CPT code 19084: Breast biopsy, additional lesion, ultrasound-guided2026 Medicare rate & RVUs in Alabama
Reports ultrasound-guided core biopsy of an additional distinct breast lesion during a session in which a primary breast biopsy procedure is also performed.
In Alabama, Medicare pays $317.37 for 19084 in the office and $61.64 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Alabama 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. Alabama pays $317.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$317.37
- Los Angeles, CA · California$412.86+$95.49
- Washington, DC area · District of Columbia$414.40+$97.03
- Miami, FL · Florida$377.93+$60.56
- Chicago, IL · Illinois$366.17+$48.80
- Manhattan, NY · New York$412.61+$95.24
- Alaska · Alaska$399.81+$82.44
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Merced, CACalifornia | $384.72 | $64.41 |
| Modesto, CACalifornia | $384.72 | $64.41 |
| Napa, CACalifornia | $453.85 | $68.65 |
| Oxnard, CACalifornia | $411.68 | $66.23 |
| Redding, CACalifornia | $384.72 | $64.41 |
| Rest of CaliforniaCalifornia | $384.72 | $64.41 |
| Riverside, CACalifornia | $386.47 | $66.15 |
| Sacramento, CACalifornia | $405.89 | $65.99 |
| Salinas, CACalifornia | $404.43 | $65.70 |
| San Diego, CACalifornia | $415.57 | $66.03 |
| Marin County, CACalifornia | $482.95 | $70.87 |
| San Francisco, CACalifornia | $482.77 | $70.68 |
| San Benito County, CACalifornia | $493.77 | $72.33 |
| Santa Clara County, CACalifornia | $493.03 | $71.59 |
| San Luis Obispo, CACalifornia | $397.69 | $64.81 |
| Santa Cruz, CACalifornia | $420.82 | $65.72 |
| Santa Maria, CACalifornia | $406.39 | $65.62 |
| Santa Rosa, CACalifornia | $425.19 | $66.30 |
| Stockton, CACalifornia | $384.72 | $64.41 |
| Vallejo, CACalifornia | $453.59 | $68.39 |
| Visalia, CACalifornia | $384.72 | $64.41 |
| Yuba City, CACalifornia | $384.72 | $64.41 |
| ColoradoColorado | $376.13 | $65.17 |
| ConnecticutConnecticut | $382.74 | $67.98 |
| DelawareDelaware | $353.48 | $64.73 |
| Fort Lauderdale, FLFlorida | $365.63 | $69.57 |
| Rest of FloridaFlorida | $346.81 | $67.41 |
| Atlanta, GAGeorgia | $363.44 | $66.51 |
| Rest of GeorgiaGeorgia | $325.84 | $65.15 |
| Hawaii, Guam, HIHawaii | $396.46 | $64.16 |
| IowaIowa | $328.53 | $61.11 |
| IdahoIdaho | $330.44 | $61.57 |
| East St. Louis, ILIllinois | $338.68 | $69.80 |
| Rest of IllinoisIllinois | $334.16 | $67.33 |
| Suburban Chicago, ILIllinois | $370.01 | $69.86 |
| IndianaIndiana | $332.63 | $61.70 |
| KansasKansas | $325.78 | $61.58 |
| KentuckyKentucky | $323.46 | $63.64 |
| New Orleans, LALouisiana | $340.32 | $65.31 |
| Rest of LouisianaLouisiana | $322.48 | $63.83 |
| Metropolitan Boston, MAMassachusetts | $417.38 | $68.43 |
| Rest of MassachusettsMassachusetts | $373.10 | $65.35 |
| Baltimore area, MDMaryland | $381.48 | $67.89 |
| Rest of MarylandMaryland | $361.08 | $65.31 |
| Rest of MaineMaine | $331.24 | $62.36 |
| Southern Maine, MEMaine | $352.70 | $63.08 |
| Detroit, MIMichigan | $350.50 | $68.47 |
| Rest of MichiganMichigan | $331.84 | $65.01 |
| MinnesotaMinnesota | $362.37 | $61.64 |
| Metropolitan Kansas City, MOMissouri | $338.87 | $64.44 |
| Metropolitan St. Louis, MOMissouri | $342.92 | $64.69 |
| Rest of MissouriMissouri | $315.63 | $63.70 |
| MississippiMississippi | $314.07 | $62.44 |
| MontanaMontana | $357.38 | $65.12 |
| North CarolinaNorth Carolina | $335.25 | $62.58 |
| North DakotaNorth Dakota | $354.22 | $61.96 |
| NebraskaNebraska | $330.84 | $61.09 |
| New HampshireNew Hampshire | $369.09 | $64.85 |
| Northern New JerseyNew Jersey | $409.19 | $70.17 |
| Rest of New JerseyNew Jersey | $387.67 | $68.53 |
| New MexicoNew Mexico | $333.43 | $65.43 |
| NevadaNevada | $356.80 | $64.25 |
| NYC suburbs and Long Island, NYNew York | $422.20 | $74.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $389.43 | $69.41 |
| Queens, NYNew York | $417.87 | $72.42 |
| Rest of New YorkNew York | $340.72 | $63.08 |
| OhioOhio | $331.19 | $64.36 |
| OklahomaOklahoma | $323.93 | $62.94 |
| Portland, OROregon | $390.31 | $65.61 |
| Rest of OregonOregon | $354.60 | $63.51 |
| Metropolitan Philadelphia, PAPennsylvania | $371.69 | $67.45 |
| Rest of PennsylvaniaPennsylvania | $332.36 | $64.07 |
| Puerto RicoPuerto Rico | $360.63 | $65.15 |
| Rhode IslandRhode Island | $367.72 | $65.82 |
| South CarolinaSouth Carolina | $333.67 | $63.62 |
| South DakotaSouth Dakota | $353.84 | $61.58 |
| TennesseeTennessee | $327.47 | $61.81 |
| Austin, TXTexas | $374.37 | $65.17 |
| Beaumont, TXTexas | $329.87 | $63.91 |
| Brazoria, TXTexas | $353.90 | $64.28 |
| Dallas, TXTexas | $355.88 | $64.79 |
| Fort Worth, TXTexas | $352.93 | $64.77 |
| Galveston, TXTexas | $354.76 | $64.55 |
| Houston, TXTexas | $357.69 | $67.48 |
| Rest of TexasTexas | $341.49 | $64.14 |
| UtahUtah | $338.75 | $64.03 |
| VirginiaVirginia | $350.69 | $63.40 |
| Virgin Islands, VIUnited States Virgin Islands | $360.63 | $65.15 |
| VermontVermont | $351.73 | $62.40 |
| Rest of WashingtonWashington | $372.75 | $65.01 |
| King County, WAWashington | $427.40 | $68.80 |
| WisconsinWisconsin | $341.02 | $61.04 |
| West VirginiaWest Virginia | $320.18 | $66.21 |
| WyomingWyoming | $356.00 | $63.74 |
19084 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.
$312.27
$439.25
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 | $399.81 | 1 |
| AL | $317.37 | 1 |
| AR | $312.27 | 1 |
| AZ | $347.27 | 1 |
| CA | $384.72–$493.77 | 29 |
| CO | $376.13 | 1 |
| CT | $382.74 | 1 |
| DC | $414.40 | 1 |
| DE | $353.48 | 1 |
| FL | $346.81–$377.93 | 3 |
| GA | $325.84–$363.44 | 2 |
| GU | $396.46 | 1 |
| HI | $396.46 | 1 |
| IA | $328.53 | 1 |
| ID | $330.44 | 1 |
| IL | $334.16–$370.01 | 4 |
| IN | $332.63 | 1 |
| KS | $325.78 | 1 |
| KY | $323.46 | 1 |
| LA | $322.48–$340.32 | 2 |
| MA | $373.10–$417.38 | 2 |
| MD | $361.08–$414.40 | 3 |
| ME | $331.24–$352.70 | 2 |
| MI | $331.84–$350.50 | 2 |
| MN | $362.37 | 1 |
| MO | $315.63–$342.92 | 3 |
| MS | $314.07 | 1 |
| MT | $357.38 | 1 |
| NC | $335.25 | 1 |
| ND | $354.22 | 1 |
| NE | $330.84 | 1 |
| NH | $369.09 | 1 |
| NJ | $387.67–$409.19 | 2 |
| NM | $333.43 | 1 |
| NV | $356.80 | 1 |
| NY | $340.72–$422.20 | 5 |
| OH | $331.19 | 1 |
| OK | $323.93 | 1 |
| OR | $354.60–$390.31 | 2 |
| PA | $332.36–$371.69 | 2 |
| PR | $360.63 | 1 |
| RI | $367.72 | 1 |
| SC | $333.67 | 1 |
| SD | $353.84 | 1 |
| TN | $327.47 | 1 |
| TX | $329.87–$374.37 | 8 |
| UT | $338.75 | 1 |
| VA | $350.69–$414.40 | 2 |
| VI | $360.63 | 1 |
| VT | $351.73 | 1 |
| WA | $372.75–$427.40 | 2 |
| WI | $341.02 | 1 |
| WV | $320.18 | 1 |
| WY | $356.00 | 1 |
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
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 Alabama 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
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.51 | × 1.000 | 1.5100 |
| Practice expense | 9.03 | × 0.875 | 7.9012 |
| Malpractice | 0.16 | × 0.566 | 0.0906 |
| Total RVUs | 9.5018 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$317.37
Office: (1.51 × 1 + 9.03 × 0.875 + 0.16 × 0.566) × $33.4009 = $317.37
Facility: (1.51 × 1 + 0.28 × 0.875 + 0.16 × 0.566) × $33.4009 = $61.64
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
| 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 19084 has changed in Alabama
19084 · Office / nonfacility
$317.37
Effective 2026-10-01
The base rate is $6.78 higher than on 2025-10-01, moving from $310.59 to $317.37 (2.2%).
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
$310.59changed to$317.37
- 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 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$330.04changed to$310.59
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.52 changed to 9.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$324.65changed to$330.04
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$350.79changed to$324.65
- 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 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$371.55changed to$350.79
- 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 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$417.40changed to$371.55
- 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.
January 1, 2021
RVU21A
$441.69changed to$417.40
- 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
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$468.61changed to$441.69
- 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 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$502.38changed to$468.61
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 13.85 changed to 12.78
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$502.38
Held through RVU18C, RVU18D.
January 1, 2014
RVU14A
No ratechanged toNo rate
Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $317.37 | $61.64 | RVU26D |
| 2026-07-01 | $317.37 | $61.64 | RVU26C |
| 2026-04-01 | $317.37 | $61.64 | RVU26B |
| 2026-01-01 | $317.37 | $61.64 | RVU26A |
| 2025-10-01 | $310.59 | $69.14 | RVU25D |
| 2025-07-01 | $310.59 | $69.14 | RVU25C |
| 2025-04-01 | $310.59 | $69.14 | RVU25B |
| 2025-01-01 | $310.59 | $69.14 | RVU25A |
| 2024-10-01 | $330.04 | $70.57 | RVU24D |
| 2024-07-01 | $330.04 | $70.57 | RVU24C |
| 2024-04-01 | $330.04 | $70.57 | RVU24B |
| 2024-03-09 | $330.04 | $70.57 | RVU24AR |
| 2024-01-01 | $324.65 | $69.42 | RVU24A |
| 2023-10-01 | $350.79 | $73.79 | RVU23D |
| 2023-07-01 | $350.79 | $73.79 | RVU23C |
| 2023-04-01 | $350.79 | $73.79 | RVU23B |
| 2023-01-01 | $350.79 | $73.79 | RVU23A |
| 2022-10-01 | $371.55 | $75.31 | RVU22D |
| 2022-07-01 | $371.55 | $75.31 | RVU22C |
| 2022-04-01 | $371.55 | $75.31 | RVU22B |
| 2022-01-01 | $371.55 | $75.31 | RVU22A |
| 2021-10-01 | $417.40 | $76.26 | RVU21D |
| 2021-07-01 | $417.40 | $76.26 | RVU21C |
| 2021-04-01 | $417.40 | $76.26 | RVU21B |
| 2021-01-01 | $417.40 | $76.26 | RVU21A |
| 2020-10-01 | $441.69 | $77.54 | RVU20D |
| 2020-07-01 | $441.69 | $77.54 | RVU20C |
| 2020-04-01 | $441.69 | $77.54 | RVU20B |
| 2020-01-01 | $441.69 | $77.54 | RVU20A |
| 2019-10-01 | $468.61 | $76.98 | RVU19D |
| 2019-07-01 | $468.61 | $76.98 | RVU19C |
| 2019-04-01 | $468.61 | $76.98 | RVU19B |
| 2019-01-01 | $468.61 | $76.98 | RVU19A |
| 2018-10-01 | $502.38 | $76.90 | RVU18D |
| 2018-07-01 | $502.38 | $76.90 | RVU18C |
| 2018-04-01 | $502.38 | $76.90 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | 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 Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
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
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