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CPT code 19282: Breast localization, each additional lesion2026 Medicare rate & RVUs in Nevada

Reports percutaneous placement of a localization device for each additional breast lesion, using imaging guidance, when a separate lesion requires localization.

CMS RVU26DEffective Oct 1, 2026One payment locality3.1K Medicare services in 2024

In Nevada, Medicare pays $164.35 for 19282 in the office and $40.98 when it’s performed in a hospital or facility.

$164.35Office (non-facility)
$40.98Hospital or facility
−0.2%vs the national office rate ($164.67)

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.

We’ll open 19282 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 19282 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 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 Nevada 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. Nevada pays $164.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

19282 in Nevada vs other payment areas
  1. Nevada · this page$164.35
  2. Los Angeles, CA · California$188.77+$24.42
  3. Washington, DC area · District of Columbia$189.74+$25.39
  4. Miami, FL · Florida$174.05+$9.70
  5. Chicago, IL · Illinois$169.00+$4.65
  6. Manhattan, NY · New York$189.27+$24.92
  7. Alaska · Alaska$188.24+$23.89

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

Every other payment area

19282 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$147.35$39.51
ArkansasArkansas$145.14$39.27
ArizonaArizona$160.27$40.85
Bakersfield, CACalifornia$176.65$41.57
Chico, CACalifornia$176.39$41.31
El Centro, CACalifornia$176.41$41.32
Fresno, CACalifornia$176.39$41.31
Hanford, CACalifornia$176.39$41.31

19282 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.

$145.14

$200.27

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

View every state and territory as a table
19282 office rate range by state
State / territoryOffice rate rangeLocalities
AK$188.241
AL$147.351
AR$145.141
AZ$160.271
CA$176.39–$224.1629
CO$172.751
CT$175.841
DC$189.741
DE$163.011
FL$160.32–$174.053
GA$151.22–$167.372
GU$181.251
HI$181.251
IA$152.071
ID$152.921
IL$154.93–$170.454
IN$153.861
KS$150.931
KY$150.091
LA$149.69–$157.402
MA$171.50–$190.792
MD$166.33–$189.743
ME$153.32–$162.522
MI$153.77–$161.982
MN$166.531
MO$146.76–$158.473
MS$146.001
MT$164.661
NC$155.041
ND$163.081
NE$153.051
NH$169.631
NJ$178.13–$187.592
NM$154.471
NV$164.351
NY$157.41–$193.485
OH$153.441
OK$150.241
OR$163.36–$178.852
PA$153.92–$171.072
PR$166.051
RI$169.271
SC$154.441
SD$162.891
TN$151.671
TX$152.84–$171.928
UT$156.641
VA$161.68–$189.742
VI$166.051
VT$162.051
WA$171.30–$195.162
WI$157.391
WV$148.881
WY$163.971

See 19282 in every payment locality

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

Office or facility?

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 19282 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense3.87× 1.0013.8739
Malpractice0.08× 0.8330.0666
Total RVUs4.9205
Conversion factor× 33.4009

Office rate, Nevada$164.35

Office: (0.98 × 1 + 3.87 × 1.001 + 0.08 × 0.833) × $33.4009 = $164.35

Facility: (0.98 × 1 + 0.18 × 1.001 + 0.08 × 0.833) × $33.4009 = $40.98

Open 19282 in the RVU calculator

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

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 19282

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

Codes related to 19282
CodeHow it relatesOffice range, Nevada
Add-on codes
19281Breast localization, mammographic guidance, first lesionPrimary localization service with which 19282 is reported for additional lesions.$233.91
Same family
19284Breast localization, additional stereotactic lesionAdditional-lesion localization code for stereotactic guidance.$181.23
19286Breast localization, each additional lesionAdditional-lesion localization code for ultrasound guidance.$286.33
19288Breast localization, additional lesion, MRI guidanceAdditional-lesion localization code for MRI guidance.$456.67
19283Breast localization, first lesion, stereotactic guidanceFirst-lesion localization code for stereotactic guidance.$249.18
19285Breast localization, first lesion, ultrasound guidanceFirst-lesion localization code for ultrasound guidance.$349.66
19287Breast localization, first lesion, MRI guidanceFirst-lesion localization code for MRI guidance.$598.44

How 19282 has changed in Nevada

19282 · Office / nonfacility

$164.35

Effective 2026-10-01

The base rate is $2.05 higher than on 2025-10-01, moving from $162.30 to $164.35 (1.3%).

