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

Percutaneous ultrasound-guided biopsy of the first breast lesion in a session, including marker placement and specimen imaging when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality105.8K Medicare services in 2024

In Nevada, Medicare pays $474.10 for 19083 in the office and $128.72 when it’s performed in a hospital or facility.

$474.10Office (non-facility)
$128.72Hospital or facility
−0.3%vs the national office rate ($475.63)

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.

We’ll open 19083 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 19083 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 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 Nevada 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. Nevada pays $474.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

19083 in Nevada vs other payment areas
  1. Nevada · this page$474.10
  2. Los Angeles, CA · California$542.45+$68.35
  3. Washington, DC area · District of Columbia$547.04+$72.94
  4. Miami, FL · Florida$507.89+$33.79
  5. Chicago, IL · Illinois$492.86+$18.76
  6. Manhattan, NY · New York$547.61+$73.51
  7. Alaska · Alaska$544.59+$70.49

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

Every other payment area

19083 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$425.27$123.37
ArkansasArkansas$418.88$122.50
ArizonaArizona$462.73$128.39
Bakersfield, CACalifornia$507.99$129.84
Chico, CACalifornia$506.96$128.81
El Centro, CACalifornia$507.02$128.86
Fresno, CACalifornia$506.96$128.81
Hanford, CACalifornia$506.96$128.81

19083 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.

$418.88

$574.52

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
19083 office rate range by state
State / territoryOffice rate rangeLocalities
AK$544.591
AL$425.271
AR$418.881
AZ$462.731
CA$506.96–$642.0829
CO$497.611
CT$508.011
DC$547.041
DE$470.631
FL$465.35–$507.893
GA$438.56–$484.032
GU$520.631
HI$520.631
IA$437.891
ID$440.571
IL$450.41–$494.914
IN$443.261
KS$435.111
KY$434.331
LA$433.36–$455.732
MA$494.20–$549.022
MD$480.07–$547.043
ME$442.26–$468.172
MI$445.48–$470.702
MN$478.171
MO$425.18–$458.213
MS$422.151
MT$475.611
NC$447.181
ND$468.881
NE$440.581
NH$489.111
NJ$514.20–$540.902
NM$447.751
NV$474.101
NY$454.09–$560.505
OH$444.101
OK$434.211
OR$470.80–$514.672
PA$445.21–$494.542
PR$479.461
RI$488.311
SC$446.311
SD$468.091
TN$437.301
TX$442.12–$495.618
UT$452.671
VA$466.11–$547.042
VI$479.461
VT$466.381
WA$493.49–$561.092
WI$452.511
WV$432.921
WY$472.681

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.

How the rate is built · 19083

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.02

3.02 RVUs× 1.000 GPCI

Practice expense10.88

10.88 RVUs× 1.000 GPCI

Malpractice0.34

0.34 RVUs× 1.000 GPCI

Adjusted RVUs

14.2400

Conversion factor

$33.4009

Medicare rate

$475.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,661

Code
19083
Physician work
3.02
Practice expense
10.88
Malpractice
0.34

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 19083 in Nevada
ComponentRVULocality factorAdjusted
Physician work3.02× 1.0003.0200
Practice expense10.88× 1.00110.8909
Malpractice0.34× 0.8330.2832
Total RVUs14.1941
Conversion factor× 33.4009

Office rate, Nevada$474.10

Office: (3.02 × 1 + 10.88 × 1.001 + 0.34 × 0.833) × $33.4009 = $474.10

Facility: (3.02 × 1 + 0.55 × 1.001 + 0.34 × 0.833) × $33.4009 = $128.72

Open 19083 in the RVU calculator

Payment rules and modifiers for 19083

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

CMS payment indicators · 19083

Breast biopsy, first lesion, ultrasound-guided

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

19083 without 50 · national office

$475.63

Breast biopsy, first lesion, ultrasound-guided

19083-50 · Bilateral: 150%

$713.45

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 19083 has changed in Nevada

19083 · Office / nonfacility

$474.10

Effective 2026-10-01

The base rate is $9.82 higher than on 2025-10-01, moving from $464.28 to $474.10 (2.1%).

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

    $464.28changed to$474.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.10 changed to 3.02
    • Practice expense RVU 11.00 changed to 10.88
    • Malpractice RVU 0.30 changed to 0.34
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $490.94changed to$464.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.37 changed to 11.00
    • Malpractice RVU 0.33 changed to 0.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $482.93changed to$490.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $515.44changed to$482.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.77 changed to 11.37
    • Malpractice RVU 0.31 changed to 0.33
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $541.86changed to$515.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.11 changed to 11.77
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $593.80changed to$541.86

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.47 changed to 12.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $621.25changed to$593.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.74 changed to 13.47
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $658.20changed to$621.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 14.60 changed to 13.74
    • Malpractice RVU 0.34 changed to 0.32
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $695.96changed to$658.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.66 changed to 14.60
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $702.51changed to$695.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 15.61 changed to 15.66
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $710.91changed to$702.51

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $689.62changed to$710.91

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 14.81 changed to 15.61
    • Malpractice RVU 0.52 changed to 0.34

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $686.18changed to$689.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $709.90changed to$686.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 15.15 changed to 14.81
    • Malpractice RVU 0.66 changed to 0.52
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$709.90

    Held through RVU14B, RVU14C, RVU14D.

  16. 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$474.10$128.72RVU26D
2026-07-01$474.10$128.72RVU26C
2026-04-01$474.10$128.72RVU26B
2026-01-01$474.10$128.72RVU26A
2025-10-01$464.28$145.02RVU25D
2025-07-01$464.28$145.02RVU25C
2025-04-01$464.28$145.02RVU25B
2025-01-01$464.28$145.02RVU25A
2024-10-01$490.94$149.08RVU24D
2024-07-01$490.94$149.08RVU24C
2024-04-01$490.94$149.08RVU24B
2024-03-09$490.94$149.08RVU24AR
2024-01-01$482.93$146.65RVU24A
2023-10-01$515.44$154.54RVU23D
2023-07-01$515.44$154.54RVU23C
2023-04-01$515.44$154.54RVU23B
2023-01-01$515.44$154.54RVU23A
2022-10-01$541.86$161.54RVU22D
2022-07-01$541.86$161.54RVU22C
2022-04-01$541.86$161.54RVU22B
2022-01-01$541.86$161.54RVU22A
2021-10-01$593.80$162.87RVU21D
2021-07-01$593.80$162.87RVU21C
2021-04-01$593.80$162.87RVU21B
2021-01-01$593.80$162.87RVU21A
2020-10-01$621.25$166.52RVU20D
2020-07-01$621.25$166.52RVU20C
2020-04-01$621.25$166.52RVU20B
2020-01-01$621.25$166.52RVU20A
2019-10-01$658.20$164.50RVU19D
2019-07-01$658.20$164.50RVU19C
2019-04-01$658.20$164.50RVU19B
2019-01-01$658.20$164.50RVU19A
2018-10-01$695.96$163.99RVU18D
2018-07-01$695.96$163.99RVU18C
2018-04-01$695.96$163.99RVU18B
2018-01-01$695.96$163.99RVU18AR1
2017-10-01$702.51$166.29RVU17D
2017-07-01$702.51$166.29RVU17C
2017-04-01$702.51$166.29RVU17B
2017-01-01$702.51$166.29RVU17A
2016-10-01$710.91$166.78RVU16D
2016-07-01$710.91$166.78RVU16C
2016-04-01$710.91$166.78RVU16B
2016-01-01$710.91$166.78RVU16A
2015-10-01$689.62$173.73RVU15D
2015-07-01$689.62$173.73RVU15C
2015-04-01$686.18$172.87RVU15B
2015-01-01$686.18$172.87RVU15A
2014-10-01$709.90$180.42RVU14D
2014-07-01$709.90$180.42RVU14C
2014-04-01$709.90$180.42RVU14B
2014-01-01$709.90$180.42RVU14A
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 19083 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

19083 billing questions

Does 19083 include ultrasound guidance?

Yes. The ultrasound guidance is included in the biopsy service, as are marker placement and imaging of the removed specimen when performed.

How is another ultrasound-guided lesion reported in the same session?

Report 19084 for each additional lesion biopsied with ultrasound guidance after the first lesion reported with 19083.

Can 19083 be reported for biopsies of both breasts?

For bilateral performance, use modifier 50; CMS pays the bilateral procedure at 150%.

When should 19081 be used instead?

Use 19081 when the first lesion is biopsied with stereotactic guidance. Code 19083 is for ultrasound-guided biopsy.

What documentation supports reporting 19083?

Document the breast target and side, ultrasound localization, biopsy technique, tissue obtained, and any marker placement.

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 19083PPRRVU2026_Oct_nonQPP.csv, line 1,661 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 19083 pays in Nevada?

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 19083 and the rest of your codes on one sheet

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

Join the waitlist