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CPT code 19284: Breast localization, additional stereotactic lesion2026 Medicare rate & RVUs in Fort Worth, TX

Report 19284 for percutaneous placement of a localization device in each additional breast lesion targeted with stereotactic imaging.

CMS RVU26DEffective Oct 1, 2026One payment locality504 Medicare services in 2024

In Fort Worth, TX, Medicare pays $179.49 for 19284 in the office and $42.16 when it’s performed in a hospital or facility.

$179.49Office (non-facility)
$42.16Hospital or facility
−1.2%vs the national office rate ($181.70)

Check a contract rate as a % of Medicare · 19284 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 19284 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 19284 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 19284 covers

This add-on represents percutaneous placement of a localization device, such as a clip or marker, in an additional breast lesion using stereotactic imaging guidance. Breast radiologists and other clinicians who perform image-guided breast procedures commonly place these devices in a breast imaging center or hospital before surgical excision, including when more than one lesion needs localization.

Report 19284 for each additional lesion after the first stereotactically localized lesion, and pair it with 19283 for the first lesion. The record should identify the separately targeted lesions, the stereotactic guidance used, and the device placement at each site. The code includes the stereotactic guidance for the additional placement. CMS classifies 19284 as an add-on code: it is billed only with a primary procedure, and its 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 Fort Worth, TX compares for 19284

Across 109 of 109 payment localities, the office rate for 19284 runs from $159.43 in Arkansas to $247.82 in San Benito County, CA. Fort Worth, TX pays $179.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

19284 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$179.49
  2. Austin, TX · Texas$189.77+$10.28
  3. Beaumont, TX · Texas$168.36−$11.13
  4. Brazoria, TX · Texas$179.85+$0.36
  5. Dallas, TX · Texas$180.89+$1.40
  6. Galveston, TX · Texas$180.31+$0.82
  7. Houston, TX · Texas$182.33+$2.84

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

Every other payment area

19284 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$173.93$41.76
Los Angeles, CACalifornia$208.40$43.63
Washington, DC areaDistrict of Columbia$209.75$45.67
Miami, FLFlorida$193.28$48.28
Chicago, ILIllinois$187.41$47.44
Manhattan, NYNew York$209.49$47.64
AlaskaAlaska$205.86$57.53
AlabamaAlabama$161.94$40.07

19284 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.

$159.43

$221.16

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

View every state and territory as a table
19284 office rate range by state
State / territoryOffice rate rangeLocalities
AK$205.861
AL$161.941
AR$159.431
AZ$176.671
CA$194.50–$247.8229
CO$190.591
CT$194.311
DC$209.751
DE$179.751
FL$177.16–$193.283
GA$166.71–$184.862
GU$200.061
HI$200.061
IA$167.141
ID$168.141
IL$171.13–$188.694
IN$169.211
KS$165.931
KY$165.261
LA$164.84–$173.632
MA$189.18–$210.832
MD$183.47–$209.753
ME$168.69–$179.042
MI$169.53–$179.142
MN$183.331
MO$161.55–$174.733
MS$160.551
MT$181.691
NC$170.641
ND$179.521
NE$168.231
NH$187.201
NJ$196.73–$207.262
NM$170.381
NV$181.231
NY$173.34–$214.415
OH$169.091
OK$165.341
OR$180.03–$197.412
PA$169.58–$188.962
PR$183.241
RI$186.721
SC$170.111
SD$179.261
TN$166.781
TX$168.36–$189.778
UT$172.611
VA$178.15–$209.752
VI$183.241
VT$178.431
WA$188.95–$215.652
WI$173.061
WV$164.251
WY$180.751

See 19284 in every payment locality

How the 19284 rate is calculated

Each of 19284’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 · 19284

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.98

0.98 RVUs× 1.000 GPCI

Practice expense4.35

4.35 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

5.4400

Conversion factor

$33.4009

Medicare rate

$181.70

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

The exact Fort Worth, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,676

Code
19284
Physician work
0.98
Practice expense
4.35
Malpractice
0.11

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 19284 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0090.9888
Practice expense4.35× 0.9864.2891
Malpractice0.11× 0.8710.0958
Total RVUs5.3737
Conversion factor× 33.4009

Office rate, Fort Worth, TX$179.49

Office: (0.98 × 1.009 + 4.35 × 0.986 + 0.11 × 0.871) × $33.4009 = $179.49

Facility: (0.98 × 1.009 + 0.18 × 0.986 + 0.11 × 0.871) × $33.4009 = $42.16

Open 19284 in the RVU calculator

Payment rules and modifiers for 19284

The CMS indicators that decide how 19284 is paid alongside other services.

