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CPT code 19287: Breast localization, first lesion, MRI guidance2026 Medicare rate & RVUs in Virginia

Report this service for percutaneous placement of a breast localization device at the first lesion when MRI provides the procedural guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality281 Medicare services in 2024

In Virginia, Medicare pays $588.31 for 19287 in the office and $103.37 when it’s performed in a hospital or facility.

$588.31Office (non-facility)
$103.37Hospital or facility
−1.8%vs the national office rate ($599.21)

Check a contract rate as a % of Medicare · 19287 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 19287 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 19287 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 19287 covers

A radiologist typically uses MRI to guide a needle or delivery system through the skin and place a localization device at a breast lesion. The marker helps identify the target for a later procedure, such as surgical excision, particularly when the abnormality is best seen on MRI. This code represents localization, not tissue sampling; it may be performed after a prior biopsy has identified the target.

Report this code for the first lesion localized with MRI guidance, and document the target, percutaneous placement, and MRI guidance. The add-on code 19288 is used for each additional lesion. MRI guidance for placement is included. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures 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 Virginia compares for 19287

Across 109 of 109 payment localities, the office rate for 19287 runs from $523.81 in Arkansas to $829.49 in San Benito County, CA. Virginia pays $588.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

19287 in Virginia vs other payment areas
  1. Virginia · this page$588.31
  2. Los Angeles, CA · California$693.07+$104.76
  3. Washington, DC area · District of Columbia$695.06+$106.75
  4. Miami, FL · Florida$631.80+$43.49
  5. Chicago, IL · Illinois$612.28+$23.97
  6. Manhattan, NY · New York$691.39+$103.08
  7. Alaska · Alaska$670.39+$82.08

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

Every other payment area

19287 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$532.33$100.67
ArkansasArkansas$523.81$100.04
ArizonaArizona$582.35$104.31
Bakersfield, CACalifornia$646.59$105.90
Chico, CACalifornia$645.86$105.17
El Centro, CACalifornia$645.90$105.21
Fresno, CACalifornia$645.86$105.17
Hanford, CACalifornia$645.86$105.17

19287 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.

$523.81

$737.68

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

View every state and territory as a table
19287 office rate range by state
State / territoryOffice rate rangeLocalities
AK$670.391
AL$532.331
AR$523.811
AZ$582.351
CA$645.86–$829.4929
CO$631.061
CT$641.631
DC$695.061
DE$592.751
FL$580.71–$631.803
GA$545.78–$609.142
GU$665.621
HI$665.621
IA$551.371
ID$554.491
IL$559.31–$619.454
IN$558.151
KS$546.601
KY$542.131
LA$540.43–$570.262
MA$625.93–$700.402
MD$605.51–$695.063
ME$555.64–$591.802
MI$555.98–$586.692
MN$608.551
MO$528.86–$574.833
MS$526.541
MT$599.201
NC$562.381
ND$594.651
NE$555.291
NH$619.091
NJ$650.05–$686.312
NM$558.561
NV$598.441
NY$571.51–$707.205
OH$555.051
OK$543.101
OR$594.90–$655.002
PA$557.10–$623.032
PR$604.691
RI$616.741
SC$559.421
SD$594.111
TN$549.391
TX$552.91–$627.998
UT$567.931
VA$588.31–$695.062
VI$604.691
VT$590.331
WA$625.40–$717.362
WI$572.541
WV$535.931
WY$597.211

See 19287 in every payment locality

How the 19287 rate is calculated

Each of 19287’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 · 19287

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.49

2.49 RVUs× 1.000 GPCI

Practice expense15.22

15.22 RVUs× 1.000 GPCI

Malpractice0.23

0.23 RVUs× 1.000 GPCI

Adjusted RVUs

17.9400

Conversion factor

$33.4009

Medicare rate

$599.21

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,679

Code
19287
Physician work
2.49
Practice expense
15.22
Malpractice
0.23

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 19287 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.49× 1.0002.4900
Practice expense15.22× 0.98314.9613
Malpractice0.23× 0.7060.1624
Total RVUs17.6136
Conversion factor× 33.4009

Office rate, Virginia$588.31

Office: (2.49 × 1 + 15.22 × 0.983 + 0.23 × 0.706) × $33.4009 = $588.31

Facility: (2.49 × 1 + 0.45 × 0.983 + 0.23 × 0.706) × $33.4009 = $103.37

Open 19287 in the RVU calculator

Payment rules and modifiers for 19287

The CMS indicators that decide how 19287 is paid alongside other services.

