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CPT code 19084: Breast biopsy, additional lesion, ultrasound-guided2026 Medicare rate & RVUs in Alaska

Reports ultrasound-guided core biopsy of an additional distinct breast lesion during a session in which a primary breast biopsy procedure is also performed.

CMS RVU26DEffective Oct 1, 2026One payment locality13.8K Medicare services in 2024

In Alaska, Medicare pays $399.81 for 19084 in the office and $88.56 when it’s performed in a hospital or facility.

$399.81Office (non-facility)
$88.56Hospital or facility
+11.9%vs the national office rate ($357.39)

Check a contract rate as a % of Medicare · 19084 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 19084 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 19084 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 19084 covers

This add-on service covers biopsy of an additional distinct breast target identified and sampled with ultrasound guidance. A radiologist, breast surgeon, or other qualified physician may perform it in an outpatient imaging center, hospital, or office. The service includes ultrasound guidance and, when performed, marker placement and imaging of the specimen. It is selected by the imaging method used to guide the biopsy, not by the number of tissue cores taken from one target.

Report 19084 for each additional lesion beyond the first ultrasound-guided breast biopsy target, with 19083 serving as the primary code for the first lesion. The record should identify each separately sampled target and support ultrasound guidance for the additional biopsy. Multiple cores from one lesion do not represent multiple lesions. As an add-on code, 19084 is billed only with a primary procedure and its payment falls within that 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 Alaska compares for 19084

Across 109 of 109 payment localities, the office rate for 19084 runs from $312.27 in Arkansas to $493.77 in San Benito County, CA. Alaska pays $399.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

19084 in Alaska vs other payment areas
  1. Alaska · this page$399.81
  2. Los Angeles, CA · California$412.86+$13.05
  3. Washington, DC area · District of Columbia$414.40+$14.59
  4. Miami, FL · Florida$377.93−$21.88
  5. Chicago, IL · Illinois$366.17−$33.64
  6. Manhattan, NY · New York$412.61+$12.80
  7. Alabama · Alabama$317.37−$82.44

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

Every other payment area

19084 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$312.27$61.22
ArizonaArizona$347.27$64.07
Bakersfield, CACalifornia$385.21$64.90
Chico, CACalifornia$384.72$64.41
El Centro, CACalifornia$384.75$64.43
Fresno, CACalifornia$384.72$64.41
Hanford, CACalifornia$384.72$64.41
Madera, CACalifornia$384.72$64.41

19084 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.

$312.27

$439.25

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

View every state and territory as a table
19084 office rate range by state
State / territoryOffice rate rangeLocalities
AK$399.811
AL$317.371
AR$312.271
AZ$347.271
CA$384.72–$493.7729
CO$376.131
CT$382.741
DC$414.401
DE$353.481
FL$346.81–$377.933
GA$325.84–$363.442
GU$396.461
HI$396.461
IA$328.531
ID$330.441
IL$334.16–$370.014
IN$332.631
KS$325.781
KY$323.461
LA$322.48–$340.322
MA$373.10–$417.382
MD$361.08–$414.403
ME$331.24–$352.702
MI$331.84–$350.502
MN$362.371
MO$315.63–$342.923
MS$314.071
MT$357.381
NC$335.251
ND$354.221
NE$330.841
NH$369.091
NJ$387.67–$409.192
NM$333.431
NV$356.801
NY$340.72–$422.205
OH$331.191
OK$323.931
OR$354.60–$390.312
PA$332.36–$371.692
PR$360.631
RI$367.721
SC$333.671
SD$353.841
TN$327.471
TX$329.87–$374.378
UT$338.751
VA$350.69–$414.402
VI$360.631
VT$351.731
WA$372.75–$427.402
WI$341.021
WV$320.181
WY$356.001

See 19084 in every payment locality

How the 19084 rate is calculated

Each of 19084’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 · 19084

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.51

1.51 RVUs× 1.000 GPCI

Practice expense9.03

9.03 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

10.7000

Conversion factor

$33.4009

Medicare rate

$357.39

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,662

Code
19084
Physician work
1.51
Practice expense
9.03
Malpractice
0.16

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 19084 in Alaska
ComponentRVULocality factorAdjusted
Physician work1.51× 1.5002.2650
Practice expense9.03× 1.0659.6169
Malpractice0.16× 0.5510.0882
Total RVUs11.9701
Conversion factor× 33.4009

Office rate, Alaska$399.81

Office: (1.51 × 1.5 + 9.03 × 1.065 + 0.16 × 0.551) × $33.4009 = $399.81

Facility: (1.51 × 1.5 + 0.28 × 1.065 + 0.16 × 0.551) × $33.4009 = $88.56

Open 19084 in the RVU calculator

Payment rules and modifiers for 19084

The CMS indicators that decide how 19084 is paid alongside other services.

CMS payment indicators · 19084

Breast biopsy, additional lesion, ultrasound-guided

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 19084

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

Codes related to 19084
CodeHow it relatesOffice range, Alaska
Add-on codes
19083Breast biopsy, first lesion, ultrasound-guidedPrimary ultrasound-guided breast biopsy code for the first lesion in the session.$544.59
Used instead
19082Breast biopsy, additional stereotactic lesionAdditional-lesion breast biopsy code when stereotactic guidance is used instead of ultrasound.$407.50
19086Breast biopsy, additional MRI-guided lesionAdditional-lesion breast biopsy code when MRI guidance is used instead of ultrasound.$611.87
19081Breast biopsy, stereotactic, first lesionFirst-lesion breast biopsy code when stereotactic guidance is used.$550.02
19085Breast biopsy, first lesion, MRI guidanceFirst-lesion breast biopsy code when MRI guidance is used.$811.08

How 19084 has changed in Alaska

19084 · Office / nonfacility

$399.81

Effective 2026-10-01

The base rate is $1.25 higher than on 2025-10-01, moving from $398.56 to $399.81 (0.3%).

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

    $398.56changed to$399.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.55 changed to 1.51
    • Practice expense RVU 9.16 changed to 9.03
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $423.11changed to$398.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.52 changed to 9.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $416.21changed to$423.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $450.55changed to$416.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.88 changed to 9.52
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592

  5. January 1, 2023

    RVU23A

    $478.07changed to$450.55

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.20 changed to 9.88
    • Malpractice RVU 0.14 changed to 0.17
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $535.69changed to$478.07

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.57 changed to 10.20
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $567.96changed to$535.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.92 changed to 11.57
    • Malpractice RVU 0.13 changed to 0.15
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $602.34changed to$567.96

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.78 changed to 11.92
    • Malpractice RVU 0.16 changed to 0.13
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $644.71changed to$602.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 13.85 changed to 12.78

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $641.05changed to$644.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 13.87 changed to 13.85
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $640.10changed to$641.05

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 13.94 changed to 13.87
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $611.66changed to$640.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 13.18 changed to 13.94
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $608.62changed to$611.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $610.49changed to$608.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.40 changed to 13.18
    • Malpractice RVU 0.22 changed to 0.15
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$610.49

    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$399.81$88.56RVU26D
2026-07-01$399.81$88.56RVU26C
2026-04-01$399.81$88.56RVU26B
2026-01-01$399.81$88.56RVU26A
2025-10-01$398.56$98.20RVU25D
2025-07-01$398.56$98.20RVU25C
2025-04-01$398.56$98.20RVU25B
2025-01-01$398.56$98.20RVU25A
2024-10-01$423.11$100.34RVU24D
2024-07-01$423.11$100.34RVU24C
2024-04-01$423.11$100.34RVU24B
2024-03-09$423.11$100.34RVU24AR
2024-01-01$416.21$98.70RVU24A
2023-10-01$450.55$103.51RVU23D
2023-07-01$450.55$103.51RVU23C
2023-04-01$450.55$103.51RVU23B
2023-01-01$450.55$103.51RVU23A
2022-10-01$478.07$105.10RVU22D
2022-07-01$478.07$105.10RVU22C
2022-04-01$478.07$105.10RVU22B
2022-01-01$478.07$105.10RVU22A
2021-10-01$535.69$106.19RVU21D
2021-07-01$535.69$106.19RVU21C
2021-04-01$535.69$106.19RVU21B
2021-01-01$535.69$106.19RVU21A
2020-10-01$567.96$110.01RVU20D
2020-07-01$567.96$110.01RVU20C
2020-04-01$567.96$110.01RVU20B
2020-01-01$567.96$110.01RVU20A
2019-10-01$602.34$110.82RVU19D
2019-07-01$602.34$110.82RVU19C
2019-04-01$602.34$110.82RVU19B
2019-01-01$602.34$110.82RVU19A
2018-10-01$644.71$110.70RVU18D
2018-07-01$644.71$110.70RVU18C
2018-04-01$644.71$110.70RVU18B
2018-01-01$644.71$110.70RVU18AR1
2017-10-01$641.05$110.66RVU17D
2017-07-01$641.05$110.66RVU17C
2017-04-01$641.05$110.66RVU17B
2017-01-01$641.05$110.66RVU17A
2016-10-01$640.10$110.57RVU16D
2016-07-01$640.10$110.57RVU16C
2016-04-01$640.10$110.57RVU16B
2016-01-01$640.10$110.57RVU16A
2015-10-01$611.66$110.45RVU15D
2015-07-01$611.66$110.45RVU15C
2015-04-01$608.62$109.90RVU15B
2015-01-01$608.62$109.90RVU15A
2014-10-01$610.49$110.90RVU14D
2014-07-01$610.49$110.90RVU14C
2014-04-01$610.49$110.90RVU14B
2014-01-01$610.49$110.90RVU14A
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 19084 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

19084 billing questions

When should 19084 be used instead of 19083?

Use 19083 for the first lesion biopsied with ultrasound guidance and 19084 for each additional distinct lesion biopsied with that guidance during the session.

Does each core from one lesion count as an additional lesion?

No. 19084 represents another distinct biopsy target, not additional tissue cores or passes from the same target.

What primary procedure is reported with 19084?

Report it with a primary breast biopsy procedure; 19083 is the corresponding primary code when the first lesion is biopsied under ultrasound guidance.

Are marker placement and specimen imaging included?

The service includes marker placement and specimen imaging when those steps are performed as part of the biopsy.

How does the global-period rule affect 19084?

It is an add-on code, not a stand-alone service, and its payment is within the global period of the associated primary procedure.

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 19084PPRRVU2026_Oct_nonQPP.csv, line 1,662 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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