CPT code 19283: Breast localization, first lesion, stereotactic guidance2026 Medicare rate & RVUs in El Centro, CA

Percutaneous placement of a localization device in a breast lesion using stereotactic imaging guidance, reported for the first lesion treated with that guidance method.

CMS RVU26DEffective Oct 1, 2026One payment locality3.7K Medicare services in 2024

In El Centro, CA, Medicare pays $265.15 for 19283 in the office and $83.21 when it’s performed in a hospital or facility.

$265.15Office (non-facility)
$83.21Hospital or facility
+6.0%vs the national office rate ($250.17)

Check a contract rate as a % of Medicare · 19283 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 19283 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in El Centro, CA
  2. What 19283 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 19283 covers

A breast imaging physician or radiologist uses stereotactic imaging to guide a localization device through the skin to a breast lesion, commonly one that is not palpable and needs to be identified for surgical removal. The service is performed in a breast imaging department or other outpatient setting before the planned excision. The device helps the surgeon find the target; the code covers placement and the associated imaging guidance.

Report this code for the first lesion localized using stereotactic guidance. Documentation should identify the target, laterality, guidance method, and device placement; report 19284 for each additional stereotactically localized lesion. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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 El Centro, CA compares for 19283

Across 109 of 109 payment localities, the office rate for 19283 runs from $221.67 in Arkansas to $332.77 in San Benito County, CA. El Centro, CA pays $265.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

19283 in El Centro, CA vs other payment areas
  1. El Centro, CA · this page$265.15
  2. Bakersfield, CA · California$265.76+$0.61
  3. Chico, CA · California$265.12−$0.03
  4. Fresno, CA · California$265.12−$0.03
  5. Hanford, CA · California$265.12−$0.03
  6. Los Angeles, CA · California$283.07+$17.92
  7. Madera, CA · California$265.12−$0.03

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

Every other payment area

19283 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$265.12$83.18
Modesto, CACalifornia$265.12$83.18
Napa, CACalifornia$307.44$88.65
Oxnard, CACalifornia$281.75$85.54
Redding, CACalifornia$265.12$83.18
Rest of CaliforniaCalifornia$265.12$83.18
Riverside, CACalifornia$267.40$85.47
Sacramento, CACalifornia$278.28$85.22

19283 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.

$221.67

$298.95

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

View every state and territory as a table
19283 office rate range by state
State / territoryOffice rate rangeLocalities
AK$291.161
AL$224.881
AR$221.671
AZ$243.641
CA$265.12–$332.7729
CO$260.811
CT$266.661
DC$286.171
DE$247.651
FL$245.87–$268.203
GA$232.29–$254.632
GU$271.611
HI$271.611
IA$230.811
ID$232.231
IL$238.63–$260.854
IN$233.571
KS$229.601
KY$229.821
LA$229.41–$240.622
MA$259.23–$286.612
MD$252.39–$286.173
ME$233.28–$245.982
MI$235.59–$248.752
MN$250.401
MO$225.42–$241.643
MS$223.601
MT$250.161
NC$235.711
ND$246.011
NE$232.101
NH$256.601
NJ$269.84–$283.242
NM$236.811
NV$249.181
NY$239.19–$294.005
OH$234.741
OK$229.561
OR$247.38–$269.182
PA$235.19–$260.002
PR$252.031
RI$256.531
SC$235.591
SD$245.521
TN$230.721
TX$233.65–$259.838
UT$238.781
VA$245.08–$286.172
VI$252.031
VT$244.931
WA$258.78–$292.562
WI$237.841
WV$229.871
WY$248.351

See 19283 in every payment locality

How the 19283 rate is calculated

Each of 19283’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 · 19283

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.95

1.95 RVUs× 1.000 GPCI

Practice expense5.33

5.33 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

7.4900

Conversion factor

$33.4009

Medicare rate

$250.17

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

The exact El Centro, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,675

Code
19283
Physician work
1.95
Practice expense
5.33
Malpractice
0.21

GPCI2026.csv

10

Locality
El Centro, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office calculation for 19283 in El Centro, CA
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0171.9831
Practice expense5.33× 1.0965.8417
Malpractice0.21× 0.5410.1136
Total RVUs7.9384
Conversion factor× 33.4009

Office rate, El Centro, CA$265.15

Office: (1.95 × 1.017 + 5.33 × 1.096 + 0.21 × 0.541) × $33.4009 = $265.15

Facility: (1.95 × 1.017 + 0.36 × 1.096 + 0.21 × 0.541) × $33.4009 = $83.21

Open 19283 in the RVU calculator

Payment rules and modifiers for 19283

The CMS indicators that decide how 19283 is paid alongside other services.

