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CMS RVU26D · Effective 2026-10-01

10007 in El Centro

Office / nonfacility

$367.77

Base rate per service

Facility setting

$78.21

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 biopsy

About 10007: Fluoroscopic-guided fine needle aspiration biopsy

Fluoroscopic-guided fine needle aspiration biopsy samples the first lesion for cytologic evaluation when fluoroscopy directs needle placement.

The physician uses live fluoroscopic imaging to guide a fine needle into a target lesion and obtain cellular material for evaluation. A radiologist, interventional radiologist, or another physician trained in image-guided procedures may perform the service in a hospital or outpatient setting. The code represents sampling of the first lesion with fluoroscopic guidance, rather than the number of needle passes or specimens collected from that lesion.

Report 10007 when fluoroscopy guides aspiration of the first lesion. The record should identify the target, document fluoroscopic guidance and needle aspiration, and support that a lesion was sampled. For each additional lesion sampled in the same session, use the corresponding add-on code, 10008. Fluoroscopic guidance is included in this service. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

CMS billing rules for 10007

Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.

Where the value comes from

  • Work RVU1.76 · 17%
  • Practice expense (office) RVU8.28 · 80%
  • Malpractice RVU0.27 · 3%

553

Medicare services in 2024 · #3465 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.

10007 compared with similar codes

Office rates for El Centro, from the same CMS release.

10008

FNA biopsy

Each additional lesion

$149.03

10007 covers fluoroscopic-guided sampling of the first lesion; 10008 is the add-on for each additional lesion sampled with fluoroscopy.

10005

Ultrasound-guided FNA

First lesion

$138.07

Both cover image-guided fine needle aspiration of a first lesion, but 10005 uses ultrasound guidance rather than fluoroscopy.

10009

FNA biopsy

CT guidance, first lesion

$442.03

Both cover image-guided fine needle aspiration of a first lesion, but 10009 uses CT guidance rather than fluoroscopy.

10021

Fine needle aspiration

First lesion, no imaging

$105.32

Use 10021 for first-lesion aspiration without imaging guidance; use 10007 when fluoroscopy guides the needle.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 10007 is $368.50—$0.73 higher than the $367.77 rate in El Centro. Both use the same code, release and participation basis.

10007 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $367.77

  2. Bakersfield

    $368.50

    $0.73 higher than El Centro

  3. Chico

    $367.73

    $0.04 lower than El Centro

  4. Fresno

    $367.73

    $0.04 lower than El Centro

  5. Hanford-Corcoran

    $367.73

    $0.04 lower than El Centro

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

    $394.35

    $26.58 higher than El Centro

  7. Madera

    $367.73

    $0.04 lower than El Centro

Other payment areas listed in California 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, 10007 ranges from $300.99 in Arkansas to $468.88 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

  • Merced

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Modesto

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Napa

    California · 10007

    Office

    $431.58

    Facility

    $83.36

    $63.81 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 10007

    Office

    $392.94

    Facility

    $80.66

    $25.17 higher than El Centro for the office setting.

  • Redding

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Rest Of California

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 10007

    Office

    $370.65

    Facility

    $81.08

    $2.88 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 10007

    Office

    $387.37

    Facility

    $80.11

    $19.60 higher than El Centro for the office setting.

  • Salinas

    California · 10007

    Office

    $385.97

    Facility

    $79.77

    $18.20 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 10007

    Office

    $396.20

    Facility

    $80.22

    $28.43 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 10007

    Office

    $458.46

    Facility

    $85.93

    $90.69 higher than El Centro for the office setting.

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

    California · 10007

    Office

    $458.15

    Facility

    $85.63

    $90.38 higher than El Centro for the office setting.

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

    California · 10007

    Office

    $468.88

    Facility

    $87.91

    $101.11 higher than El Centro for the office setting.

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

    California · 10007

    Office

    $467.63

    Facility

    $86.65

    $99.86 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 10007

    Office

    $379.62

    Facility

    $78.69

    $11.85 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 10007

    Office

    $400.87

    Facility

    $79.87

    $33.10 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 10007

    Office

    $387.73

    Facility

    $79.68

    $19.96 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 10007

    Office

    $405.00

    Facility

    $80.56

    $37.23 higher than El Centro for the office setting.

  • Stockton

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Vallejo

    California · 10007

    Office

    $431.13

    Facility

    $82.92

    $63.36 higher than El Centro for the office setting.

  • Visalia

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Yuba City

    California · 10007

    Office

    $367.73

    Facility

    $78.16

    $0.04 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 10007

    Office

    $397.78

    Facility

    $86.56

    $30.01 higher than El Centro for the office setting.

  • Miami

    Florida · 10007

    Office

    $369.49

    Facility

    $94.46

    $1.72 higher than El Centro for the office setting.

  • Chicago

    Illinois · 10007

    Office

    $357.84

    Facility

    $92.31

    $9.93 lower than El Centro for the office setting.

  • Manhattan

    New York · 10007

    Office

    $398.21

    Facility

    $91.21

    $30.44 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 10007

    Office

    $387.68

    Facility

    $106.31

    $19.91 higher than El Centro for the office setting.

  • Alabama

    Alabama · 10007

    Office

    $305.88

    Facility

    $74.70

    $61.89 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 10007

    Office

    $300.99

    Facility

    $74.05

    $66.78 lower than El Centro for the office setting.

  • Arizona

    Arizona · 10007

    Office

    $334.49

    Facility

    $78.48

    $33.28 lower than El Centro for the office setting.

  • Colorado

    Colorado · 10007

    Office

    $360.79

    Facility

    $79.68

    $6.98 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 10007

    Office

    $368.73

    Facility

    $84.18

    $0.96 higher than El Centro for the office setting.

  • Delaware

    Delaware · 10007

    Office

    $340.43

    Facility

    $79.40

    $27.34 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 10007

    Office

    $355.25

    Facility

    $87.61

    $12.52 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 10007

    Office

    $336.73

    Facility

    $84.15

    $31.04 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 10007

    Office

    $350.78

    Facility

    $82.35

    $16.99 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 10007

    Office

    $316.23

    Facility

    $80.56

    $51.54 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 10007

    Office

    $378.46

    Facility

    $78.06

    $10.69 higher than El Centro for the office setting.

  • Iowa

    Iowa · 10007

    Office

    $315.42

    Facility

    $73.67

    $52.35 lower than El Centro for the office setting.

  • Idaho

    Idaho · 10007

    Office

    $317.49

    Facility

    $74.42

    $50.28 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 10007

    Office

    $331.38

    Facility

    $88.32

    $36.39 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 10007

    Office

    $325.38

    Facility

    $84.16

    $42.39 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 10007

    Office

    $359.20

    Facility

    $87.87

    $8.57 lower than El Centro for the office setting.

  • Indiana

    Indiana · 10007

    Office

    $319.54

    Facility

    $74.62

    $48.23 lower than El Centro for the office setting.

  • Kansas

    Kansas · 10007

    Office

    $313.34

    Facility

    $74.50

    $54.43 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 10007

    Office

    $312.90

    Facility

    $78.02

    $54.87 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 10007

    Office

    $329.27

    Facility

    $80.66

    $38.50 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 10007

    Office

    $312.18

    Facility

    $78.36

    $55.59 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 10007

    Office

    $399.43

    Facility

    $83.98

    $31.66 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 10007

    Office

    $358.13

    Facility

    $79.93

    $9.64 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 10007

    Office

    $367.63

    Facility

    $84.14

    $0.14 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 10007

    Office

    $347.53

    Facility

    $80.16

    $20.24 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 10007

    Office

    $318.83

    Facility

    $75.76

    $48.94 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 10007

    Office

    $338.55

    Facility

    $76.72

    $29.22 lower than El Centro for the office setting.

  • Detroit

    Michigan · 10007

    Office

    $340.87

    Facility

    $85.92

    $26.90 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 10007

    Office

    $321.47

    Facility

    $80.25

    $46.30 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 10007

    Office

    $346.03

    Facility

    $74.17

    $21.74 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 10007

    Office

    $327.29

    Facility

    $79.20

    $40.48 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 10007

    Office

    $331.11

    Facility

    $79.59

    $36.66 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 10007

    Office

    $305.96

    Facility

    $78.22

    $61.81 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 10007

    Office

    $303.57

    Facility

    $76.09

    $64.20 lower than El Centro for the office setting.

  • Montana**

    Montana · 10007

    Office

    $344.35

    Facility

    $80.14

    $23.42 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 10007

    Office

    $322.58

    Facility

    $76.08

    $45.19 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 10007

    Office

    $339.01

    Facility

    $74.81

    $28.76 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 10007

    Office

    $317.46

    Facility

    $73.60

    $50.31 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 10007

    Office

    $354.57

    Facility

    $79.54

    $13.20 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 10007

    Office

    $392.93

    Facility

    $86.46

    $25.16 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 10007

    Office

    $373.03

    Facility

    $84.53

    $5.26 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 10007

    Office

    $323.22

    Facility

    $80.95

    $44.55 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 10007

    Office

    $343.13

    Facility

    $78.67

    $24.64 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 10007

    Office

    $408.12

    Facility

    $93.99

    $40.35 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 10007

    Office

    $375.18

    Facility

    $85.88

    $7.41 higher than El Centro for the office setting.

  • Queens

    New York · 10007

    Office

    $402.45

    Facility

    $90.16

    $34.68 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 10007

    Office

    $327.86

    Facility

    $76.87

    $39.91 lower than El Centro for the office setting.

  • Ohio

    Ohio · 10007

    Office

    $320.37

    Facility

    $79.16

    $47.40 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 10007

    Office

    $312.76

    Facility

    $76.83

    $55.01 lower than El Centro for the office setting.

  • Portland

    Oregon · 10007

    Office

    $373.69

    Facility

    $80.17

    $5.92 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 10007

    Office

    $340.58

    Facility

    $77.43

    $27.19 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 10007

    Office

    $358.50

    Facility

    $83.47

    $9.27 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 10007

    Office

    $321.19

    Facility

    $78.65

    $46.58 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 10007

    Office

    $347.27

    Facility

    $80.16

    $20.50 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 10007

    Office

    $353.63

    Facility

    $80.71

    $14.14 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 10007

    Office

    $321.99

    Facility

    $77.87

    $45.78 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 10007

    Office

    $338.38

    Facility

    $74.17

    $29.39 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 10007

    Office

    $315.02

    Facility

    $74.86

    $52.75 lower than El Centro for the office setting.

  • Austin

    Texas · 10007

    Office

    $359.49

    Facility

    $79.97

    $8.28 lower than El Centro for the office setting.

  • Beaumont

    Texas · 10007

    Office

    $318.83

    Facility

    $78.41

    $48.94 lower than El Centro for the office setting.

  • Brazoria

    Texas · 10007

    Office

    $340.36

    Facility

    $78.54

    $27.41 lower than El Centro for the office setting.

  • Dallas

    Texas · 10007

    Office

    $342.51

    Facility

    $79.36

    $25.26 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 10007

    Office

    $339.86

    Facility

    $79.35

    $27.91 lower than El Centro for the office setting.

  • Galveston

    Texas · 10007

    Office

    $341.35

    Facility

    $78.99

    $26.42 lower than El Centro for the office setting.

  • Houston

    Texas · 10007

    Office

    $346.29

    Facility

    $83.94

    $21.48 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 10007

    Office

    $329.38

    Facility

    $78.66

    $38.39 lower than El Centro for the office setting.

  • Utah

    Utah · 10007

    Office

    $326.85

    Facility

    $78.50

    $40.92 lower than El Centro for the office setting.

  • Virginia

    Virginia · 10007

    Office

    $337.01

    Facility

    $77.30

    $30.76 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 10007

    Office

    $347.27

    Facility

    $80.16

    $20.50 lower than El Centro for the office setting.

  • Vermont

    Vermont · 10007

    Office

    $337.14

    Facility

    $75.58

    $30.63 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 10007

    Office

    $357.63

    Facility

    $79.43

    $10.14 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 10007

    Office

    $408.43

    Facility

    $84.26

    $40.66 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 10007

    Office

    $326.51

    Facility

    $73.40

    $41.26 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 10007

    Office

    $312.02

    Facility

    $82.43

    $55.75 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 10007

    Office

    $342.02

    Facility

    $77.82

    $25.75 lower than El Centro for the office setting.

See how rates vary across the country

10007 · 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.

$300.99

$418.31

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$387.681
AL$305.881
AR$300.991
AZ$334.491
CA$367.73–$468.8829
CO$360.791
CT$368.731
DC$397.781
DE$340.431
FL$336.73–$369.493
GA$316.23–$350.782
GU$378.461
HI$378.461
IA$315.421
ID$317.491
IL$325.38–$359.204
IN$319.541
KS$313.341
KY$312.901
LA$312.18–$329.272
MA$358.13–$399.432
MD$347.53–$397.783
ME$318.83–$338.552
MI$321.47–$340.872
MN$346.031
MO$305.96–$331.113
MS$303.571
MT$344.351
NC$322.581
ND$339.011
NE$317.461
NH$354.571
NJ$373.03–$392.932
NM$323.221
NV$343.131
NY$327.86–$408.125
OH$320.371
OK$312.761
OR$340.58–$373.692
PA$321.19–$358.502
PR$347.271
RI$353.631
SC$321.991
SD$338.381
TN$315.021
TX$318.83–$359.498
UT$326.851
VA$337.01–$397.782
VI$347.271
VT$337.141
WA$357.63–$408.432
WI$326.511
WV$312.021
WY$342.021

Explore 10007 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 10007 in El Centro, the physician’s office rate is $367.77 and the facility-setting rate is $78.21: a difference of $289.56.

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 10007 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$404.55

$367.77 × 110% = $404.55

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 10007 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

1,063

Code
10007
Physician work
1.76
Practice expense
8.28
Malpractice
0.27

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 10007 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0171.7899
Practice expense8.28× 1.0969.0749
Malpractice0.27× 0.5410.1461
Total RVUs11.0109
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$367.77

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

Open 10007 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.761.017
Practice expense8.281.096
Malpractice0.270.541

(1.76 × 1.017 + 8.28 × 1.096 + 0.27 × 0.541) × $33.4009 = $367.77

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.761.017
Practice expense0.371.096
Malpractice0.270.541

(1.76 × 1.017 + 0.37 × 1.096 + 0.27 × 0.541) × $33.4009 = $78.21

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

10007 · Office / nonfacility

$367.77

Effective 2026-10-01

The base rate is $54.91 higher than on 2025-10-01, moving from $312.86 to $367.77 (17.6%).

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

    $312.86changed to$367.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.81 changed to 1.76
    • Practice expense RVU 7.05 changed to 8.28
    • Malpractice RVU 0.23 changed to 0.27
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $312.86

    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$367.77$78.21RVU26D
2026-07-01$367.77$78.21RVU26C
2026-04-01$367.77$78.21RVU26B
2026-01-01$367.77$78.21RVU26A
2025-10-01$312.86$85.53RVU25D
2025-07-01$312.86$85.53RVU25C
2025-04-01$312.86$85.53RVU25B
2025-01-01$312.86$85.53RVU25A

10007 billing questions

When should 10007 be chosen instead of 10005 or 10009?

Use 10007 when fluoroscopy guides the aspiration. Code 10005 is for ultrasound guidance, and 10009 is for CT guidance.

How is another lesion sampled during the same session reported?

Report 10008 for each additional lesion sampled with fluoroscopic guidance. Do not count separate needle passes into one lesion as additional lesions.

Can fluoroscopic guidance be billed separately?

No. Fluoroscopic guidance is included in 10007.

What documentation supports reporting 10007?

Document the lesion sampled, the use of fluoroscopy to guide needle placement, and the fine needle aspiration performed.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% 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 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 10007PPRRVU2026_Oct_nonQPP.csv, line 1,063 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet