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

In Iowa, Medicare pays $230.81 for 19283 in the office and $78.92 when it’s performed in a hospital or facility.

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.

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 Iowa 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. Iowa pays $230.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19283 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 19283

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

What modifiers do to the payment

When to use modifier 50

Codes related to 19283

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

How 19283 has changed in Iowa

Price 19283 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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

Open CMS sourceHow we calculate rates