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CMS RVU26D · Effective 2026-10-01

10036 in Delaware

Office / nonfacility

$287.25

Base rate per service

Facility setting

$36.44

Base rate per service

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.

Image-guided procedure

About 10036: Additional soft-tissue lesion localization

Report for percutaneous placement of a localization device in each additional soft-tissue lesion beyond the first lesion treated in the session.

This add-on code covers percutaneous placement of a localization device in an additional soft-tissue lesion, with imaging guidance included in the service. Devices can include a wire, clip, metallic marker, or radioactive seed used to identify a target for a later procedure. Radiologists, interventional radiologists, or surgeons may perform the placement, often before excision of a nonpalpable soft-tissue target.

Report 10036 for each additional lesion after the first lesion, which is reported with 10035. Count lesions, not individual devices placed in one lesion. Documentation should identify the target sites, the number of lesions localized, the devices placed, and the imaging guidance used. CMS classifies 10036 as an add-on code: it must be billed with a primary procedure, and payment is included within that procedure’s global period.

CMS billing rules for 10036

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 RVU0.83 · 10%
  • Practice expense (office) RVU7.76 · 89%
  • Malpractice RVU0.11 · 1%

407

Medicare services in 2024 · #3725 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.

10036 compared with similar codes

Office rates for Delaware, from the same CMS release.

10035

Soft-tissue localization

First lesion

$341.66

10035 reports localization of the first soft-tissue lesion; 10036 is for each additional lesion in the session.

19285

Breast localization

First lesion, ultrasound guidance

$346.58

Use 19285 for the first breast lesion. Code 10036 is for additional non-breast soft-tissue lesions.

19286

Breast localization

Each additional lesion

$283.34

19286 reports each additional breast lesion; 10036 reports each additional non-breast soft-tissue lesion.

The same code, a different location

How does Delaware compare?

10036 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $287.25

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $337.92

    $50.67 higher than Delaware

  3. Dc + Md/Va Suburbs

    $338.64

    $51.39 higher than Delaware

  4. Miami

    $306.83

    $19.58 higher than Delaware

  5. Chicago

    $296.84

    $9.59 higher than Delaware

  6. Manhattan

    $336.50

    $49.25 higher than Delaware

  7. Alaska*

    $319.65

    $32.40 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 10036 ranges from $252.26 in Arkansas to $406.49 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 10036

    Office

    $256.59

    Facility

    $34.48

    $30.66 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 10036

    Office

    $252.26

    Facility

    $34.21

    $34.99 lower than Delaware for the office setting.

  • Arizona

    Arizona · 10036

    Office

    $282.02

    Facility

    $36.05

    $5.23 lower than Delaware for the office setting.

  • Bakersfield

    California · 10036

    Office

    $314.56

    Facility

    $36.34

    $27.31 higher than Delaware for the office setting.

  • Chico

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • El Centro

    California · 10036

    Office

    $314.26

    Facility

    $36.04

    $27.01 higher than Delaware for the office setting.

  • Fresno

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Madera

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Merced

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Modesto

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Napa

    California · 10036

    Office

    $372.95

    Facility

    $38.38

    $85.70 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 10036

    Office

    $337.15

    Facility

    $37.10

    $49.90 higher than Delaware for the office setting.

  • Redding

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Rest Of California

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 10036

    Office

    $315.43

    Facility

    $37.21

    $28.18 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 10036

    Office

    $332.13

    Facility

    $36.91

    $44.88 higher than Delaware for the office setting.

  • Salinas

    California · 10036

    Office

    $330.95

    Facility

    $36.75

    $43.70 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 10036

    Office

    $340.54

    Facility

    $36.94

    $53.29 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 10036

    Office

    $397.50

    Facility

    $39.58

    $110.25 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 10036

    Office

    $397.38

    Facility

    $39.45

    $110.13 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 10036

    Office

    $406.49

    Facility

    $40.45

    $119.24 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 10036

    Office

    $405.98

    Facility

    $39.94

    $118.73 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 10036

    Office

    $325.38

    Facility

    $36.25

    $38.13 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 10036

    Office

    $345.19

    Facility

    $36.77

    $57.94 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 10036

    Office

    $332.68

    Facility

    $36.70

    $45.43 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 10036

    Office

    $348.81

    Facility

    $37.09

    $61.56 higher than Delaware for the office setting.

  • Stockton

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Vallejo

    California · 10036

    Office

    $372.77

    Facility

    $38.20

    $85.52 higher than Delaware for the office setting.

  • Visalia

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Yuba City

    California · 10036

    Office

    $314.24

    Facility

    $36.02

    $26.99 higher than Delaware for the office setting.

  • Colorado

    Colorado · 10036

    Office

    $306.70

    Facility

    $36.61

    $19.45 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 10036

    Office

    $311.87

    Facility

    $38.48

    $24.62 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 10036

    Office

    $296.93

    Facility

    $39.78

    $9.68 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 10036

    Office

    $281.03

    Facility

    $38.35

    $6.22 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 10036

    Office

    $295.56

    Facility

    $37.65

    $8.31 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 10036

    Office

    $263.30

    Facility

    $36.87

    $23.95 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 10036

    Office

    $324.55

    Facility

    $35.93

    $37.30 higher than Delaware for the office setting.

  • Iowa

    Iowa · 10036

    Office

    $266.34

    Facility

    $34.07

    $20.91 lower than Delaware for the office setting.

  • Idaho

    Idaho · 10036

    Office

    $267.92

    Facility

    $34.38

    $19.33 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 10036

    Office

    $273.58

    Facility

    $40.04

    $13.67 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 10036

    Office

    $270.11

    Facility

    $38.34

    $17.14 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 10036

    Office

    $300.62

    Facility

    $39.92

    $13.37 higher than Delaware for the office setting.

  • Indiana

    Indiana · 10036

    Office

    $269.78

    Facility

    $34.46

    $17.47 lower than Delaware for the office setting.

  • Kansas

    Kansas · 10036

    Office

    $263.88

    Facility

    $34.41

    $23.37 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 10036

    Office

    $261.51

    Facility

    $35.84

    $25.74 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 10036

    Office

    $275.80

    Facility

    $36.93

    $11.45 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 10036

    Office

    $260.63

    Facility

    $35.97

    $26.62 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 10036

    Office

    $341.60

    Facility

    $38.51

    $54.35 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 10036

    Office

    $304.02

    Facility

    $36.72

    $16.77 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 10036

    Office

    $310.82

    Facility

    $38.45

    $23.57 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 10036

    Office

    $293.67

    Facility

    $36.78

    $6.42 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 10036

    Office

    $268.46

    Facility

    $34.92

    $18.79 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 10036

    Office

    $286.90

    Facility

    $35.34

    $0.35 lower than Delaware for the office setting.

  • Detroit

    Michigan · 10036

    Office

    $284.04

    Facility

    $39.07

    $3.21 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 10036

    Office

    $268.51

    Facility

    $36.75

    $18.74 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 10036

    Office

    $295.52

    Facility

    $34.31

    $8.27 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 10036

    Office

    $274.69

    Facility

    $36.33

    $12.56 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 10036

    Office

    $278.15

    Facility

    $36.49

    $9.10 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 10036

    Office

    $254.72

    Facility

    $35.91

    $32.53 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 10036

    Office

    $253.60

    Facility

    $35.04

    $33.65 lower than Delaware for the office setting.

  • Montana**

    Montana · 10036

    Office

    $290.58

    Facility

    $36.73

    $3.33 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 10036

    Office

    $271.90

    Facility

    $35.06

    $15.35 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 10036

    Office

    $288.41

    Facility

    $34.56

    $1.16 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 10036

    Office

    $268.34

    Facility

    $34.04

    $18.91 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 10036

    Office

    $300.76

    Facility

    $36.50

    $13.51 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 10036

    Office

    $334.05

    Facility

    $39.59

    $46.80 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 10036

    Office

    $315.90

    Facility

    $38.70

    $28.65 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 10036

    Office

    $269.81

    Facility

    $37.04

    $17.44 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 10036

    Office

    $290.23

    Facility

    $36.13

    $2.98 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 10036

    Office

    $344.50

    Facility

    $42.67

    $57.25 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 10036

    Office

    $317.23

    Facility

    $39.27

    $29.98 higher than Delaware for the office setting.

  • Queens

    New York · 10036

    Office

    $341.16

    Facility

    $41.11

    $53.91 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 10036

    Office

    $276.54

    Facility

    $35.38

    $10.71 lower than Delaware for the office setting.

  • Ohio

    Ohio · 10036

    Office

    $268.07

    Facility

    $36.31

    $19.18 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 10036

    Office

    $262.04

    Facility

    $35.35

    $25.21 lower than Delaware for the office setting.

  • Portland

    Oregon · 10036

    Office

    $318.86

    Facility

    $36.84

    $31.61 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 10036

    Office

    $288.46

    Facility

    $35.63

    $1.21 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 10036

    Office

    $302.42

    Facility

    $38.17

    $15.17 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 10036

    Office

    $269.13

    Facility

    $36.10

    $18.12 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 10036

    Office

    $293.38

    Facility

    $36.74

    $6.13 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 10036

    Office

    $299.27

    Facility

    $37.05

    $12.02 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 10036

    Office

    $270.34

    Facility

    $35.78

    $16.91 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 10036

    Office

    $288.15

    Facility

    $34.30

    $0.90 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 10036

    Office

    $265.30

    Facility

    $34.55

    $21.95 lower than Delaware for the office setting.

  • Austin

    Texas · 10036

    Office

    $305.26

    Facility

    $36.69

    $18.01 higher than Delaware for the office setting.

  • Beaumont

    Texas · 10036

    Office

    $267.00

    Facility

    $36.00

    $20.25 lower than Delaware for the office setting.

  • Brazoria

    Texas · 10036

    Office

    $287.67

    Facility

    $36.11

    $0.42 higher than Delaware for the office setting.

  • Dallas

    Texas · 10036

    Office

    $289.28

    Facility

    $36.45

    $2.03 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 10036

    Office

    $286.73

    Facility

    $36.44

    $0.52 lower than Delaware for the office setting.

