CPT code 19082: Breast biopsy, additional stereotactic lesion2026 Medicare rate & RVUs in South Dakota
Reports percutaneous biopsy of an additional breast lesion sampled with stereotactic guidance during an encounter that includes the primary lesion biopsy.
In South Dakota, Medicare pays $359.63 for 19082 in the office and $65.70 when it’s performed in a hospital or facility.
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.
On this page 11 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.
How South Dakota 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. South Dakota pays $359.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$359.63
- Los Angeles, CA · California$419.32+$59.69
- Washington, DC area · District of Columbia$421.05+$61.42
- Miami, FL · Florida$384.55+$24.92
- Chicago, IL · Illinois$372.65+$13.02
- Manhattan, NY · New York$419.41+$59.78
- Alaska · Alaska$407.50+$47.87
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $390.86 | $68.72 |
| Merced, CACalifornia | $390.86 | $68.72 |
| Modesto, CACalifornia | $390.86 | $68.72 |
| Napa, CACalifornia | $460.65 | $73.25 |
| Oxnard, CACalifornia | $418.09 | $70.66 |
| Redding, CACalifornia | $390.86 | $68.72 |
| Rest of CaliforniaCalifornia | $390.86 | $68.72 |
| Riverside, CACalifornia | $392.71 | $70.57 |
| Sacramento, CACalifornia | $412.25 | $70.41 |
| Salinas, CACalifornia | $410.76 | $70.10 |
| San Diego, CACalifornia | $421.99 | $70.45 |
| Marin County, CACalifornia | $490.06 | $75.62 |
| San Francisco, CACalifornia | $489.86 | $75.43 |
| San Benito County, CACalifornia | $501.03 | $77.18 |
| Santa Clara County, CACalifornia | $500.24 | $76.39 |
| San Luis Obispo, CACalifornia | $403.93 | $69.15 |
| Santa Cruz, CACalifornia | $427.25 | $70.12 |
| Santa Maria, CACalifornia | $412.73 | $70.01 |
| Santa Rosa, CACalifornia | $431.68 | $70.74 |
| Stockton, CACalifornia | $390.86 | $68.72 |
| Vallejo, CACalifornia | $460.37 | $72.98 |
| Visalia, CACalifornia | $390.86 | $68.72 |
| Yuba City, CACalifornia | $390.86 | $68.72 |
| ColoradoColorado | $382.26 | $69.52 |
| ConnecticutConnecticut | $389.07 | $72.51 |
| DelawareDelaware | $359.45 | $69.05 |
| Fort Lauderdale, FLFlorida | $371.94 | $74.19 |
| Rest of FloridaFlorida | $352.88 | $71.89 |
| Atlanta, GAGeorgia | $369.57 | $70.94 |
| Rest of GeorgiaGeorgia | $331.67 | $69.48 |
| Hawaii, Guam, HIHawaii | $402.65 | $68.46 |
| IowaIowa | $334.14 | $65.20 |
| IdahoIdaho | $336.09 | $65.68 |
| East St. Louis, ILIllinois | $344.84 | $74.43 |
| Rest of IllinoisIllinois | $340.16 | $71.80 |
| Suburban Chicago, ILIllinois | $376.37 | $74.50 |
| IndianaIndiana | $338.30 | $65.82 |
| KansasKansas | $331.41 | $65.70 |
| KentuckyKentucky | $329.18 | $67.88 |
| New Orleans, LALouisiana | $346.24 | $69.65 |
| Rest of LouisianaLouisiana | $328.21 | $68.08 |
| Metropolitan Boston, MAMassachusetts | $423.95 | $73.00 |
| Rest of MassachusettsMassachusetts | $379.22 | $69.71 |
| Baltimore area, MDMaryland | $387.80 | $72.41 |
| Rest of MarylandMaryland | $367.12 | $69.67 |
| Rest of MaineMaine | $336.94 | $66.53 |
| Southern Maine, MEMaine | $358.57 | $67.29 |
| Detroit, MIMichigan | $356.66 | $73.02 |
| Rest of MichiganMichigan | $337.69 | $69.33 |
| MinnesotaMinnesota | $368.22 | $65.77 |
| Metropolitan Kansas City, MOMissouri | $344.73 | $68.73 |
| Metropolitan St. Louis, MOMissouri | $348.82 | $69.00 |
| Rest of MissouriMissouri | $321.31 | $67.94 |
| MississippiMississippi | $319.67 | $66.60 |
| MontanaMontana | $363.39 | $69.46 |
| North CarolinaNorth Carolina | $340.99 | $66.75 |
| North DakotaNorth Dakota | $360.03 | $66.10 |
| NebraskaNebraska | $336.47 | $65.17 |
| New HampshireNew Hampshire | $375.15 | $69.17 |
| Northern New JerseyNew Jersey | $415.81 | $74.85 |
| Rest of New JerseyNew Jersey | $394.07 | $73.10 |
| New MexicoNew Mexico | $339.32 | $69.78 |
| NevadaNevada | $362.76 | $68.54 |
| NYC suburbs and Long Island, NYNew York | $429.16 | $79.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $395.89 | $74.04 |
| Queens, NYNew York | $424.67 | $77.25 |
| Rest of New YorkNew York | $346.52 | $67.29 |
| OhioOhio | $337.00 | $68.65 |
| OklahomaOklahoma | $329.61 | $67.14 |
| Portland, OROregon | $396.55 | $69.99 |
| Rest of OregonOregon | $360.50 | $67.75 |
| Metropolitan Philadelphia, PAPennsylvania | $377.93 | $71.95 |
| Rest of PennsylvaniaPennsylvania | $338.17 | $68.34 |
| Puerto RicoPuerto Rico | $366.66 | $69.50 |
| Rhode IslandRhode Island | $373.84 | $70.21 |
| South CarolinaSouth Carolina | $339.45 | $67.86 |
| TennesseeTennessee | $333.11 | $65.93 |
| Austin, TXTexas | $380.49 | $69.52 |
| Beaumont, TXTexas | $335.64 | $68.17 |
| Brazoria, TXTexas | $359.85 | $68.56 |
| Dallas, TXTexas | $361.86 | $69.11 |
| Fort Worth, TXTexas | $358.90 | $69.09 |
| Galveston, TXTexas | $360.73 | $68.86 |
| Houston, TXTexas | $363.84 | $71.97 |
| Rest of TexasTexas | $347.35 | $68.41 |
| UtahUtah | $344.59 | $68.29 |
| VirginiaVirginia | $356.57 | $67.63 |
| Virgin Islands, VIUnited States Virgin Islands | $366.66 | $69.50 |
| VermontVermont | $357.56 | $66.57 |
| Rest of WashingtonWashington | $378.85 | $69.35 |
| King County, WAWashington | $434.05 | $73.40 |
| WisconsinWisconsin | $346.71 | $65.12 |
| West VirginiaWest Virginia | $326.03 | $70.61 |
| WyomingWyoming | $361.93 | $68.00 |
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.
The exact South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.61 | × 1.000 | 1.6100 |
| Practice expense | 9.10 | × 1.000 | 9.1000 |
| Malpractice | 0.17 | × 0.336 | 0.0571 |
| Total RVUs | 10.7671 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$359.63
Office: (1.61 × 1 + 9.1 × 1 + 0.17 × 0.336) × $33.4009 = $359.63
Facility: (1.61 × 1 + 0.3 × 1 + 0.17 × 0.336) × $33.4009 = $65.70
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. |
How 19082 has changed in South Dakota
19082 · Office / nonfacility
$359.63
Effective 2026-10-01
The base rate is $4.43 higher than on 2025-10-01, moving from $355.20 to $359.63 (1.2%).
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
$355.20changed to$359.63
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$376.31changed to$355.20
- 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.
March 9, 2024
RVU24AR
$370.17changed to$376.31
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$394.97changed to$370.17
- 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
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$412.12changed to$394.97
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$467.76changed to$412.12
- 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.
January 1, 2021
RVU21A
$500.88changed to$467.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 12.17 changed to 11.70
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$537.70changed to$500.88
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$579.37changed to$537.70
- 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.
January 1, 2018
RVU18AR1
$577.63changed to$579.37
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$578.81changed to$577.63
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 14.44 changed to 14.37
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$552.08changed to$578.81
- 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.
July 1, 2015
RVU15C
$549.34changed to$552.08
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$545.93changed to$549.34
- 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
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$545.93
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $359.63 | $65.70 | RVU26D |
| 2026-07-01 | $359.63 | $65.70 | RVU26C |
| 2026-04-01 | $359.63 | $65.70 | RVU26B |
| 2026-01-01 | $359.63 | $65.70 | RVU26A |
| 2025-10-01 | $355.20 | $74.76 | RVU25D |
| 2025-07-01 | $355.20 | $74.76 | RVU25C |
| 2025-04-01 | $355.20 | $74.76 | RVU25B |
| 2025-01-01 | $355.20 | $74.76 | RVU25A |
| 2024-10-01 | $376.31 | $76.39 | RVU24D |
| 2024-07-01 | $376.31 | $76.39 | RVU24C |
| 2024-04-01 | $376.31 | $76.39 | RVU24B |
| 2024-03-09 | $376.31 | $76.39 | RVU24AR |
| 2024-01-01 | $370.17 | $75.15 | RVU24A |
| 2023-10-01 | $394.97 | $78.47 | RVU23D |
| 2023-07-01 | $394.97 | $78.47 | RVU23C |
| 2023-04-01 | $394.97 | $78.47 | RVU23B |
| 2023-01-01 | $394.97 | $78.47 | RVU23A |
| 2022-10-01 | $412.12 | $79.91 | RVU22D |
| 2022-07-01 | $412.12 | $79.91 | RVU22C |
| 2022-04-01 | $412.12 | $79.91 | RVU22B |
| 2022-01-01 | $412.12 | $79.91 | RVU22A |
| 2021-10-01 | $467.76 | $80.45 | RVU21D |
| 2021-07-01 | $467.76 | $80.45 | RVU21C |
| 2021-04-01 | $467.76 | $80.45 | RVU21B |
| 2021-01-01 | $467.76 | $80.45 | RVU21A |
| 2020-10-01 | $500.88 | $83.69 | RVU20D |
| 2020-07-01 | $500.88 | $83.69 | RVU20C |
| 2020-04-01 | $500.88 | $83.69 | RVU20B |
| 2020-01-01 | $500.88 | $83.69 | RVU20A |
| 2019-10-01 | $537.70 | $83.97 | RVU19D |
| 2019-07-01 | $537.70 | $83.97 | RVU19C |
| 2019-04-01 | $537.70 | $83.97 | RVU19B |
| 2019-01-01 | $537.70 | $83.97 | RVU19A |
| 2018-10-01 | $579.37 | $84.02 | RVU18D |
| 2018-07-01 | $579.37 | $84.02 | RVU18C |
| 2018-04-01 | $579.37 | $84.02 | RVU18B |
| 2018-01-01 | $579.37 | $84.02 | RVU18AR1 |
| 2017-10-01 | $577.63 | $84.16 | RVU17D |
| 2017-07-01 | $577.63 | $84.16 | RVU17C |
| 2017-04-01 | $577.63 | $84.16 | RVU17B |
| 2017-01-01 | $577.63 | $84.16 | RVU17A |
| 2016-10-01 | $578.81 | $83.64 | RVU16D |
| 2016-07-01 | $578.81 | $83.64 | RVU16C |
| 2016-04-01 | $578.81 | $83.64 | RVU16B |
| 2016-01-01 | $578.81 | $83.64 | RVU16A |
| 2015-10-01 | $552.08 | $83.51 | RVU15D |
| 2015-07-01 | $552.08 | $83.51 | RVU15C |
| 2015-04-01 | $549.34 | $83.09 | RVU15B |
| 2015-01-01 | $549.34 | $83.09 | RVU15A |
| 2014-10-01 | $545.93 | $84.18 | RVU14D |
| 2014-07-01 | $545.93 | $84.18 | RVU14C |
| 2014-04-01 | $545.93 | $84.18 | RVU14B |
| 2014-01-01 | $545.93 | $84.18 | 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 South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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