CMS payment indicators · 19283

Breast localization, first lesion, stereotactic guidance

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

19283 without 50 · national office

$250.17

Breast localization, first lesion, stereotactic guidance

19283-50 · Bilateral: 150%

$375.26

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 19283 has changed in El Centro, CA

19283 · Office / nonfacility

$265.15

Effective 2026-10-01

The base rate is $3.53 higher than on 2025-10-01, moving from $261.62 to $265.15 (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

    $261.62changed to$265.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 5.44 changed to 5.33
    • Malpractice RVU 0.20 changed to 0.21
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $272.33changed to$261.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.52 changed to 5.44
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $267.88changed to$272.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $279.45changed to$267.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.64 changed to 5.52
    • Malpractice RVU 0.20 changed to 0.21
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.595 changed to 0.570
  5. January 1, 2023

    RVU23A

    $282.50changed to$279.45

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.62 changed to 5.64
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.620 changed to 0.595

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $291.50changed to$282.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.80 changed to 5.62
    • Malpractice GPCI 0.616 changed to 0.620

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $292.38changed to$291.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.55 changed to 5.80
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.606 changed to 0.616

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $291.49changed to$292.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.52 changed to 5.55
    • Malpractice RVU 0.21 changed to 0.19
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.570 changed to 0.606

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $290.76changed to$291.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.51 changed to 5.52
    • Malpractice GPCI 0.567 changed to 0.570

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $290.69changed to$290.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.49 changed to 5.51
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.567

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$290.69

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2014

    RVU14A

    No ratechanged toNo rate

    Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

  13. 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$265.15$83.21RVU26D
2026-07-01$265.15$83.21RVU26C
2026-04-01$265.15$83.21RVU26B
2026-01-01$265.15$83.21RVU26A
2025-10-01$261.62$95.10RVU25D
2025-07-01$261.62$95.10RVU25C
2025-04-01$261.62$95.10RVU25B
2025-01-01$261.62$95.10RVU25A
2024-10-01$272.33$97.32RVU24D
2024-07-01$272.33$97.32RVU24C
2024-04-01$272.33$97.32RVU24B
2024-03-09$272.33$97.32RVU24AR
2024-01-01$267.88$95.74RVU24A
2023-10-01$279.45$99.92RVU23D
2023-07-01$279.45$99.92RVU23C
2023-04-01$279.45$99.92RVU23B
2023-01-01$279.45$99.92RVU23A
2022-10-01$282.50$101.91RVU22D
2022-07-01$282.50$101.91RVU22C
2022-04-01$282.50$101.91RVU22B
2022-01-01$282.50$101.91RVU22A
2021-10-01$291.50$102.73RVU21D
2021-07-01$291.50$102.73RVU21C
2021-04-01$291.50$102.73RVU21B
2021-01-01$291.50$102.73RVU21A
2020-10-01$292.38$106.64RVU20D
2020-07-01$292.38$106.64RVU20C
2020-04-01$292.38$106.64RVU20B
2020-01-01$292.38$106.64RVU20A
2019-10-01$291.49$105.70RVU19D
2019-07-01$291.49$105.70RVU19C
2019-04-01$291.49$105.70RVU19B
2019-01-01$291.49$105.70RVU19A
2018-10-01$290.76$105.56RVU18D
2018-07-01$290.76$105.56RVU18C
2018-04-01$290.76$105.56RVU18B
2018-01-01$290.76$105.56RVU18AR1
2017-10-01$290.69$107.14RVU17D
2017-07-01$290.69$107.14RVU17C
2017-04-01$290.69$107.14RVU17B
2017-01-01$290.69$107.14RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
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 19283 for an earlier date of service

Where the El Centro, CA rate applies

El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • El Centro
  • Bombay Beach
  • Brawley
  • Calexico
  • Calipatria
  • Desert Shores
  • El Centro Naval Air Facility
  • Heber

Browse all communities in California

19283 billing questions

How is 19283 different from 19281?

Both describe percutaneous localization of a first breast lesion, but 19283 uses stereotactic guidance. Use 19281 when the guidance method is mammographic rather than stereotactic.

When is 19284 reported with 19283?

Report 19283 for the first lesion localized stereotactically and 19284 for each additional lesion localized by that method.

Can imaging guidance be billed separately?

The imaging guidance for the localization is included in 19283. The record should support the stereotactic guidance and device placement.

What documentation supports 19283?

Document the breast and lesion targeted, the stereotactic guidance method, and the localization device placement. Record additional targets separately when reporting 19284.

How is bilateral localization reported?

For bilateral procedures, modifier 50 is paid at 150%. The record should support localization in both breasts.

Are assistant surgeons or co-surgeons payable?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 19283PPRRVU2026_Oct_nonQPP.csv, line 1,675 (RVU26D)
Geographic factors for El Centro, CAGPCI2026.csv, line 10 (RVU26D)

Open CMS sourceHow we calculate rates

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