CPT code 19282: Breast localization, each additional lesion2026 Medicare rate & RVUs in Napa, CA
Reports percutaneous placement of a localization device for each additional breast lesion, using imaging guidance, when a separate lesion requires localization.
In Napa, CA, Medicare pays $206.52 for 19282 in the office and $44.08 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 19282 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 19282 covers
A breast imaging physician typically uses image guidance to place a localization device at an additional breast lesion before surgical excision. This service is for targeting a separate lesion beyond the first lesion addressed by the corresponding primary localization service; it describes device placement, not diagnostic imaging of the lesion itself. It is commonly performed in an outpatient breast imaging center or hospital before breast-conserving surgery or another planned excision.
Report 19282 for each additional lesion when the applicable primary service is 19281. The record should identify the separate target lesion and document image-guided percutaneous device placement. If the guidance is stereotactic, ultrasound, or MRI, select the matching modality-specific additional-lesion code instead. CMS classifies 19282 as an add-on code: bill it only with its primary procedure, and 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 Napa, CA compares for 19282
Across 109 of 109 payment localities, the office rate for 19282 runs from $145.14 in Arkansas to $224.16 in San Benito County, CA. Napa, CA pays $206.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Napa, CA · this page$206.52
- Bakersfield, CA · California$176.65−$29.87
- Chico, CA · California$176.39−$30.13
- El Centro, CA · California$176.41−$30.11
- Fresno, CA · California$176.39−$30.13
- Hanford, CA · California$176.39−$30.13
- Los Angeles, CA · California$188.77−$17.75
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $176.39 | $41.31 |
| Merced, CACalifornia | $176.39 | $41.31 |
| Modesto, CACalifornia | $176.39 | $41.31 |
| Oxnard, CACalifornia | $188.10 | $42.42 |
| Redding, CACalifornia | $176.39 | $41.31 |
| Rest of CaliforniaCalifornia | $176.39 | $41.31 |
| Riverside, CACalifornia | $177.27 | $42.19 |
| Sacramento, CACalifornia | $185.67 | $42.34 |
| Salinas, CACalifornia | $184.99 | $42.15 |
| San Diego, CACalifornia | $189.76 | $42.35 |
| Marin County, CACalifornia | $219.33 | $45.55 |
| San Francisco, CACalifornia | $219.24 | $45.46 |
| San Benito County, CACalifornia | $224.16 | $46.44 |
| Santa Clara County, CACalifornia | $223.79 | $46.06 |
| San Luis Obispo, CACalifornia | $181.95 | $41.57 |
| Santa Cruz, CACalifornia | $191.91 | $42.16 |
| Santa Maria, CACalifornia | $185.80 | $42.09 |
| Santa Rosa, CACalifornia | $193.88 | $42.53 |
| Stockton, CACalifornia | $176.39 | $41.31 |
| Vallejo, CACalifornia | $206.39 | $43.95 |
| Visalia, CACalifornia | $176.39 | $41.31 |
| Yuba City, CACalifornia | $176.39 | $41.31 |
| Washington, DC areaDistrict of Columbia | $189.74 | $44.56 |
| Miami, FLFlorida | $174.05 | $45.75 |
| Chicago, ILIllinois | $169.00 | $45.14 |
| Manhattan, NYNew York | $189.27 | $46.05 |
| AlaskaAlaska | $188.24 | $56.97 |
| AlabamaAlabama | $147.35 | $39.51 |
| ArkansasArkansas | $145.14 | $39.27 |
| ArizonaArizona | $160.27 | $40.85 |
