | 2 |
| MI | $337.69–$356.66 | 2 |
| MN | $368.22 | 1 |
| MO | $321.31–$348.82 | 3 |
| MS | $319.67 | 1 |
| MT | $363.39 | 1 |
| NC | $340.99 | 1 |
| ND | $360.03 | 1 |
| NE | $336.47 | 1 |
| NH | $375.15 | 1 |
| NJ | $394.07–$415.81 | 2 |
| NM | $339.32 | 1 |
| NV | $362.76 | 1 |
| NY | $346.52–$429.16 | 5 |
| OH | $337.00 | 1 |
| OK | $329.61 | 1 |
| OR | $360.50–$396.55 | 2 |
| PA | $338.17–$377.93 | 2 |
| PR | $366.66 | 1 |
| RI | $373.84 | 1 |
| SC | $339.45 | 1 |
| SD | $359.63 | 1 |
| TN | $333.11 | 1 |
| TX | $335.64–$380.49 | 8 |
| UT | $344.59 | 1 |
| VA | $356.57–$421.05 | 2 |
| VI | $366.66 | 1 |
| VT | $357.56 | 1 |
| WA | $378.85–$434.05 | 2 |
| WI | $346.71 | 1 |
| WV | $326.03 | 1 |
| WY | $361.93 | 1 |
How the 19082 rate is calculated
Each of 19082’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 · 19082
RVUs × geographic indexes × conversion factor
Work1.61
1.61 RVUs× 1.000 GPCI
Practice expense9.10
9.10 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
10.8800
Conversion factor
$33.4009
Medicare rate
$363.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 19082
The CMS indicators that decide how 19082 is paid alongside other services.
CMS payment indicators · 19082
Breast biopsy, additional stereotactic lesion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
19082 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 19081Breast biopsyStereotactic, first lesion
- 19081 reports the first lesion biopsied with stereotactic guidance; 19082 reports each additional lesion sampled with that guidance.
- 19084Breast biopsyAdditional lesion, ultrasound-guided
- Both are add-on codes for an additional lesion, but 19084 uses ultrasound guidance rather than stereotactic guidance.
- 19086Breast biopsyAdditional MRI-guided lesion
- 19086 reports an additional lesion sampled with MRI guidance; 19082 is for stereotactic guidance.
- 19083Breast biopsyFirst lesion, ultrasound-guided
- 19083 is the first-lesion code for ultrasound-guided biopsy. For an additional lesion, ultrasound guidance points to 19084 instead.
19082 billing questions
When should 19082 be reported instead of 19081?
Use 19081 for the first lesion biopsied with stereotactic guidance. Report 19082 for each additional distinct lesion sampled with that guidance.
Can 19082 be billed by itself?
No. It is an add-on code and must be reported with the primary stereotactic breast biopsy, 19081.
Can the localization device or specimen imaging be billed separately?
Device placement and imaging of the specimen are included when performed as part of the biopsy described by this code.
What documentation supports reporting an additional lesion?
Record that a distinct additional breast lesion was sampled, the use of stereotactic guidance, and the specimen identification for each sampled site.
How does 19082 differ from 19084?
Both report an additional lesion, but 19082 is for stereotactic guidance and 19084 is for ultrasound guidance.
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
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