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CPT code 19285: Breast localization, first lesion, ultrasound guidance2026 Medicare rate & RVUs in Fort Worth, TX

Report percutaneous placement of a breast localization device for the first lesion when ultrasound guides targeting, commonly before surgical excision.

CMS RVU26DEffective Oct 1, 2026One payment locality28.7K Medicare services in 2024

In Fort Worth, TX, Medicare pays $346.05 for 19285 in the office and $71.39 when it’s performed in a hospital or facility.

$346.05Office (non-facility)
$71.39Hospital or facility
−1.2%vs the national office rate ($350.38)

Check a contract rate as a % of Medicare · 19285 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 19285 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 19285 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 19285 covers

A breast radiologist or other qualified physician places a localization device in or near a breast lesion that can be targeted with ultrasound. The service is commonly performed in a breast imaging department before surgery to help the surgeon find a nonpalpable lesion. It includes the imaging guidance used to direct placement; it is localization, not tissue sampling such as a core biopsy.

Report this code for the first lesion localized with ultrasound. For each additional lesion localized with ultrasound, 19286 is the related add-on code. Documentation should identify the target, ultrasound guidance, device placement, and lesion count. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral services, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. 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 Fort Worth, TX compares for 19285

Across 109 of 109 payment localities, the office rate for 19285 runs from $306.72 in Arkansas to $481.39 in San Benito County, CA. Fort Worth, TX pays $346.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

19285 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$346.05
  2. Austin, TX · Texas$366.56+$20.51
  3. Beaumont, TX · Texas$323.95−$22.10
  4. Brazoria, TX · Texas$346.90+$0.85
  5. Dallas, TX · Texas$348.87+$2.82
  6. Galveston, TX · Texas$347.76+$1.71
  7. Houston, TX · Texas$351.06+$5.01

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

Every other payment area

19285 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$335.06$70.70
Los Angeles, CACalifornia$403.50$73.96
Washington, DC areaDistrict of Columbia$405.48$77.33
Miami, FLFlorida$371.41$81.43
Chicago, ILIllinois$359.99$80.04
Manhattan, NYNew York$404.25$80.56
AlaskaAlaska$394.18$97.51
AlabamaAlabama$311.65$67.91

19285 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.

$306.72

$428.83

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

View every state and territory as a table
19285 office rate range by state
State / territoryOffice rate rangeLocalities
AK$394.181
AL$311.651
AR$306.721
AZ$340.551
CA$376.26–$481.3929
CO$368.211
CT$374.991
DC$405.481
DE$346.581
FL$340.69–$371.413
GA$320.33–$356.372
GU$387.431
HI$387.431
IA$322.191
ID$324.091
IL$328.62–$363.214
IN$326.191
KS$319.661
KY$317.791
LA$316.90–$334.152
MA$365.35–$408.042
MD$353.90–$405.483
ME$324.99–$345.562
MI$326.02–$344.392
MN$354.521
MO$310.35–$336.523
MS$308.651
MT$350.361
NC$328.851
ND$346.801
NE$324.391
NH$361.471
NJ$379.76–$400.502
NM$327.601
NV$349.661
NY$334.14–$413.685
OH$325.291
OK$318.121
OR$347.43–$381.792
PA$326.35–$364.382
PR$353.461
RI$360.311
SC$327.521
SD$346.381
TN$321.301
TX$323.95–$366.568
UT$332.431
VA$343.70–$405.482
VI$353.461
VT$344.521
WA$364.97–$417.632
WI$334.081
WV$315.121
WY$348.811

See 19285 in every payment locality

How the 19285 rate is calculated

Each of 19285’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 · 19285

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.66

1.66 RVUs× 1.000 GPCI

Practice expense8.65

8.65 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

10.4900

Conversion factor

$33.4009

Medicare rate

$350.38

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

1,677

Code
19285
Physician work
1.66
Practice expense
8.65
Malpractice
0.18

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 19285 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work1.66× 1.0091.6749
Practice expense8.65× 0.9868.5289
Malpractice0.18× 0.8710.1568
Total RVUs10.3606
Conversion factor× 33.4009

Office rate, Fort Worth, TX$346.05

Office: (1.66 × 1.009 + 8.65 × 0.986 + 0.18 × 0.871) × $33.4009 = $346.05

Facility: (1.66 × 1.009 + 0.31 × 0.986 + 0.18 × 0.871) × $33.4009 = $71.39

Open 19285 in the RVU calculator

Payment rules and modifiers for 19285

The CMS indicators that decide how 19285 is paid alongside other services.

CMS payment indicators · 19285

Breast localization, first lesion, ultrasound 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

19285 without 50 · national office

$350.38

Breast localization, first lesion, ultrasound guidance

19285-50 · Bilateral: 150%

$525.57

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 19285

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

Codes related to 19285
CodeHow it relatesOffice range, Fort Worth, TX
Add-on codes
19286Breast localization, each additional lesionAdd-on code for each additional lesion localized with ultrasound.$282.86
Used instead
19283Breast localization, first lesion, stereotactic guidanceFirst-lesion breast localization when stereotactic guidance is used.$247.36
19287Breast localization, first lesion, MRI guidanceFirst-lesion breast localization when MRI guidance is used.$591.85
19281Breast localization, mammographic guidance, first lesionFirst-lesion breast localization without imaging guidance.$232.29
19284Breast localization, additional stereotactic lesionAdditional lesion localized with stereotactic guidance.$179.49

How 19285 has changed in Fort Worth, TX

19285 · Office / nonfacility

$346.05

Effective 2026-10-01

The base rate is $3.64 higher than on 2025-10-01, moving from $342.41 to $346.05 (1.1%).