| ColoradoColorado | $172.75 | $41.61 |
| ConnecticutConnecticut | $175.84 | $43.10 |
| DelawareDelaware | $163.01 | $41.24 |
| Fort Lauderdale, FLFlorida | $168.51 | $43.65 |
| Rest of FloridaFlorida | $160.32 | $42.50 |
| Atlanta, GAGeorgia | $167.37 | $42.15 |
| Rest of GeorgiaGeorgia | $151.22 | $41.28 |
| Hawaii, Guam, HIHawaii | $181.25 | $41.12 |
| IowaIowa | $152.07 | $39.29 |
| IdahoIdaho | $152.92 | $39.53 |
| East St. Louis, ILIllinois | $157.03 | $43.65 |
| Rest of IllinoisIllinois | $154.93 | $42.40 |
| Suburban Chicago, ILIllinois | $170.45 | $43.87 |
| IndianaIndiana | $153.86 | $39.60 |
| KansasKansas | $150.93 | $39.51 |
| KentuckyKentucky | $150.09 | $40.52 |
| New Orleans, LALouisiana | $157.40 | $41.43 |
| Rest of LouisianaLouisiana | $149.69 | $40.61 |
| Metropolitan Boston, MAMassachusetts | $190.79 | $43.63 |
| Rest of MassachusettsMassachusetts | $171.50 | $41.72 |
| Baltimore area, MDMaryland | $175.26 | $43.01 |
| Rest of MarylandMaryland | $166.33 | $41.60 |
| Rest of MaineMaine | $153.32 | $39.93 |
| Southern Maine, MEMaine | $162.52 | $40.38 |
| Detroit, MIMichigan | $161.98 | $43.04 |
| Rest of MichiganMichigan | $153.77 | $41.24 |
| MinnesotaMinnesota | $166.53 | $39.71 |
| Metropolitan Kansas City, MOMissouri | $156.72 | $40.99 |
| Metropolitan St. Louis, MOMissouri | $158.47 | $41.13 |
| Rest of MissouriMissouri | $146.76 | $40.52 |
| MississippiMississippi | $146.00 | $39.88 |
| MontanaMontana | $164.66 | $41.41 |
| North CarolinaNorth Carolina | $155.04 | $40.05 |
| North DakotaNorth Dakota | $163.08 | $39.83 |
| NebraskaNebraska | $153.05 | $39.29 |
| New HampshireNew Hampshire | $169.63 | $41.33 |
| Northern New JerseyNew Jersey | $187.59 | $44.62 |
| Rest of New JerseyNew Jersey | $178.13 | $43.54 |
| New MexicoNew Mexico | $154.47 | $41.46 |
| NevadaNevada | $164.35 | $40.98 |
| NYC suburbs and Long Island, NYNew York | $193.48 | $46.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $178.98 | $44.02 |
| Queens, NYNew York | $191.47 | $45.79 |
| Rest of New YorkNew York | $157.41 | $40.32 |
| OhioOhio | $153.44 | $40.92 |
| OklahomaOklahoma | $150.24 | $40.18 |
| Portland, OROregon | $178.85 | $41.92 |
| Rest of OregonOregon | $163.36 | $40.60 |
| Metropolitan Philadelphia, PAPennsylvania | $171.07 | $42.77 |
| Rest of PennsylvaniaPennsylvania | $153.92 | $40.78 |
| Puerto RicoPuerto Rico | $166.05 | $41.44 |
| Rhode IslandRhode Island | $169.27 | $41.95 |
| South CarolinaSouth Carolina | $154.44 | $40.56 |
| South DakotaSouth Dakota | $162.89 | $39.64 |
| TennesseeTennessee | $151.67 | $39.63 |
| Austin, TXTexas | $171.92 | $41.53 |
| Beaumont, TXTexas | $152.84 | $40.69 |
| Brazoria, TXTexas | $163.18 | $41.04 |
| Dallas, TXTexas | $164.06 | $41.31 |
| Fort Worth, TXTexas | $162.81 | $41.28 |
| Galveston, TXTexas | $163.56 | $41.18 |
| Houston, TXTexas | $165.03 | $42.64 |
| Rest of TexasTexas | $157.81 | $40.85 |
| UtahUtah | $156.64 | $40.78 |
| VirginiaVirginia | $161.68 | $40.53 |
| Virgin Islands, VIUnited States Virgin Islands | $166.05 | $41.44 |
| VermontVermont | $162.05 | $40.04 |
| Rest of WashingtonWashington | $171.30 | $41.52 |
| King County, WAWashington | $195.16 | $43.93 |
| WisconsinWisconsin | $157.39 | $39.32 |
| West VirginiaWest Virginia | $148.88 | $41.78 |
| WyomingWyoming | $163.97 | $40.72 |
19282 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.
$145.14
$200.27
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 | $188.24 | 1 |
| AL | $147.35 | 1 |
| AR | $145.14 | 1 |
| AZ | $160.27 | 1 |
| CA | $176.39–$224.16 | 29 |
| CO | $172.75 | 1 |
| CT | $175.84 | 1 |
| DC | $189.74 | 1 |
| DE | $163.01 | 1 |
| FL | $160.32–$174.05 | 3 |
| GA | $151.22–$167.37 | 2 |
| GU | $181.25 | 1 |
| HI | $181.25 | 1 |
| IA | $152.07 | 1 |
| ID | $152.92 | 1 |
| IL | $154.93–$170.45 | 4 |
| IN | $153.86 | 1 |
| KS | $150.93 | 1 |
| KY | $150.09 | 1 |
| LA | $149.69–$157.40 | 2 |
| MA | $171.50–$190.79 | 2 |
| MD | $166.33–$189.74 | 3 |
| ME | $153.32–$162.52 | 2 |
| MI | $153.77–$161.98 | 2 |
| MN | $166.53 | 1 |
| MO | $146.76–$158.47 | 3 |
| MS | $146.00 | 1 |
| MT | $164.66 | 1 |
| NC | $155.04 | 1 |
| ND | $163.08 | 1 |
| NE | $153.05 | 1 |
| NH | $169.63 | 1 |
| NJ | $178.13–$187.59 | 2 |
| NM | $154.47 | 1 |
| NV | $164.35 | 1 |
| NY | $157.41–$193.48 | 5 |
| OH | $153.44 | 1 |
| OK | $150.24 | 1 |
| OR | $163.36–$178.85 | 2 |
| PA | $153.92–$171.07 | 2 |
| PR | $166.05 | 1 |
| RI | $169.27 | 1 |
| SC | $154.44 | 1 |
| SD | $162.89 | 1 |
| TN | $151.67 | 1 |
| TX | $152.84–$171.92 | 8 |
| UT | $156.64 | 1 |
| VA | $161.68–$189.74 | 2 |
| VI | $166.05 | 1 |
| VT | $162.05 | 1 |
| WA | $171.30–$195.16 | 2 |
| WI | $157.39 | 1 |
| WV | $148.88 | 1 |
| WY | $163.97 | 1 |
How the 19282 rate is calculated
Each of 19282’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 · 19282
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense3.87
3.87 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
4.9300
Conversion factor
$33.4009
Medicare rate
$164.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Napa, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,674
- Code
- 19282
- Physician work
- 0.98
- Practice expense
- 3.87
- Malpractice
- 0.08
GPCI2026.csv
17
- Locality
- Napa, CA
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.508
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.063 | 1.0417 |
| Practice expense | 3.87 | × 1.318 | 5.1007 |
| Malpractice | 0.08 | × 0.508 | 0.0406 |
| Total RVUs | 6.1830 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Napa, CA$206.52
Office: (0.98 × 1.063 + 3.87 × 1.318 + 0.08 × 0.508) × $33.4009 = $206.52
Facility: (0.98 × 1.063 + 0.18 × 1.318 + 0.08 × 0.508) × $33.4009 = $44.08
Payment rules and modifiers for 19282
The CMS indicators that decide how 19282 is paid alongside other services.
CMS payment indicators · 19282
Breast localization, each additional lesion
| 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 19282 has changed in Napa, CA
19282 · Office / nonfacility
$206.52
Effective 2026-10-01
The base rate is $3.57 higher than on 2025-10-01, moving from $202.95 to $206.52 (1.8%).
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
$202.95changed to$206.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.00 changed to 0.98
- Practice expense RVU 3.95 changed to 3.87
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.521 changed to 0.508
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$211.64changed to$202.95
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.01 changed to 3.95
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$208.19changed to$211.64
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$211.40changed to$208.19
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.06 changed to 4.01
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.051 changed to 1.058
- Practice expense GPCI 1.265 changed to 1.310
- Malpractice GPCI 0.513 changed to 0.521
January 1, 2023
RVU23A
$207.42changed to$211.40
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.02 changed to 4.06
- Malpractice RVU 0.09 changed to 0.10
- Work GPCI 1.044 changed to 1.051
- Practice expense GPCI 1.220 changed to 1.265
- Malpractice GPCI 0.504 changed to 0.513
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$211.70changed to$207.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.08 changed to 4.02
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$210.59changed to$211.70
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.83 changed to 4.08
- Work GPCI 1.049 changed to 1.044
- Practice expense GPCI 1.238 changed to 1.220
- Malpractice GPCI 0.496 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$208.35changed to$210.59
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.73 changed to 3.83
- Work GPCI 1.055 changed to 1.049
- Practice expense GPCI 1.256 changed to 1.238
- Malpractice GPCI 0.458 changed to 0.496
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$204.50changed to$208.35
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.65 changed to 3.73
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$205.51changed to$204.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.64 changed to 3.65
- Work GPCI 1.057 changed to 1.055
- Practice expense GPCI 1.271 changed to 1.256
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$205.51
Held through RVU17B, RVU17C, RVU17D.