CMS payment indicators · 19284

Breast localization, additional stereotactic 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 19284

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

Codes related to 19284
CodeHow it relatesOffice range, Fort Worth, TX
Add-on codes
19283Breast localization, first lesion, stereotactic guidanceReports the first stereotactically localized breast lesion and is paired with 19284.$247.36
Used instead
19282Breast localization, each additional lesionFor an additional breast lesion localized without imaging guidance.$162.81
19286Breast localization, each additional lesionFor an additional breast lesion localized with ultrasound guidance.$282.86
19288Breast localization, additional lesion, MRI guidanceFor an additional breast lesion localized with MRI guidance.$451.03

How 19284 has changed in Fort Worth, TX

19284 · Office / nonfacility

$179.49

Effective 2026-10-01

The base rate is $1.83 higher than on 2025-10-01, moving from $177.66 to $179.49 (1.0%).

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

    $177.66changed to$179.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.00 changed to 0.98
    • Practice expense RVU 4.40 changed to 4.35
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $187.78changed to$177.66

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.54 changed to 4.40
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $184.71changed to$187.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $194.64changed to$184.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.67 changed to 4.54
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $200.42changed to$194.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.74 changed to 4.67
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $210.80changed to$200.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.98 changed to 4.74
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $210.23changed to$210.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.78 changed to 4.98
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $208.22changed to$210.23

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.74 changed to 4.78
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $205.87changed to$208.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.68 changed to 4.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $205.47changed to$205.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.67 changed to 4.68
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $204.96changed to$205.47

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.65 changed to 4.67
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $204.27changed to$204.96

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.61 changed to 4.65

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $203.25changed to$204.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $202.22changed to$203.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.68 changed to 4.61
    • Malpractice RVU 0.03 changed to 0.12
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$202.22

    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$179.49$42.16RVU26D
2026-07-01$179.49$42.16RVU26C
2026-04-01$179.49$42.16RVU26B
2026-01-01$179.49$42.16RVU26A
2025-10-01$177.66$47.24RVU25D
2025-07-01$177.66$47.24RVU25C
2025-04-01$177.66$47.24RVU25B
2025-01-01$177.66$47.24RVU25A
2024-10-01$187.78$48.58RVU24D
2024-07-01$187.78$48.58RVU24C
2024-04-01$187.78$48.58RVU24B
2024-03-09$187.78$48.58RVU24AR
2024-01-01$184.71$47.79RVU24A
2023-10-01$194.64$49.17RVU23D
2023-07-01$194.64$49.17RVU23C
2023-04-01$194.64$49.17RVU23B
2023-01-01$194.64$49.17RVU23A
2022-10-01$200.42$49.61RVU22D
2022-07-01$200.42$49.61RVU22C
2022-04-01$200.42$49.61RVU22B
2022-01-01$200.42$49.61RVU22A
2021-10-01$210.80$50.40RVU21D
2021-07-01$210.80$50.40RVU21C
2021-04-01$210.80$50.40RVU21B
2021-01-01$210.80$50.40RVU21A
2020-10-01$210.23$52.50RVU20D
2020-07-01$210.23$52.50RVU20C
2020-04-01$210.23$52.50RVU20B
2020-01-01$210.23$52.50RVU20A
2019-10-01$208.22$52.94RVU19D
2019-07-01$208.22$52.94RVU19C
2019-04-01$208.22$52.94RVU19B
2019-01-01$208.22$52.94RVU19A
2018-10-01$205.87$52.53RVU18D
2018-07-01$205.87$52.53RVU18C
2018-04-01$205.87$52.53RVU18B
2018-01-01$205.87$52.53RVU18AR1
2017-10-01$205.47$52.54RVU17D
2017-07-01$205.47$52.54RVU17C
2017-04-01$205.47$52.54RVU17B
2017-01-01$205.47$52.54RVU17A
2016-10-01$204.96$52.48RVU16D
2016-07-01$204.96$52.48RVU16C
2016-04-01$204.96$52.48RVU16B
2016-01-01$204.96$52.48RVU16A
2015-10-01$204.27$53.03RVU15D
2015-07-01$204.27$53.03RVU15C
2015-04-01$203.25$52.76RVU15B
2015-01-01$203.25$52.76RVU15A
2014-10-01$202.22$50.19RVU14D
2014-07-01$202.22$50.19RVU14C
2014-04-01$202.22$50.19RVU14B
2014-01-01$202.22$50.19RVU14A
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 19284 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

19284 billing questions

When should 19284 be reported instead of 19283?

Use 19283 for the first lesion localized with stereotactic guidance. Report 19284 for each additional lesion localized by that method.

What primary code must accompany 19284?

Report 19284 with 19283, which represents the first stereotactically localized lesion. The add-on code is not reported by itself.

Can 19284 be used for an ultrasound-guided lesion?

No. For an additional lesion localized with ultrasound guidance, use 19286 rather than 19284.

Is stereotactic guidance separately reported for the additional placement?

The stereotactic guidance is included in 19284. The code accounts for the guidance used to place the device in the additional lesion.

What documentation supports reporting multiple units?

Document each distinct lesion receiving a device and the stereotactic guidance used. Report 19284 for each additional lesion beyond the first, alongside 19283.

How does the global-period rule affect payment?

CMS treats 19284 as an add-on paid within the primary procedure's global period. It must accompany the primary procedure rather than stand alone.

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 19284PPRRVU2026_Oct_nonQPP.csv, line 1,676 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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