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

    $162.30changed to$164.35

    • 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
    • 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

    $169.30changed to$162.30

    • 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.

  3. March 9, 2024

    RVU24AR

    $166.54changed to$169.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $175.19changed to$166.54

    • 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
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $178.10changed to$175.19

    • 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 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $181.67changed to$178.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.08 changed to 4.02

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $178.13changed to$181.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.83 changed to 4.08
    • 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

    $175.77changed to$178.13

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.73 changed to 3.83
    • 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

    $172.65changed to$175.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.65 changed to 3.73

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $174.16changed to$172.65

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.64 changed to 3.65
    • 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

    $177.23changed to$174.16

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.66 changed to 3.64
    • Malpractice RVU 0.10 changed to 0.09
    • 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

    $177.82changed to$177.23

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.64 changed to 3.66
    • Malpractice RVU 0.12 changed to 0.10

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $176.93changed to$177.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $178.02changed to$176.93

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.73 changed to 3.64
    • Malpractice RVU 0.03 changed to 0.12
    • 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$178.02

    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$164.35$40.98RVU26D
2026-07-01$164.35$40.98RVU26C
2026-04-01$164.35$40.98RVU26B
2026-01-01$164.35$40.98RVU26A
2025-10-01$162.30$46.50RVU25D
2025-07-01$162.30$46.50RVU25C
2025-04-01$162.30$46.50RVU25B
2025-01-01$162.30$46.50RVU25A
2024-10-01$169.30$47.80RVU24D
2024-07-01$169.30$47.80RVU24C
2024-04-01$169.30$47.80RVU24B
2024-03-09$169.30$47.80RVU24AR
2024-01-01$166.54$47.02RVU24A
2023-10-01$175.19$50.15RVU23D
2023-07-01$175.19$50.15RVU23C
2023-04-01$175.19$50.15RVU23B
2023-01-01$175.19$50.15RVU23A
2022-10-01$178.10$51.45RVU22D
2022-07-01$178.10$51.45RVU22C
2022-04-01$178.10$51.45RVU22B
2022-01-01$178.10$51.45RVU22A
2021-10-01$181.67$51.87RVU21D
2021-07-01$181.67$51.87RVU21C
2021-04-01$181.67$51.87RVU21B
2021-01-01$181.67$51.87RVU21A
2020-10-01$178.13$53.26RVU20D
2020-07-01$178.13$53.26RVU20C
2020-04-01$178.13$53.26RVU20B
2020-01-01$178.13$53.26RVU20A
2019-10-01$175.77$52.62RVU19D
2019-07-01$175.77$52.62RVU19C
2019-04-01$175.77$52.62RVU19B
2019-01-01$175.77$52.62RVU19A
2018-10-01$172.65$52.56RVU18D
2018-07-01$172.65$52.56RVU18C
2018-04-01$172.65$52.56RVU18B
2018-01-01$172.65$52.56RVU18AR1
2017-10-01$174.16$53.19RVU17D
2017-07-01$174.16$53.19RVU17C
2017-04-01$174.16$53.19RVU17B
2017-01-01$174.16$53.19RVU17A
2016-10-01$177.23$53.42RVU16D
2016-07-01$177.23$53.42RVU16C
2016-04-01$177.23$53.42RVU16B
2016-01-01$177.23$53.42RVU16A
2015-10-01$177.82$54.32RVU15D
2015-07-01$177.82$54.32RVU15C
2015-04-01$176.93$54.05RVU15B
2015-01-01$176.93$54.05RVU15A
2014-10-01$178.02$51.03RVU14D
2014-07-01$178.02$51.03RVU14C
2014-04-01$178.02$51.03RVU14B
2014-01-01$178.02$51.03RVU14A
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 19282 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

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
RVUs for 19282PPRRVU2026_Oct_nonQPP.csv, line 1,674 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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