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

    $342.41changed to$346.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.70 changed to 1.66
    • Practice expense RVU 8.74 changed to 8.65
    • Malpractice RVU 0.16 changed to 0.18
    • 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

    $362.63changed to$342.41

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.04 changed to 8.74
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $356.71changed to$362.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $378.33changed to$356.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.35 changed to 9.04
    • Malpractice RVU 0.18 changed to 0.17
    • 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

    $393.50changed to$378.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.60 changed to 9.35
    • Malpractice RVU 0.17 changed to 0.18
    • 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

    $439.09changed to$393.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.83 changed to 9.60
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $463.44changed to$439.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.12 changed to 10.83
    • Malpractice RVU 0.16 changed to 0.15
    • 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

    $489.84changed to$463.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.92 changed to 11.12
    • Malpractice RVU 0.17 changed to 0.16
    • 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

    $522.67changed to$489.84

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.86 changed to 11.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $521.25changed to$522.67

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.80 changed to 12.86
    • 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

    $520.09changed to$521.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.75 changed to 12.80
    • 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

    $451.26changed to$520.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.78 changed to 12.75
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $449.01changed to$451.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $465.84changed to$449.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.32 changed to 10.78
    • 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$465.84

    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$346.05$71.39RVU26D
2026-07-01$346.05$71.39RVU26C
2026-04-01$346.05$71.39RVU26B
2026-01-01$346.05$71.39RVU26A
2025-10-01$342.41$80.28RVU25D
2025-07-01$342.41$80.28RVU25C
2025-04-01$342.41$80.28RVU25B
2025-01-01$342.41$80.28RVU25A
2024-10-01$362.63$82.25RVU24D
2024-07-01$362.63$82.25RVU24C
2024-04-01$362.63$82.25RVU24B
2024-03-09$362.63$82.25RVU24AR
2024-01-01$356.71$80.91RVU24A
2023-10-01$378.33$83.68RVU23D
2023-07-01$378.33$83.68RVU23C
2023-04-01$378.33$83.68RVU23B
2023-01-01$378.33$83.68RVU23A
2022-10-01$393.50$83.95RVU22D
2022-07-01$393.50$83.95RVU22C
2022-04-01$393.50$83.95RVU22B
2022-01-01$393.50$83.95RVU22A
2021-10-01$439.09$84.61RVU21D
2021-07-01$439.09$84.61RVU21C
2021-04-01$439.09$84.61RVU21B
2021-01-01$439.09$84.61RVU21A
2020-10-01$463.44$88.27RVU20D
2020-07-01$463.44$88.27RVU20C
2020-04-01$463.44$88.27RVU20B
2020-01-01$463.44$88.27RVU20A
2019-10-01$489.84$88.66RVU19D
2019-07-01$489.84$88.66RVU19C
2019-04-01$489.84$88.66RVU19B
2019-01-01$489.84$88.66RVU19A
2018-10-01$522.67$88.56RVU18D
2018-07-01$522.67$88.56RVU18C
2018-04-01$522.67$88.56RVU18B
2018-01-01$522.67$88.56RVU18AR1
2017-10-01$521.25$88.78RVU17D
2017-07-01$521.25$88.78RVU17C
2017-04-01$521.25$88.78RVU17B
2017-01-01$521.25$88.78RVU17A
2016-10-01$520.09$88.31RVU16D
2016-07-01$520.09$88.31RVU16C
2016-04-01$520.09$88.31RVU16B
2016-01-01$520.09$88.31RVU16A
2015-10-01$451.26$89.07RVU15D
2015-07-01$451.26$89.07RVU15C
2015-04-01$449.01$88.63RVU15B
2015-01-01$449.01$88.63RVU15A
2014-10-01$465.84$88.58RVU14D
2014-07-01$465.84$88.58RVU14C
2014-04-01$465.84$88.58RVU14B
2014-01-01$465.84$88.58RVU14A
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 19285 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

19285 billing questions

When should 19285 be used instead of 19283?

Use 19285 when ultrasound guides placement for the first lesion. Code 19283 is for first-lesion placement using stereotactic guidance.

How is a second ultrasound-localized lesion reported?

Report 19286 for each additional lesion localized with ultrasound, following 19285 for the first lesion.

Can the ultrasound guidance be billed separately?

The imaging guidance used to place the localization device is included in 19285.

Does 19285 include a breast biopsy?

No. It reports placement of a localization device, not tissue sampling. A separately performed biopsy is a distinct service when supported by the applicable coding and documentation.

What documentation supports reporting 19285?

Document the breast target, ultrasound guidance, device placement, and that this was the first lesion localized with that guidance modality.

How is bilateral placement handled?

For a bilateral service, CMS pays 19285 with modifier 50 at 150%. Same-session procedures are also subject to the standard multiple-procedure reduction.

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 19285PPRRVU2026_Oct_nonQPP.csv, line 1,677 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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