CMS payment indicators · 19287

Breast localization, first lesion, MRI 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

19287 without 50 · national office

$599.21

Breast localization, first lesion, MRI guidance

19287-50 · Bilateral: 150%

$898.82

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 19287

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

Codes related to 19287
CodeHow it relatesOffice range, Virginia
Add-on codes
19288Breast localization, additional lesion, MRI guidanceAdd-on code for each additional lesion localized with MRI guidance.$448.76
Same family
19285Breast localization, first lesion, ultrasound guidanceFirst-lesion breast localization using ultrasound guidance instead of MRI.$343.70
19283Breast localization, first lesion, stereotactic guidanceFirst-lesion breast localization using stereotactic guidance.$245.08
19281Breast localization, mammographic guidance, first lesionFirst-lesion breast localization using mammographic guidance.$230.17
Used instead
19085Breast biopsy, first lesion, MRI guidanceMRI-guided percutaneous breast biopsy, with marker placement when performed.$705.35

How 19287 has changed in Virginia

19287 · Office / nonfacility

$588.31

Effective 2026-10-01

The base rate is $7.58 higher than on 2025-10-01, moving from $580.73 to $588.31 (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

    $580.73changed to$588.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.55 changed to 2.49
    • Practice expense RVU 15.48 changed to 15.22
    • Malpractice RVU 0.22 changed to 0.23
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $616.22changed to$580.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 16.04 changed to 15.48
    • Malpractice RVU 0.23 changed to 0.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $606.16changed to$616.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $649.14changed to$606.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 16.59 changed to 16.04
    • Malpractice RVU 0.22 changed to 0.23
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $683.23changed to$649.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 17.09 changed to 16.59
    • Malpractice RVU 0.21 changed to 0.22
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $755.90changed to$683.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 19.02 changed to 17.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $790.53changed to$755.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 19.33 changed to 19.02
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $828.60changed to$790.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 20.52 changed to 19.33
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $867.80changed to$828.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 21.65 changed to 20.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $868.20changed to$867.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 21.76 changed to 21.65
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $860.31changed to$868.20

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 21.64 changed to 21.76
    • Malpractice RVU 0.25 changed to 0.24
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $871.51changed to$860.31

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 21.71 changed to 21.64
    • Malpractice RVU 0.44 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $867.18changed to$871.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $855.14changed to$867.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 21.32 changed to 21.71
    • Malpractice RVU 0.55 changed to 0.44
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$855.14

    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$588.31$103.37RVU26D
2026-07-01$588.31$103.37RVU26C
2026-04-01$588.31$103.37RVU26B
2026-01-01$588.31$103.37RVU26A
2025-10-01$580.73$117.62RVU25D
2025-07-01$580.73$117.62RVU25C
2025-04-01$580.73$117.62RVU25B
2025-01-01$580.73$117.62RVU25A
2024-10-01$616.22$120.64RVU24D
2024-07-01$616.22$120.64RVU24C
2024-04-01$616.22$120.64RVU24B
2024-03-09$616.22$120.64RVU24AR
2024-01-01$606.16$118.67RVU24A
2023-10-01$649.14$123.77RVU23D
2023-07-01$649.14$123.77RVU23C
2023-04-01$649.14$123.77RVU23B
2023-01-01$649.14$123.77RVU23A
2022-10-01$683.23$126.44RVU22D
2022-07-01$683.23$126.44RVU22C
2022-04-01$683.23$126.44RVU22B
2022-01-01$683.23$126.44RVU22A
2021-10-01$755.90$127.49RVU21D
2021-07-01$755.90$127.49RVU21C
2021-04-01$755.90$127.49RVU21B
2021-01-01$755.90$127.49RVU21A
2020-10-01$790.53$133.17RVU20D
2020-07-01$790.53$133.17RVU20C
2020-04-01$790.53$133.17RVU20B
2020-01-01$790.53$133.17RVU20A
2019-10-01$828.60$132.83RVU19D
2019-07-01$828.60$132.83RVU19C
2019-04-01$828.60$132.83RVU19B
2019-01-01$828.60$132.83RVU19A
2018-10-01$867.80$132.33RVU18D
2018-07-01$867.80$132.33RVU18C
2018-04-01$867.80$132.33RVU18B
2018-01-01$867.80$132.33RVU18AR1
2017-10-01$868.20$132.91RVU17D
2017-07-01$868.20$132.91RVU17C
2017-04-01$868.20$132.91RVU17B
2017-01-01$868.20$132.91RVU17A
2016-10-01$860.31$132.11RVU16D
2016-07-01$860.31$132.11RVU16C
2016-04-01$860.31$132.11RVU16B
2016-01-01$860.31$132.11RVU16A
2015-10-01$871.51$138.92RVU15D
2015-07-01$871.51$138.92RVU15C
2015-04-01$867.18$138.23RVU15B
2015-01-01$867.18$138.23RVU15A
2014-10-01$855.14$141.08RVU14D
2014-07-01$855.14$141.08RVU14C
2014-04-01$855.14$141.08RVU14B
2014-01-01$855.14$141.08RVU14A
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 19287 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

19287 billing questions

When should 19287 be used instead of 19288?

Use 19287 for the first lesion localized with MRI guidance. Report 19288 for each additional lesion.

How does 19287 differ from 19285?

Both describe percutaneous breast localization device placement, but 19287 uses MRI guidance and 19285 uses ultrasound guidance.

Can 19287 be reported for a breast biopsy?

19287 describes placement of a localization device, not tissue sampling. For an MRI-guided percutaneous biopsy with marker placement, consider 19085, which includes the biopsy service.

Is MRI guidance separately reported with 19287?

No. MRI guidance for the localization placement is included in 19287.

What documentation supports 19287?

Document the breast target, percutaneous device placement, and use of MRI guidance. Identify additional lesions separately when reporting 19288.

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 19287PPRRVU2026_Oct_nonQPP.csv, line 1,679 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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