FeeBase
Log inGet started
Menu

CPT code 19082: Breast biopsy, additional stereotactic lesion2026 Medicare rate & RVUs in Puerto Rico

Reports percutaneous biopsy of an additional breast lesion sampled with stereotactic guidance during an encounter that includes the primary lesion biopsy.

CMS RVU26DEffective Oct 1, 2026One payment locality4.2K Medicare services in 2024

In Puerto Rico, Medicare pays $366.66 for 19082 in the office and $69.50 when it’s performed in a hospital or facility.

$366.66Office (non-facility)
$69.50Hospital or facility
+0.9%vs the national office rate ($363.40)

Check a contract rate as a % of Medicare · 19082 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 19082 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 19082 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 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.

How Puerto Rico compares for 19082

Across 109 of 109 payment localities, the office rate for 19082 runs from $317.79 in Arkansas to $501.03 in San Benito County, CA. Puerto Rico pays $366.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

19082 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$366.66
  2. Los Angeles, CA · California$419.32+$52.66
  3. Washington, DC area · District of Columbia$421.05+$54.39
  4. Miami, FL · Florida$384.55+$17.89
  5. Chicago, IL · Illinois$372.65+$5.99
  6. Manhattan, NY · New York$419.41+$52.75
  7. Alaska · Alaska$407.50+$40.84

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

Every other payment area

19082 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$322.94$65.76
ArkansasArkansas$317.79$65.31
ArizonaArizona$353.16$68.35
Bakersfield, CACalifornia$391.38$69.24
Chico, CACalifornia$390.86$68.72
El Centro, CACalifornia$390.89$68.74
Fresno, CACalifornia$390.86$68.72
Hanford, CACalifornia$390.86$68.72

19082 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
19082 office rate range by state
State / territoryOffice rate rangeLocalities
AK$407.501
AL$322.941
AR$317.791
AZ$353.161
CA$390.86–$501.0329
CO$382.261
CT$389.071
DC$421.051
DE$359.451
FL$352.88–$384.553
GA$331.67–$369.572
GU$402.651
HI$402.651
IA$334.141
ID$336.091
IL$340.16–$376.374
IN$338.301
KS$331.411
KY$329.181
LA$328.21–$346.242
MA$379.22–$423.952
MD$367.12–$421.053
ME$336.94–$358.572
MI$337.69–$356.662
MN$368.221
MO$321.31–$348.823
MS$319.671
MT$363.391
NC$340.991
ND$360.031
NE$336.471
NH$375.151
NJ$394.07–$415.812
NM$339.321
NV$362.761
NY$346.52–$429.165
OH$337.001
OK$329.611
OR$360.50–$396.552
PA$338.17–$377.932
PR$366.661
RI$373.841
SC$339.451
SD$359.631
TN$333.111
TX$335.64–$380.498
UT$344.591
VA$356.57–$421.052
VI$366.661
VT$357.561
WA$378.85–$434.052
WI$346.711
WV$326.031
WY$361.931

See 19082 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,660

Code
19082
Physician work
1.61
Practice expense
9.10
Malpractice
0.17

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 19082 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.61× 1.0001.6100
Practice expense9.10× 1.0119.2001
Malpractice0.17× 0.9850.1675
Total RVUs10.9775
Conversion factor× 33.4009

Office rate, Puerto Rico$366.66

Office: (1.61 × 1 + 9.1 × 1.011 + 0.17 × 0.985) × $33.4009 = $366.66

Facility: (1.61 × 1 + 0.3 × 1.011 + 0.17 × 0.985) × $33.4009 = $69.50

Open 19082 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 19082

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

Codes related to 19082
CodeHow it relatesOffice range, Puerto Rico
Add-on codes
19081Breast biopsy, stereotactic, first lesionPrimary stereotactic-guided breast biopsy code required for reporting this add-on.$482.08
Used instead
19084Breast biopsy, additional lesion, ultrasound-guidedReports an additional breast lesion sampled with ultrasound rather than stereotactic guidance.$360.63
19086Breast biopsy, additional MRI-guided lesionReports an additional breast lesion sampled with MRI guidance.$558.41
19083Breast biopsy, first lesion, ultrasound-guidedReports the first lesion when ultrasound, rather than stereotactic imaging, guides biopsy.$479.46
19085Breast biopsy, first lesion, MRI guidanceReports the first lesion when MRI guidance is used for the biopsy.$725.09

How 19082 has changed in Puerto Rico

19082 · Office / nonfacility

$366.66

Effective 2026-10-01

The base rate is $6.25 higher than on 2025-10-01, moving from $360.41 to $366.66 (1.7%).

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

    $360.41changed to$366.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.65 changed to 1.61
    • Practice expense RVU 9.27 changed to 9.10
    • Malpractice RVU 0.16 changed to 0.17
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $381.94changed to$360.41

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.59 changed to 9.27
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $375.71changed to$381.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $401.45changed to$375.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.94 changed to 9.59
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $398.85changed to$401.45

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $418.71changed to$398.85

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.20 changed to 9.94
    • Malpractice RVU 0.17 changed to 0.18
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $474.59changed to$418.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.70 changed to 10.20
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $507.98changed to$474.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.17 changed to 11.70
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $544.93changed to$507.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.20 changed to 12.17
    • Malpractice RVU 0.18 changed to 0.16
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $587.11changed to$544.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 14.37 changed to 13.20
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $505.05changed to$587.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $425.57changed to$505.05

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 14.44 changed to 14.37
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $406.77changed to$425.57

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.65 changed to 14.44
    • Malpractice RVU 0.16 changed to 0.19

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $404.75changed to$406.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $395.85changed to$404.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.49 changed to 13.65
    • Malpractice RVU 0.24 changed to 0.16
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    No ratechanged to$395.85

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$366.66$69.50RVU26D
2026-07-01$366.66$69.50RVU26C
2026-04-01$366.66$69.50RVU26B
2026-01-01$366.66$69.50RVU26A
2025-10-01$360.41$78.00RVU25D
2025-07-01$360.41$78.00RVU25C
2025-04-01$360.41$78.00RVU25B
2025-01-01$360.41$78.00RVU25A
2024-10-01$381.94$79.92RVU24D
2024-07-01$381.94$79.92RVU24C
2024-04-01$381.94$79.92RVU24B
2024-03-09$381.94$79.92RVU24AR
2024-01-01$375.71$78.62RVU24A
2023-10-01$401.45$82.41RVU23D
2023-07-01$398.85$82.35RVU23C
2023-04-01$398.85$82.35RVU23B
2023-01-01$398.85$82.35RVU23A
2022-10-01$418.71$83.83RVU22D
2022-07-01$418.71$83.83RVU22C
2022-04-01$418.71$83.83RVU22B
2022-01-01$418.71$83.83RVU22A
2021-10-01$474.59$84.18RVU21D
2021-07-01$474.59$84.18RVU21C
2021-04-01$474.59$84.18RVU21B
2021-01-01$474.59$84.18RVU21A
2020-10-01$507.98$87.44RVU20D
2020-07-01$507.98$87.44RVU20C
2020-04-01$507.98$87.44RVU20B
2020-01-01$507.98$87.44RVU20A
2019-10-01$544.93$88.02RVU19D
2019-07-01$544.93$88.02RVU19C
2019-04-01$544.93$88.02RVU19B
2019-01-01$544.93$88.02RVU19A
2018-10-01$587.11$88.28RVU18D
2018-07-01$587.11$88.28RVU18C
2018-04-01$587.11$88.28RVU18B
2018-01-01$587.11$88.28RVU18AR1
2017-10-01$505.05$82.64RVU17D
2017-07-01$505.05$82.64RVU17C
2017-04-01$505.05$82.64RVU17B
2017-01-01$505.05$82.64RVU17A
2016-10-01$425.57$76.47RVU16D
2016-07-01$425.57$76.47RVU16C
2016-04-01$425.57$76.47RVU16B
2016-01-01$425.57$76.47RVU16A
2015-10-01$406.77$76.43RVU15D
2015-07-01$406.77$76.43RVU15C
2015-04-01$404.75$76.05RVU15B
2015-01-01$404.75$76.05RVU15A
2014-10-01$395.85$76.31RVU14D
2014-07-01$395.85$76.31RVU14C
2014-04-01$395.85$76.31RVU14B
2014-01-01$395.85$76.31RVU14A
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 19082 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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

Show the CMS file lines behind this rate
RVUs for 19082PPRRVU2026_Oct_nonQPP.csv, line 1,660 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 19082 pays in Puerto Rico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 19082 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist