$421.96–$643.52
19081 reports the first lesion biopsied with stereotactic guidance; 19082 reports each additional lesion sampled with that guidance.
On this page
CMS RVU26D · Effective 2026-10-01
19082 Breast biopsy Medicare reimbursement rates
Reports percutaneous biopsy of an additional breast lesion sampled with stereotactic guidance during an encounter that includes the primary lesion biopsy. Compare 19082 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 19082?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$317.79–$501.03
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $183.24 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 19082 pays more and less
109 payment localities
$317.79 to $501.03
Breast imaging procedure
About 19082: Additional stereotactic breast biopsy lesion
Reports percutaneous biopsy of an additional breast lesion sampled with stereotactic guidance during an encounter that includes the primary lesion biopsy.
This add-on code covers percutaneous needle sampling of an additional breast lesion using stereotactic imaging to guide the biopsy. A radiologist or breast surgeon typically performs the procedure in a breast imaging center, outpatient department, or office equipped for stereotactic biopsy. Localization-device placement and imaging of the specimen are included when performed. The additional lesion must be distinct from the lesion reported with the primary biopsy.
Report 19082 with 19081 for each additional lesion biopsied using stereotactic guidance; it is not reported by itself. Documentation should identify the separately sampled lesion and support stereotactic guidance, with separate specimen labeling or pathology identification when applicable. CMS treats 19082 as an add-on billed with a primary procedure, and its payment falls within that primary procedure's global period.
CMS billing rules for 19082
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.61 · 15%
- Practice expense (office) RVU9.10 · 84%
- Malpractice RVU0.17 · 2%
4.2K
Medicare services in 2024 · #1982 by national volume
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.
19082 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$312.27–$493.77
Both are add-on codes for an additional lesion, but 19084 uses ultrasound guidance rather than stereotactic guidance.
$481.51–$772.83
19086 reports an additional lesion sampled with MRI guidance; 19082 is for stereotactic guidance.
$418.88–$642.08
19083 is the first-lesion code for ultrasound-guided biopsy. For an additional lesion, ultrasound guidance points to 19084 instead.
See how rates vary across the country
19082 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$317.79
$445.95
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $407.50 | 1 |
| AL | $322.94 | 1 |
| AR | $317.79 | 1 |
| AZ | $353.16 | 1 |
| CA | $390.86–$501.03 | 29 |
| CO | $382.26 | 1 |
| CT | $389.07 | 1 |
| DC | $421.05 | 1 |
| DE | $359.45 | 1 |
| FL | $352.88–$384.55 | 3 |
| GA | $331.67–$369.57 | 2 |
| GU | $402.65 | 1 |
| HI | $402.65 | 1 |
| IA | $334.14 | 1 |
| ID | $336.09 | 1 |
| IL | $340.16–$376.37 | 4 |
| IN | $338.30 | 1 |
| KS | $331.41 | 1 |
| KY | $329.18 | 1 |
| LA | $328.21–$346.24 | 2 |
| MA | $379.22–$423.95 | 2 |
| MD | $367.12–$421.05 | 3 |
| ME | $336.94–$358.57 | 2 |
| MI | $337.69–$356.66 | 2 |
| MN | $368.22 | 1 |
| MO | $321.31–$348.82 | 3 |
| MS | $319.67 | 1 |
| MT | $363.39 | 1 |
| NC | $340.99 | 1 |
| ND | $360.03 | 1 |
| NE | $336.47 | 1 |
| NH | $375.15 | 1 |
| NJ | $394.07–$415.81 | 2 |
| NM | $339.32 | 1 |
| NV | $362.76 | 1 |
| NY | $346.52–$429.16 | 5 |
| OH | $337.00 | 1 |
| OK | $329.61 | 1 |
| OR | $360.50–$396.55 | 2 |
| PA | $338.17–$377.93 | 2 |
| PR | $366.66 | 1 |
| RI | $373.84 | 1 |
| SC | $339.45 | 1 |
| SD | $359.63 | 1 |
| TN | $333.11 | 1 |
| TX | $335.64–$380.49 | 8 |
| UT | $344.59 | 1 |
| VA | $356.57–$421.05 | 2 |
| VI | $366.66 | 1 |
| VT | $357.56 | 1 |
| WA | $378.85–$434.05 | 2 |
| WI | $346.71 | 1 |
| WV | $326.03 | 1 |
| WY | $361.93 | 1 |
Compare 19082 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $322.94 | Facility $65.76 |
| Alaska* | Office $407.50 | Facility $94.46 |
| Arizona | Office $353.16 | Facility $68.35 |
| Arkansas | Office $317.79 | Facility $65.31 |
| Atlanta | Office $369.57 | Facility $70.94 |
| Austin | Office $380.49 | Facility $69.52 |
| Bakersfield | Office $391.38 | Facility $69.24 |
| Baltimore/Surr. Cntys | Office $387.80 | Facility $72.41 |
| Beaumont | Office $335.64 | Facility $68.17 |
| Brazoria | Office $359.85 | Facility $68.56 |
| Chicago | Office $372.65 | Facility $77.25 |
| Chico | Office $390.86 | Facility $68.72 |
| Colorado | Office $382.26 | Facility $69.52 |
| Connecticut | Office $389.07 | Facility $72.51 |
| Dallas | Office $361.86 | Facility $69.11 |
| Dc + Md/Va Suburbs | Office $421.05 | Facility $74.80 |
| Delaware | Office $359.45 | Facility $69.05 |
| Detroit | Office $356.66 | Facility $73.02 |
| East St. Louis | Office $344.84 | Facility $74.43 |
| El Centro | Office $390.89 | Facility $68.74 |
| Fort Lauderdale | Office $371.94 | Facility $74.19 |
| Fort Worth | Office $358.90 | Facility $69.09 |
| Fresno | Office $390.86 | Facility $68.72 |
| Galveston | Office $360.73 | Facility $68.86 |
| Hanford-Corcoran | Office $390.86 | Facility $68.72 |
| Hawaii, Guam | Office $402.65 | Facility $68.46 |
| Houston | Office $363.84 | Facility $71.97 |
| Idaho | Office $336.09 | Facility $65.68 |
| Indiana | Office $338.30 | Facility $65.82 |
| Iowa | Office $334.14 | Facility $65.20 |
| Kansas | Office $331.41 | Facility $65.70 |
| Kentucky | Office $329.18 | Facility $67.88 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $419.32 | Facility $71.60 |
| Madera | Office $390.86 | Facility $68.72 |
| Manhattan | Office $419.41 | Facility $77.87 |
| Merced | Office $390.86 | Facility $68.72 |
| Metropolitan Boston | Office $423.95 | Facility $73.00 |
| Metropolitan Kansas City | Office $344.73 | Facility $68.73 |
| Metropolitan Philadelphia | Office $377.93 | Facility $71.95 |
| Metropolitan St. Louis | Office $348.82 | Facility $69.00 |
| Miami | Office $384.55 | Facility $78.57 |
| Minnesota | Office $368.22 | Facility $65.77 |
| Mississippi | Office $319.67 | Facility $66.60 |
| Modesto | Office $390.86 | Facility $68.72 |
| Montana** | Office $363.39 | Facility $69.46 |
| Napa | Office $460.65 | Facility $73.25 |
| Nebraska | Office $336.47 | Facility $65.17 |
| Nevada** | Office $362.76 | Facility $68.54 |
| New Hampshire | Office $375.15 | Facility $69.17 |
| New Mexico | Office $339.32 | Facility $69.78 |
| New Orleans | Office $346.24 | Facility $69.65 |
| North Carolina | Office $340.99 | Facility $66.75 |
| North Dakota** | Office $360.03 | Facility $66.10 |
| Northern Nj | Office $415.81 | Facility $74.85 |
| Nyc Suburbs/Long Island | Office $429.16 | Facility $79.68 |
| Ohio | Office $337.00 | Facility $68.65 |
| Oklahoma | Office $329.61 | Facility $67.14 |
| Oxnard-Thousand Oaks-Ventura | Office $418.09 | Facility $70.66 |
| Portland | Office $396.55 | Facility $69.99 |
| Poughkpsie/N Nyc Suburbs | Office $395.89 | Facility $74.04 |
| Puerto Rico | Office $366.66 | Facility $69.50 |
| Queens | Office $424.67 | Facility $77.25 |
| Redding | Office $390.86 | Facility $68.72 |
| Rest Of California | Office $390.86 | Facility $68.72 |
| Rest Of Florida | Office $352.88 | Facility $71.89 |
| Rest Of Georgia | Office $331.67 | Facility $69.48 |
| Rest Of Illinois | Office $340.16 | Facility $71.80 |
| Rest Of Louisiana | Office $328.21 | Facility $68.08 |
| Rest Of Maine | Office $336.94 | Facility $66.53 |
| Rest Of Maryland | Office $367.12 | Facility $69.67 |
| Rest Of Massachusetts | Office $379.22 | Facility $69.71 |
| Rest Of Michigan | Office $337.69 | Facility $69.33 |
| Rest Of Missouri | Office $321.31 | Facility $67.94 |
| Rest Of New Jersey | Office $394.07 | Facility $73.10 |
| Rest Of New York | Office $346.52 | Facility $67.29 |
| Rest Of Oregon | Office $360.50 | Facility $67.75 |
| Rest Of Pennsylvania | Office $338.17 | Facility $68.34 |
| Rest Of Texas | Office $347.35 | Facility $68.41 |
| Rest Of Washington | Office $378.85 | Facility $69.35 |
| Rhode Island | Office $373.84 | Facility $70.21 |
| Riverside-San Bernardino-Ontario | Office $392.71 | Facility $70.57 |
| Sacramento-Roseville-Folsom | Office $412.25 | Facility $70.41 |
| Salinas | Office $410.76 | Facility $70.10 |
| San Diego-Chula Vista-Carlsbad | Office $421.99 | Facility $70.45 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $490.06 | Facility $75.62 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $489.86 | Facility $75.43 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $501.03 | Facility $77.18 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $500.24 | Facility $76.39 |
| San Luis Obispo-Paso Robles | Office $403.93 | Facility $69.15 |
| Santa Cruz-Watsonville | Office $427.25 | Facility $70.12 |
| Santa Maria-Santa Barbara | Office $412.73 | Facility $70.01 |
| Santa Rosa-Petaluma | Office $431.68 | Facility $70.74 |
| Seattle (King Cnty) | Office $434.05 | Facility $73.40 |
| South Carolina | Office $339.45 | Facility $67.86 |
| South Dakota** | Office $359.63 | Facility $65.70 |
| Southern Maine | Office $358.57 | Facility $67.29 |
| Stockton | Office $390.86 | Facility $68.72 |
| Suburban Chicago | Office $376.37 | Facility $74.50 |
| Tennessee | Office $333.11 | Facility $65.93 |
| Utah | Office $344.59 | Facility $68.29 |
| Vallejo | Office $460.37 | Facility $72.98 |
| Vermont | Office $357.56 | Facility $66.57 |
| Virgin Islands | Office $366.66 | Facility $69.50 |
| Virginia | Office $356.57 | Facility $67.63 |
| Visalia | Office $390.86 | Facility $68.72 |
| West Virginia | Office $326.03 | Facility $70.61 |
| Wisconsin | Office $346.71 | Facility $65.12 |
| Wyoming** | Office $361.93 | Facility $68.00 |
| Yuba City | Office $390.86 | Facility $68.72 |
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19082 billing questions
When should 19082 be reported instead of 19081?
Use 19081 for the first lesion biopsied with stereotactic guidance. Report 19082 for each additional distinct lesion sampled with that guidance.
Can 19082 be billed by itself?
No. It is an add-on code and must be reported with the primary stereotactic breast biopsy, 19081.
Can the localization device or specimen imaging be billed separately?
Device placement and imaging of the specimen are included when performed as part of the biopsy described by this code.
What documentation supports reporting an additional lesion?
Record that a distinct additional breast lesion was sampled, the use of stereotactic guidance, and the specimen identification for each sampled site.
How does 19082 differ from 19084?
Both report an additional lesion, but 19082 is for stereotactic guidance and 19084 is for ultrasound guidance.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,65719020,,Mastotomy expl drg absc dp,A,,3.73,10.75,,4.82,,0.92,15.40,9.47,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65819030,,Njx px only mam ducto/glcto,A,,1.49,3.13,,0.28,,0.15,4.77,1.92,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65919081,,Bx breast 1st lesion strtctc,A,,3.21,10.76,,0.58,,0.35,14.32,4.14,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66019082,,Bx breast add lesion strtctc,A,,1.61,9.10,,0.30,,0.17,10.88,2.08,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66119083,,Bx breast 1st lesion us imag,A,,3.02,10.88,,0.55,,0.34,14.24,3.91,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66219084,,Bx breast add lesion us imag,A,,1.51,9.03,,0.28,,0.16,10.70,1.95,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66319085,,Bx breast 1st lesion mr imag,A,,3.55,17.62,,0.63,,0.35,21.52,4.53,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00