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CPT code 19086: Breast biopsy, additional MRI-guided lesion2026 Medicare rate & RVUs in King County, WA

Report this add-on for tissue sampling of an additional breast lesion using MRI guidance, alongside the primary MRI-guided breast biopsy code.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In King County, WA, Medicare pays $665.88 for 19086 in the office and $79.83 when it’s performed in a hospital or facility.

$665.88Office (non-facility)
$79.83Hospital or facility
+20.4%vs the national office rate ($553.12)

Check a contract rate as a % of Medicare · 19086 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 19086 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 19086 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 19086 covers

This code covers needle sampling of an additional breast target identified and accessed with MRI guidance. It is typically performed by a radiologist or other qualified breast-imaging clinician in an outpatient imaging center or hospital MRI suite. The biopsy may include placement of a marker at the sampled site and imaging of the specimen when performed. The first MRI-guided lesion is reported separately with the primary code.

Report one unit for each additional lesion sampled under MRI guidance, supported by documentation identifying the targets and confirming MRI guidance and tissue sampling. Do not use this code by itself: it is an add-on reported with the primary MRI-guided breast biopsy procedure. Under the CMS rule for this code, payment is within the primary procedure’s global period. The documentation should distinguish each additional target from the first lesion and from targets sampled using another guidance method.

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 King County, WA compares for 19086

Across 109 of 109 payment localities, the office rate for 19086 runs from $481.51 in Arkansas to $772.83 in San Benito County, CA. King County, WA pays $665.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

19086 in King County, WA vs other payment areas
  1. King County, WA · this page$665.88
  2. Rest of Washington · Washington$578.41−$87.47
  3. Los Angeles, CA · California$643.00−$22.88
  4. Washington, DC area · District of Columbia$643.87−$22.01
  5. Miami, FL · Florida$581.82−$84.06
  6. Chicago, IL · Illinois$563.33−$102.55
  7. Manhattan, NY · New York$639.34−$26.54

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

Every other payment area

19086 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$611.87$103.19
AlabamaAlabama$489.61$71.69
ArkansasArkansas$481.51$71.23
ArizonaArizona$537.16$74.34
Bakersfield, CACalifornia$598.90$75.42
Chico, CACalifornia$598.37$74.88
El Centro, CACalifornia$598.40$74.91
Fresno, CACalifornia$598.37$74.88

19086 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.

$481.51

$685.60

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

View every state and territory as a table
19086 office rate range by state
State / territoryOffice rate rangeLocalities
AK$611.871
AL$489.611
AR$481.511
AZ$537.161
CA$598.37–$772.8329
CO$583.841
CT$593.091
DC$643.871
DE$546.981
FL$534.49–$581.823
GA$501.47–$562.252
GU$617.631
HI$617.631
IA$508.191
ID$511.061
IL$513.83–$571.104
IN$514.551
KS$503.421
KY$498.431
LA$496.72–$525.082
MA$578.79–$649.652
MD$559.10–$643.873
ME$511.91–$546.632
MI$511.37–$539.922
MN$563.281
MO$485.58–$529.693
MS$483.761
MT$553.111
NC$518.351
ND$549.751
NE$511.991
NH$572.431
NJ$600.96–$635.362
NM$513.731
NV$552.661
NY$527.02–$654.065
OH$510.681
OK$499.601
OR$549.48–$606.812
PA$512.76–$575.302
PR$558.411
RI$569.741
SC$515.151
SD$549.351
TN$506.051
TX$508.77–$580.918
UT$523.241
VA$543.15–$643.872
VI$558.411
VT$545.431
WA$578.41–$665.882
WI$528.681
WV$491.601
WY$551.641

See 19086 in every payment locality

How the 19086 rate is calculated

Each of 19086’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 · 19086

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.77

1.77 RVUs× 1.000 GPCI

Practice expense14.62

14.62 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

16.5600

Conversion factor

$33.4009

Medicare rate

$553.12

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

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,664

Code
19086
Physician work
1.77
Practice expense
14.62
Malpractice
0.17

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 19086 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0501.8585
Practice expense14.62× 1.22717.9387
Malpractice0.17× 0.8170.1389
Total RVUs19.9361
Conversion factor× 33.4009

Office rate, King County, WA$665.88

Office: (1.77 × 1.05 + 14.62 × 1.227 + 0.17 × 0.817) × $33.4009 = $665.88

Facility: (1.77 × 1.05 + 0.32 × 1.227 + 0.17 × 0.817) × $33.4009 = $79.83

Open 19086 in the RVU calculator

Payment rules and modifiers for 19086

The CMS indicators that decide how 19086 is paid alongside other services.

CMS payment indicators · 19086

Breast biopsy, additional MRI-guided lesion

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 19086

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

Codes related to 19086
CodeHow it relatesOffice range, King County, WA
Primary code
19085Breast biopsy, first lesion, MRI guidancePrimary MRI-guided biopsy code for the first lesion; report with 19086.$856.17
Used instead
19084Breast biopsy, additional lesion, ultrasound-guidedAdditional-lesion breast biopsy when ultrasound, rather than MRI, guides sampling.$427.40
19082Breast biopsy, additional stereotactic lesionAdditional-lesion breast biopsy when stereotactic imaging guides sampling.$434.05
19083Breast biopsy, first lesion, ultrasound-guidedPrimary breast biopsy code for ultrasound-guided sampling of the first lesion.$561.09

How 19086 has changed in King County, WA

19086 · Office / nonfacility

$665.88

Effective 2026-10-01

The base rate is $10.10 higher than on 2025-10-01, moving from $655.78 to $665.88 (1.5%).

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

    $655.78changed to$665.88

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 14.95 changed to 14.62
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $698.82changed to$655.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.54 changed to 14.95

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $687.42changed to$698.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $728.93changed to$687.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 16.14 changed to 15.54
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $757.40changed to$728.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 16.66 changed to 16.14
    • Malpractice RVU 0.14 changed to 0.17
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $844.36changed to$757.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 18.59 changed to 16.66
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $868.09changed to$844.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 18.86 changed to 18.59
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $898.33changed to$868.09

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 19.99 changed to 18.86
    • Malpractice RVU 0.16 changed to 0.13
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $944.38changed to$898.33

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 21.13 changed to 19.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $945.44changed to$944.38

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 21.16 changed to 21.13
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $946.10changed to$945.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 21.19 changed to 21.16
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $951.41changed to$946.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 21.21 changed to 21.19
    • Malpractice RVU 0.23 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $946.67changed to$951.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $930.54changed to$946.67

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 20.93 changed to 21.21
    • Malpractice RVU 0.06 changed to 0.23
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$930.54

    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$665.88$79.83RVU26D
2026-07-01$665.88$79.83RVU26C
2026-04-01$665.88$79.83RVU26B
2026-01-01$665.88$79.83RVU26A
2025-10-01$655.78$91.86RVU25D
2025-07-01$655.78$91.86RVU25C
2025-04-01$655.78$91.86RVU25B
2025-01-01$655.78$91.86RVU25A
2024-10-01$698.82$93.72RVU24D
2024-07-01$698.82$93.72RVU24C
2024-04-01$698.82$93.72RVU24B
2024-03-09$698.82$93.72RVU24AR
2024-01-01$687.42$92.19RVU24A
2023-10-01$728.93$95.77RVU23D
2023-07-01$728.93$95.77RVU23C
2023-04-01$728.93$95.77RVU23B
2023-01-01$728.93$95.77RVU23A
2022-10-01$757.40$96.28RVU22D
2022-07-01$757.40$96.28RVU22C
2022-04-01$757.40$96.28RVU22B
2022-01-01$757.40$96.28RVU22A
2021-10-01$844.36$97.35RVU21D
2021-07-01$844.36$97.35RVU21C
2021-04-01$844.36$97.35RVU21B
2021-01-01$844.36$97.35RVU21A
2020-10-01$868.09$100.44RVU20D
2020-07-01$868.09$100.44RVU20C
2020-04-01$868.09$100.44RVU20B
2020-01-01$868.09$100.44RVU20A
2019-10-01$898.33$100.40RVU19D
2019-07-01$898.33$100.40RVU19C
2019-04-01$898.33$100.40RVU19B
2019-01-01$898.33$100.40RVU19A
2018-10-01$944.38$100.70RVU18D
2018-07-01$944.38$100.70RVU18C
2018-04-01$944.38$100.70RVU18B
2018-01-01$944.38$100.70RVU18AR1
2017-10-01$945.44$99.46RVU17D
2017-07-01$945.44$99.46RVU17C
2017-04-01$945.44$99.46RVU17B
2017-01-01$945.44$99.46RVU17A
2016-10-01$946.10$97.93RVU16D
2016-07-01$946.10$97.93RVU16C
2016-04-01$946.10$97.93RVU16B
2016-01-01$946.10$97.93RVU16A
2015-10-01$951.41$99.35RVU15D
2015-07-01$951.41$99.35RVU15C
2015-04-01$946.67$98.85RVU15B
2015-01-01$946.67$98.85RVU15A
2014-10-01$930.54$95.91RVU14D
2014-07-01$930.54$95.91RVU14C
2014-04-01$930.54$95.91RVU14B
2014-01-01$930.54$95.91RVU14A
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 19086 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 19086 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

19086 billing questions

When is this code reported instead of 19085?

Use 19085 for the first lesion sampled with MRI guidance. Report 19086 for each additional lesion sampled with MRI guidance during the procedure.

Can 19086 be billed by itself?

No. It is an add-on code and must be reported with the primary MRI-guided breast biopsy code, 19085.

How many units should be reported?

Report one unit for each additional lesion sampled. The first lesion is represented by 19085, not by an additional unit of 19086.

Is marker placement separately reported?

Marker placement at the biopsy site, when performed, is part of the MRI-guided biopsy service. Specimen imaging, when performed, is also included in the service.

How does 19086 differ from 19084?

Both represent sampling of an additional lesion, but 19086 is for MRI 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
RVUs for 19086PPRRVU2026_Oct_nonQPP.csv, line 1,664 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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