  • Galveston

    Texas · 10036

    Office

    $288.36

    Facility

    $36.29

    $1.11 higher than Delaware for the office setting.

  • Houston

    Texas · 10036

    Office

    $290.38

    Facility

    $38.31

    $3.13 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 10036

    Office

    $277.01

    Facility

    $36.11

    $10.24 lower than Delaware for the office setting.

  • Utah

    Utah · 10036

    Office

    $274.66

    Facility

    $36.05

    $12.59 lower than Delaware for the office setting.

  • Virginia

    Virginia · 10036

    Office

    $285.10

    Facility

    $35.57

    $2.15 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 10036

    Office

    $293.38

    Facility

    $36.74

    $6.13 higher than Delaware for the office setting.

  • Vermont

    Vermont · 10036

    Office

    $286.18

    Facility

    $34.87

    $1.07 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 10036

    Office

    $303.81

    Facility

    $36.51

    $16.56 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 10036

    Office

    $350.14

    Facility

    $38.67

    $62.89 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 10036

    Office

    $277.16

    Facility

    $33.97

    $10.09 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 10036

    Office

    $258.22

    Facility

    $37.62

    $29.03 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 10036

    Office

    $289.63

    Facility

    $35.79

    $2.38 higher than Delaware for the office setting.

See how rates vary across the country

10036 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$252.26

$360.37

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$319.651
AL$256.591
AR$252.261
AZ$282.021
CA$314.24–$406.4929
CO$306.701
CT$311.871
DC$338.641
DE$287.251
FL$281.03–$306.833
GA$263.30–$295.562
GU$324.551
HI$324.551
IA$266.341
ID$267.921
IL$270.11–$300.624
IN$269.781
KS$263.881
KY$261.511
LA$260.63–$275.802
MA$304.02–$341.602
MD$293.67–$338.643
ME$268.46–$286.902
MI$268.51–$284.042
MN$295.521
MO$254.72–$278.153
MS$253.601
MT$290.581
NC$271.901
ND$288.411
NE$268.341
NH$300.761
NJ$315.90–$334.052
NM$269.811
NV$290.231
NY$276.54–$344.505
OH$268.071
OK$262.041
OR$288.46–$318.862
PA$269.13–$302.422
PR$293.381
RI$299.271
SC$270.341
SD$288.151
TN$265.301
TX$267.00–$305.268
UT$274.661
VA$285.10–$338.642
VI$293.381
VT$286.181
WA$303.81–$350.142
WI$277.161
WV$258.221
WY$289.631

Explore 10036 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 10036 in Delaware, the physician’s office rate is $287.25 and the facility-setting rate is $36.44: a difference of $250.81.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 10036 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$315.98

$287.25 × 110% = $315.98

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 10036 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,079

Code
10036
Physician work
0.83
Practice expense
7.76
Malpractice
0.11

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 10036 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0050.8341
Practice expense7.76× 0.9887.6669
Malpractice0.11× 0.8990.0989
Total RVUs8.5999
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$287.25

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 10036 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.831.005
Practice expense7.760.988
Malpractice0.110.899

(0.83 × 1.005 + 7.76 × 0.988 + 0.11 × 0.899) × $33.4009 = $287.25

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.831.005
Practice expense0.160.988
Malpractice0.110.899

(0.83 × 1.005 + 0.16 × 0.988 + 0.11 × 0.899) × $33.4009 = $36.44

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

10036 · Office / nonfacility

$287.25

Effective 2026-10-01

The base rate is $12.89 higher than on 2025-10-01, moving from $274.36 to $287.25 (4.7%).

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

    $274.36changed to$287.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense RVU 7.59 changed to 7.76
    • Malpractice RVU 0.10 changed to 0.11
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $274.36

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$287.25$36.44RVU26D
2026-07-01$287.25$36.44RVU26C
2026-04-01$287.25$36.44RVU26B
2026-01-01$287.25$36.44RVU26A
2025-10-01$274.36$40.76RVU25D
2025-07-01$274.36$40.76RVU25C
2025-04-01$274.36$40.76RVU25B
2025-01-01$274.36$40.76RVU25A

10036 billing questions

When should 10036 be reported instead of 10035?

Use 10035 for the first soft-tissue lesion localized during the session. Report 10036 for each additional lesion.

Is 10036 counted per device or per lesion?

It is counted per additional lesion. Multiple localization devices placed in one lesion do not make that lesion count as multiple lesions.

Can 10036 be billed by itself?

No. It is an add-on code and must be reported with a primary procedure, typically 10035 for the first localized lesion.

Can imaging guidance be billed separately for the placement?

Imaging guidance is included in the localization service described by 10036; do not report it separately for that same placement.

What documentation supports multiple units?

Document each target lesion and its site, the device or devices placed, and the imaging-guided placement. The record should support that each reported unit represents a separate additional lesion.

Does 10036 apply to breast lesion localization?

Use the breast-specific localization codes for breast targets: 19285 for the first lesion and 19286 for each additional lesion.

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.

RVUs for 10036PPRRVU2026_Oct_nonQPP.csv, line 1,079 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet