FeeBase
Log inGet started
Menu

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

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 Delaware, Medicare pays $247.65 for 19283 in the office and $83.64 when it’s performed in a hospital or facility.

$247.65Office (non-facility)
$83.64Hospital or facility
−1.0%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 Delaware
  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 Delaware 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. Delaware pays $247.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

19283 in Delaware vs other payment areas
  1. Delaware · this page$247.65
  2. Los Angeles, CA · California$283.07+$35.42
  3. Washington, DC area · District of Columbia$286.17+$38.52
  4. Miami, FL · Florida$268.20+$20.55
  5. Chicago, IL · Illinois$260.60+$12.95
  6. Manhattan, NY · New York$287.29+$39.64
  7. Alaska · Alaska$291.16+$43.51

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

Every other payment area

19283 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$224.88$79.62
ArkansasArkansas$221.67$79.07
ArizonaArizona$243.64$82.79
Bakersfield, CACalifornia$265.76$83.82
Chico, CACalifornia$265.12$83.18
El Centro, CACalifornia$265.15$83.21
Fresno, CACalifornia$265.12$83.18
Hanford, CACalifornia$265.12$83.18

19283 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.

$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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 19283 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0051.9597
Practice expense5.33× 0.9885.2660
Malpractice0.21× 0.8990.1888
Total RVUs7.4146
Conversion factor× 33.4009

Office rate, Delaware$247.65

Office: (1.95 × 1.005 + 5.33 × 0.988 + 0.21 × 0.899) × $33.4009 = $247.65

Facility: (1.95 × 1.005 + 0.36 × 0.988 + 0.21 × 0.899) × $33.4009 = $83.64

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

Codes related to 19283

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

Codes related to 19283
CodeHow it relatesOffice range, Delaware
Add-on codes
19284Breast localization, additional stereotactic lesionReported for each additional lesion localized stereotactically after the first lesion.$179.75
Same family
19281Breast localization, mammographic guidance, first lesionFirst-lesion breast localization using mammographic rather than stereotactic guidance.$232.53
19285Breast localization, first lesion, ultrasound guidanceFirst-lesion breast localization using ultrasound guidance.$346.58
19287Breast localization, first lesion, MRI guidanceFirst-lesion breast localization using MR guidance.$592.75
19282Breast localization, each additional lesionAdditional-lesion breast localization using mammographic guidance.$163.01

How 19283 has changed in Delaware

19283 · Office / nonfacility

$247.65

Effective 2026-10-01

The base rate is $1.68 higher than on 2025-10-01, moving from $245.97 to $247.65 (0.7%).

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

    $245.97changed to$247.65

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $256.09changed to$245.97

    • 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

    $251.91changed to$256.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $267.07changed to$251.91

    • 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 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $274.74changed to$267.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.62 changed to 5.64
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $283.44changed to$274.74

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.80 changed to 5.62

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $284.13changed to$283.44

    • 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 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $283.77changed to$284.13

    • 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 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $283.09changed to$283.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.51 changed to 5.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $282.75changed to$283.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.49 changed to 5.51
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $281.42changed to$282.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.44 changed to 5.49
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $286.11changed to$281.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.56 changed to 5.44
    • Malpractice RVU 0.19 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $284.68changed to$286.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $286.71changed to$284.68

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.60 changed to 5.56
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$286.71

    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$247.65$83.64RVU26D
2026-07-01$247.65$83.64RVU26C
2026-04-01$247.65$83.64RVU26B
2026-01-01$247.65$83.64RVU26A
2025-10-01$245.97$94.84RVU25D
2025-07-01$245.97$94.84RVU25C
2025-04-01$245.97$94.84RVU25B
2025-01-01$245.97$94.84RVU25A
2024-10-01$256.09$97.25RVU24D
2024-07-01$256.09$97.25RVU24C
2024-04-01$256.09$97.25RVU24B
2024-03-09$256.09$97.25RVU24AR
2024-01-01$251.91$95.67RVU24A
2023-10-01$267.07$99.52RVU23D
2023-07-01$267.07$99.52RVU23C
2023-04-01$267.07$99.52RVU23B
2023-01-01$267.07$99.52RVU23A
2022-10-01$274.74$101.44RVU22D
2022-07-01$274.74$101.44RVU22C
2022-04-01$274.74$101.44RVU22B
2022-01-01$274.74$101.44RVU22A
2021-10-01$283.44$102.28RVU21D
2021-07-01$283.44$102.28RVU21C
2021-04-01$283.44$102.28RVU21B
2021-01-01$283.44$102.28RVU21A
2020-10-01$284.13$106.89RVU20D
2020-07-01$284.13$106.89RVU20C
2020-04-01$284.13$106.89RVU20B
2020-01-01$284.13$106.89RVU20A
2019-10-01$283.77$107.49RVU19D
2019-07-01$283.77$107.49RVU19C
2019-04-01$283.77$107.49RVU19B
2019-01-01$283.77$107.49RVU19A
2018-10-01$283.09$107.37RVU18D
2018-07-01$283.09$107.37RVU18C
2018-04-01$283.09$107.37RVU18B
2018-01-01$283.09$107.37RVU18AR1
2017-10-01$282.75$108.38RVU17D
2017-07-01$282.75$108.38RVU17C
2017-04-01$282.75$108.38RVU17B
2017-01-01$282.75$108.38RVU17A
2016-10-01$281.42$107.93RVU16D
2016-07-01$281.42$107.93RVU16C
2016-04-01$281.42$107.93RVU16B
2016-01-01$281.42$107.93RVU16A
2015-10-01$286.11$108.28RVU15D
2015-07-01$286.11$108.28RVU15C
2015-04-01$284.68$107.74RVU15B
2015-01-01$284.68$107.74RVU15A
2014-10-01$286.71$107.11RVU14D
2014-07-01$286.71$107.11RVU14C
2014-04-01$286.71$107.11RVU14B
2014-01-01$286.71$107.11RVU14A
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 Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 19283 pays in Delaware?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 19283 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist