CPT code 19083: Breast biopsy, first lesion, ultrasound-guided2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $547.04 for 19083 in the office and $140.60 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 19083 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 19083 covers

Code 19083 describes percutaneous sampling of one breast lesion selected under ultrasound guidance. The clinician advances a biopsy device into the target while observing it with ultrasound; marker placement and imaging of the removed specimen are included when performed. Breast radiologists and other clinicians qualified to perform image-guided breast procedures use it for an ultrasound-visible mass or other target requiring tissue diagnosis, in office-based imaging suites or hospital imaging departments.

Report 19083 for the first lesion sampled with ultrasound guidance during the session; report 19084 for each additional lesion biopsied with that same guidance modality. The record should identify the target and side, ultrasound localization, biopsy technique, tissue obtained, and any marker placement. Ultrasound guidance and specimen imaging are included in the service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%; bilateral performance with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

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 Washington, DC area compares for 19083

Across 109 of 109 payment localities, the office rate for 19083 runs from $418.88 in Arkansas to $642.08 in San Benito County, CA. Washington, DC area pays $547.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19083 rates by state

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

See 19083 in every payment locality

How the 19083 rate is calculated

Each of 19083’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 19083

The CMS indicators that decide how 19083 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 19083

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

How 19083 has changed in Washington, DC area

Price 19083 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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