January 1, 2014
RVU14A
No ratechanged toNo rate
Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $206.52 | $44.08 | RVU26D |
| 2026-07-01 | $206.52 | $44.08 | RVU26C |
| 2026-04-01 | $206.52 | $44.08 | RVU26B |
| 2026-01-01 | $206.52 | $44.08 | RVU26A |
| 2025-10-01 | $202.95 | $51.25 | RVU25D |
| 2025-07-01 | $202.95 | $51.25 | RVU25C |
| 2025-04-01 | $202.95 | $51.25 | RVU25B |
| 2025-01-01 | $202.95 | $51.25 | RVU25A |
| 2024-10-01 | $211.64 | $52.48 | RVU24D |
| 2024-07-01 | $211.64 | $52.48 | RVU24C |
| 2024-04-01 | $211.64 | $52.48 | RVU24B |
| 2024-03-09 | $211.64 | $52.48 | RVU24AR |
| 2024-01-01 | $208.19 | $51.62 | RVU24A |
| 2023-10-01 | $211.40 | $53.21 | RVU23D |
| 2023-07-01 | $211.40 | $53.21 | RVU23C |
| 2023-04-01 | $211.40 | $53.21 | RVU23B |
| 2023-01-01 | $211.40 | $53.21 | RVU23A |
| 2022-10-01 | $207.42 | $52.90 | RVU22D |
| 2022-07-01 | $207.42 | $52.90 | RVU22C |
| 2022-04-01 | $207.42 | $52.90 | RVU22B |
| 2022-01-01 | $207.42 | $52.90 | RVU22A |
| 2021-10-01 | $211.70 | $53.34 | RVU21D |
| 2021-07-01 | $211.70 | $53.34 | RVU21C |
| 2021-04-01 | $211.70 | $53.34 | RVU21B |
| 2021-01-01 | $211.70 | $53.34 | RVU21A |
| 2020-10-01 | $210.59 | $56.00 | RVU20D |
| 2020-07-01 | $210.59 | $56.00 | RVU20C |
| 2020-04-01 | $210.59 | $56.00 | RVU20B |
| 2020-01-01 | $210.59 | $56.00 | RVU20A |
| 2019-10-01 | $208.35 | $56.25 | RVU19D |
| 2019-07-01 | $208.35 | $56.25 | RVU19C |
| 2019-04-01 | $208.35 | $56.25 | RVU19B |
| 2019-01-01 | $208.35 | $56.25 | RVU19A |
| 2018-10-01 | $204.50 | $56.19 | RVU18D |
| 2018-07-01 | $204.50 | $56.19 | RVU18C |
| 2018-04-01 | $204.50 | $56.19 | RVU18B |
| 2018-01-01 | $204.50 | $56.19 | RVU18AR1 |
| 2017-10-01 | $205.51 | $56.81 | RVU17D |
| 2017-07-01 | $205.51 | $56.81 | RVU17C |
| 2017-04-01 | $205.51 | $56.81 | RVU17B |
| 2017-01-01 | $205.51 | $56.81 | 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 Napa, CA rate applies
Napa, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Napa
- American Canyon
- Angwin
- Calistoga
- Deer Park
- Moskowite Corner
- Oakville
- Rutherford
19282 billing questions
When is 19282 reported instead of 19281?
19281 represents the first lesion in the applicable imaging-guided localization service. Report 19282 for each additional lesion localized in that service.
Can 19282 be billed by itself?
No. It is an add-on code and must be billed with its primary procedure, 19281.
Which code applies when guidance is stereotactic, ultrasound, or MRI?
Use the modality-specific additional-lesion code: 19284 for stereotactic guidance, 19286 for ultrasound guidance, or 19288 for MRI guidance.
What documentation supports reporting an additional lesion?
Document the distinct additional breast target and the image-guided percutaneous placement of a localization device at that target.
How does CMS treat payment for this add-on code?
CMS requires 19282 to be billed with its primary procedure, and payment is within that procedure’s global period.
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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