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

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 Brazoria, TX, Medicare pays $163.18 for 19282 in the office and $41.04 when it’s performed in a hospital or facility.

$163.18Office (non-facility)
$41.04Hospital or facility
−0.9%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 Brazoria, TX
  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 Brazoria, TX 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. Brazoria, TX pays $163.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

19282 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$163.18
  2. Austin, TX · Texas$171.92+$8.74
  3. Beaumont, TX · Texas$152.84−$10.34
  4. Dallas, TX · Texas$164.06+$0.88
  5. Fort Worth, TX · Texas$162.81−$0.37
  6. Galveston, TX · Texas$163.56+$0.38
  7. Houston, TX · Texas$165.03+$1.85

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

Every other payment area

19282 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$157.81$40.85
Los Angeles, CACalifornia$188.77$42.96
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

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 19282 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0080.9878
Practice expense3.87× 0.9913.8352
Malpractice0.08× 0.7800.0624
Total RVUs4.8854
Conversion factor× 33.4009

Office rate, Brazoria, TX$163.18

Office: (0.98 × 1.008 + 3.87 × 0.991 + 0.08 × 0.78) × $33.4009 = $163.18

Facility: (0.98 × 1.008 + 0.18 × 0.991 + 0.08 × 0.78) × $33.4009 = $41.04

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, Brazoria, TX
Add-on codes
19281Breast localization, mammographic guidance, first lesionPrimary localization service with which 19282 is reported for additional lesions.$232.46
Same family
19284Breast localization, additional stereotactic lesionAdditional-lesion localization code for stereotactic guidance.$179.85
19286Breast localization, each additional lesionAdditional-lesion localization code for ultrasound guidance.$283.84
19288Breast localization, additional lesion, MRI guidanceAdditional-lesion localization code for MRI guidance.$452.68
19283Breast localization, first lesion, stereotactic guidanceFirst-lesion localization code for stereotactic guidance.$247.55
19285Breast localization, first lesion, ultrasound guidanceFirst-lesion localization code for ultrasound guidance.$346.90
19287Breast localization, first lesion, MRI guidanceFirst-lesion localization code for MRI guidance.$593.61

How 19282 has changed in Brazoria, TX

19282 · Office / nonfacility

$163.18

Effective 2026-10-01

The base rate is $0.21 lower than on 2025-10-01, moving from $163.39 to $163.18 (0.1%).

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

    $163.39changed to$163.18

    • 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 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $170.42changed to$163.39

    • 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

    $167.64changed to$170.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $176.46changed to$167.64

    • 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 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $179.74changed to$176.46

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $183.38changed to$179.74

    • 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

    $178.89changed to$183.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.83 changed to 4.08
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $173.50changed to$178.89

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.73 changed to 3.83
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $170.44changed to$173.50

    • 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

    $169.35changed to$170.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.64 changed to 3.65
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $169.64changed to$169.35

    • 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 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $170.22changed to$169.64

    • 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

    $169.38changed to$170.22

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $169.48changed to$169.38

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$169.48

    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$163.18$41.04RVU26D
2026-07-01$163.18$41.04RVU26C
2026-04-01$163.18$41.04RVU26B
2026-01-01$163.18$41.04RVU26A
2025-10-01$163.39$46.90RVU25D
2025-07-01$163.39$46.90RVU25C
2025-04-01$163.39$46.90RVU25B
2025-01-01$163.39$46.90RVU25A
2024-10-01$170.42$48.19RVU24D
2024-07-01$170.42$48.19RVU24C
2024-04-01$170.42$48.19RVU24B
2024-03-09$170.42$48.19RVU24AR
2024-01-01$167.64$47.40RVU24A
2023-10-01$176.46$49.66RVU23D
2023-07-01$176.46$49.66RVU23C
2023-04-01$176.46$49.66RVU23B
2023-01-01$176.46$49.66RVU23A
2022-10-01$179.74$50.17RVU22D
2022-07-01$179.74$50.17RVU22C
2022-04-01$179.74$50.17RVU22B
2022-01-01$179.74$50.17RVU22A
2021-10-01$183.38$50.59RVU21D
2021-07-01$183.38$50.59RVU21C
2021-04-01$183.38$50.59RVU21B
2021-01-01$183.38$50.59RVU21A
2020-10-01$178.89$52.77RVU20D
2020-07-01$178.89$52.77RVU20C
2020-04-01$178.89$52.77RVU20B
2020-01-01$178.89$52.77RVU20A
2019-10-01$173.50$52.78RVU19D
2019-07-01$173.50$52.78RVU19C
2019-04-01$173.50$52.78RVU19B
2019-01-01$173.50$52.78RVU19A
2018-10-01$170.44$52.72RVU18D
2018-07-01$170.44$52.72RVU18C
2018-04-01$170.44$52.72RVU18B
2018-01-01$170.44$52.72RVU18AR1
2017-10-01$169.35$53.06RVU17D
2017-07-01$169.35$53.06RVU17C
2017-04-01$169.35$53.06RVU17B
2017-01-01$169.35$53.06RVU17A
2016-10-01$169.64$53.02RVU16D
2016-07-01$169.64$53.02RVU16C
2016-04-01$169.64$53.02RVU16B
2016-01-01$169.64$53.02RVU16A
2015-10-01$170.22$53.90RVU15D
2015-07-01$170.22$53.90RVU15C
2015-04-01$169.38$53.63RVU15B
2015-01-01$169.38$53.63RVU15A
2014-10-01$169.48$50.44RVU14D
2014-07-01$169.48$50.44RVU14C
2014-04-01$169.48$50.44RVU14B
2014-01-01$169.48$50.44RVU14A
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 Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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 Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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