On this page

CMS RVU26D · Effective 2026-10-01

10035 in El Centro

Office / nonfacility

$370.99

Base rate per service

Facility setting

$70.44

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 10035: Percutaneous soft-tissue localization placement

Percutaneous placement of an image-guided marker in a soft-tissue target before surgery, reported for the first lesion requiring localization.

A physician places a localization marker into a soft-tissue target through the skin so the site can be identified for a later procedure. Devices may include a clip, wire, metallic marker, or radioactive seed. Common targets include a nonpalpable mass or lymph node that a surgeon needs to locate for excision. The service is typically performed by an interventional radiologist or another physician in an imaging suite or operating room. Imaging guidance is included in the placement service.

Report 10035 for the first lesion; use 10036 for each additional lesion. Documentation should identify the target and site, the localization device placed, and the imaging guidance used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. 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.

CMS billing rules for 10035

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.66 · 16%
  • Practice expense (office) RVU8.51 · 82%
  • Malpractice RVU0.17 · 2%

11.3K

Medicare services in 2024 · #1413 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.

10035 compared with similar codes

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

10036

Soft-tissue localization

Each additional lesion

$314.26

10035 reports localization of the first soft-tissue lesion; 10036 reports each additional lesion.

19285

Breast localization

First lesion, ultrasound guidance

$376.29

19285 is the breast-specific code for percutaneous localization of a first lesion. Use 10035 for a soft-tissue target outside the breast localization code family.

10005

Ultrasound-guided FNA

First lesion

$138.07

10005 reports ultrasound-guided fine-needle aspiration sampling of a lesion. 10035 places a localization marker and does not describe aspiration or tissue sampling.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 10035 is $371.49—$0.50 higher than the $370.99 rate in El Centro. Both use the same code, release and participation basis.

10035 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $370.99

  2. $0.50 higher than El Centro

  3. Chico

    $370.96

    $0.03 lower than El Centro

  4. Fresno

    $370.96

    $0.03 lower than El Centro

  5. $0.03 lower than El Centro

  6. $26.76 higher than El Centro

  7. Madera

    $370.96

    $0.03 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, 10035 ranges from $302.53 in Arkansas to $474.46 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 · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Modesto

    California · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Napa

    California · 10035

    Office

    $436.45

    Facility

    $75.03

    $65.46 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 10035

    Office

    $396.51

    Facility

    $72.38

    $25.52 higher than El Centro for the office setting.

  • Redding

    California · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Rest Of California

    California · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 10035

    Office

    $372.82

    Facility

    $72.27

    $1.83 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 10035

    Office

    $391.06

    Facility

    $72.14

    $20.07 higher than El Centro for the office setting.

  • Salinas

    California · 10035

    Office

    $389.64

    Facility

    $71.82

    $18.65 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 10035

    Office

    $400.14

    Facility

    $72.17

    $29.15 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 10035

    Office

    $464.10

    Facility

    $77.45

    $93.11 higher than El Centro for the office setting.

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

    California · 10035

    Office

    $463.91

    Facility

    $77.25

    $92.92 higher than El Centro for the office setting.

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

    California · 10035

    Office

    $474.46

    Facility

    $79.04

    $103.47 higher than El Centro for the office setting.

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

    California · 10035

    Office

    $473.68

    Facility

    $78.25

    $102.69 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 10035

    Office

    $383.18

    Facility

    $70.84

    $12.19 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 10035

    Office

    $405.01

    Facility

    $71.83

    $34.02 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 10035

    Office

    $391.47

    Facility

    $71.73

    $20.48 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 10035

    Office

    $409.20

    Facility

    $72.46

    $38.21 higher than El Centro for the office setting.

  • Stockton

    California · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Vallejo

    California · 10035

    Office

    $436.18

    Facility

    $74.75

    $65.19 higher than El Centro for the office setting.

  • Visalia

    California · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Yuba City

    California · 10035

    Office

    $370.96

    Facility

    $70.41

    $0.03 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 10035

    Office

    $399.60

    Facility

    $76.56

    $28.61 higher than El Centro for the office setting.

  • Miami

    Florida · 10035

    Office

    $365.70

    Facility

    $80.24

    $5.29 lower than El Centro for the office setting.

  • Chicago

    Illinois · 10035

    Office

    $354.53

    Facility

    $78.94

    $16.46 lower than El Centro for the office setting.

  • Manhattan

    New York · 10035

    Office

    $398.29

    Facility

    $79.64

    $27.30 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 10035

    Office

    $389.01

    Facility

    $96.97

    $18.02 higher than El Centro for the office setting.

  • Alabama

    Alabama · 10035

    Office

    $307.37

    Facility

    $67.43

    $63.62 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 10035

    Office

    $302.53

    Facility

    $66.98

    $68.46 lower than El Centro for the office setting.

  • Arizona

    Arizona · 10035

    Office

    $335.74

    Facility

    $70.02

    $35.25 lower than El Centro for the office setting.

  • Colorado

    Colorado · 10035

    Office

    $362.98

    Facility

    $71.21

    $8.01 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 10035

    Office

    $369.55

    Facility

    $74.22

    $1.44 lower than El Centro for the office setting.

  • Delaware

    Delaware · 10035

    Office

    $341.66

    Facility

    $70.73

    $29.33 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 10035

    Office

    $353.65

    Facility

    $75.86

    $17.34 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 10035

    Office

    $335.71

    Facility

    $73.56

    $35.28 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 10035

    Office

    $351.22

    Facility

    $72.61

    $19.77 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 10035

    Office

    $315.76

    Facility

    $71.15

    $55.23 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 10035

    Office

    $381.92

    Facility

    $70.13

    $10.93 higher than El Centro for the office setting.

  • Iowa

    Iowa · 10035

    Office

    $317.78

    Facility

    $66.87

    $53.21 lower than El Centro for the office setting.

  • Idaho

    Idaho · 10035

    Office

    $319.63

    Facility

    $67.35

    $51.36 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 10035

    Office

    $328.38

    Facility

    $76.10

    $42.61 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 10035

    Office

    $323.83

    Facility

    $73.47

    $47.16 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 10035

    Office

    $357.81

    Facility

    $76.19

    $13.18 lower than El Centro for the office setting.

  • Indiana

    Indiana · 10035

    Office

    $321.70

    Facility

    $67.49

    $49.29 lower than El Centro for the office setting.

  • Kansas

    Kansas · 10035

    Office

    $315.26

    Facility

    $67.37

    $55.73 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 10035

    Office

    $313.33

    Facility

    $69.55

    $57.66 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 10035

    Office

    $329.37

    Facility

    $71.32

    $41.62 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 10035

    Office

    $312.44

    Facility

    $69.75

    $58.55 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 10035

    Office

    $402.16

    Facility

    $74.74

    $31.17 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 10035

    Office

    $360.16

    Facility

    $71.41

    $10.83 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 10035

    Office

    $368.35

    Facility

    $74.11

    $2.64 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 10035

    Office

    $348.87

    Facility

    $71.35

    $22.12 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 10035

    Office

    $320.48

    Facility

    $68.20

    $50.51 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 10035

    Office

    $340.71

    Facility

    $68.96

    $30.28 lower than El Centro for the office setting.

  • Detroit

    Michigan · 10035

    Office

    $339.31

    Facility

    $74.69

    $31.68 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 10035

    Office

    $321.37

    Facility

    $71.00

    $49.62 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 10035

    Office

    $349.61

    Facility

    $67.44

    $21.38 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 10035

    Office

    $327.90

    Facility

    $70.40

    $43.09 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 10035

    Office

    $331.73

    Facility

    $70.67

    $39.26 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 10035

    Office

    $305.99

    Facility

    $69.61

    $65.00 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 10035

    Office

    $304.37

    Facility

    $68.27

    $66.62 lower than El Centro for the office setting.

  • Montana**

    Montana · 10035

    Office

    $345.35

    Facility

    $71.13

    $25.64 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 10035

    Office

    $324.27

    Facility

    $68.42

    $46.72 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 10035

    Office

    $341.99

    Facility

    $67.77

    $29.00 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 10035

    Office

    $319.95

    Facility

    $66.84

    $51.04 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 10035

    Office

    $356.31

    Facility

    $70.84

    $14.68 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 10035

    Office

    $394.72

    Facility

    $76.63

    $23.73 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 10035

    Office

    $374.28

    Facility

    $74.83

    $3.29 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 10035

    Office

    $322.91

    Facility

    $71.45

    $48.08 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 10035

    Office

    $344.70

    Facility

    $70.21

    $26.29 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 10035

    Office

    $407.50

    Facility

    $81.45

    $36.51 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 10035

    Office

    $376.06

    Facility

    $75.78

    $5.07 higher than El Centro for the office setting.

  • Queens

    New York · 10035

    Office

    $403.16

    Facility

    $79.03

    $32.17 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 10035

    Office

    $329.47

    Facility

    $68.96

    $41.52 lower than El Centro for the office setting.

  • Ohio

    Ohio · 10035

    Office

    $320.68

    Facility

    $70.32

    $50.31 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 10035

    Office

    $313.69

    Facility

    $68.81

    $57.30 lower than El Centro for the office setting.

  • Portland

    Oregon · 10035

    Office

    $376.35

    Facility

    $71.69

    $5.36 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 10035

    Office

    $342.54

    Facility

    $69.42

    $28.45 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 10035

    Office

    $359.11

    Facility

    $73.65

    $11.88 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 10035

    Office

    $321.75

    Facility

    $70.01

    $49.24 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 10035

    Office

    $348.41

    Facility

    $71.17

    $22.58 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 10035

    Office

    $355.19

    Facility

    $71.91

    $15.80 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 10035

    Office

    $322.91

    Facility

    $69.53

    $48.08 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 10035

    Office

    $341.60

    Facility

    $67.37

    $29.39 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 10035

    Office

    $316.87

    Facility

    $67.60

    $54.12 lower than El Centro for the office setting.

  • Austin

    Texas · 10035

    Office

    $361.31

    Facility

    $71.19

    $9.68 lower than El Centro for the office setting.

  • Beaumont

    Texas · 10035

    Office

    $319.38

    Facility

    $69.84

    $51.61 lower than El Centro for the office setting.

  • Brazoria

    Texas · 10035

    Office

    $342.00

    Facility

    $70.25

    $28.99 lower than El Centro for the office setting.

  • Dallas

    Texas · 10035

    Office

    $343.92

    Facility

    $70.80

    $27.07 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 10035

    Office

    $341.15

    Facility

    $70.77

    $29.84 lower than El Centro for the office setting.

  • Galveston

    Texas · 10035

    Office

    $342.84

    Facility

    $70.54

    $28.15 lower than El Centro for the office setting.

  • Houston

    Texas · 10035

    Office

    $345.95

    Facility

    $73.65

    $25.04 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 10035

    Office

    $330.32

    Facility

    $70.08

    $40.67 lower than El Centro for the office setting.

  • Utah

    Utah · 10035

    Office

    $327.73

    Facility

    $69.96

    $43.26 lower than El Centro for the office setting.

  • Virginia

    Virginia · 10035

    Office

    $338.86

    Facility

    $69.30

    $32.13 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 10035

    Office

    $348.41

    Facility

    $71.17

    $22.58 lower than El Centro for the office setting.

  • Vermont

    Vermont · 10035

    Office

    $339.72

    Facility

    $68.24

    $31.27 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 10035

    Office

    $359.79

    Facility

    $71.04

    $11.20 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 10035

    Office

    $411.62

    Facility

    $75.15

    $40.63 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 10035

    Office

    $329.50

    Facility

    $66.79

    $41.49 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 10035

    Office

    $310.58

    Facility

    $72.28

    $60.41 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 10035

    Office

    $343.89

    Facility

    $69.67

    $27.10 lower than El Centro for the office setting.

See how rates vary across the country

10035 · 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.

$302.53

$422.71

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$389.011
AL$307.371
AR$302.531
AZ$335.741
CA$370.96–$474.4629
CO$362.981
CT$369.551
DC$399.601
DE$341.661
FL$335.71–$365.703
GA$315.76–$351.222
GU$381.921
HI$381.921
IA$317.781
ID$319.631
IL$323.83–$357.814
IN$321.701
KS$315.261
KY$313.331
LA$312.44–$329.372
MA$360.16–$402.162
MD$348.87–$399.603
ME$320.48–$340.712
MI$321.37–$339.312
MN$349.611
MO$305.99–$331.733
MS$304.371
MT$345.351
NC$324.271
ND$341.991
NE$319.951
NH$356.311
NJ$374.28–$394.722
NM$322.911
NV$344.701
NY$329.47–$407.505
OH$320.681
OK$313.691
OR$342.54–$376.352
PA$321.75–$359.112
PR$348.411
RI$355.191
SC$322.911
SD$341.601
TN$316.871
TX$319.38–$361.318
UT$327.731
VA$338.86–$399.602
VI$348.411
VT$339.721
WA$359.79–$411.622
WI$329.501
WV$310.581
WY$343.891

Explore 10035 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.

Why are the office and facility amounts different?

For 10035 in El Centro, the physician’s office rate is $370.99 and the facility-setting rate is $70.44: a difference of $300.55.

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 10035 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$408.09

$370.99 × 110% = $408.09

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 10035 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

1,078

Code
10035
Physician work
1.66
Practice expense
8.51
Malpractice
0.17

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 10035 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.66× 1.0171.6882
Practice expense8.51× 1.0969.3270
Malpractice0.17× 0.5410.0920
Total RVUs11.1071
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$370.99

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

Open 10035 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.661.017
Practice expense8.511.096
Malpractice0.170.541

(1.66 × 1.017 + 8.51 × 1.096 + 0.17 × 0.541) × $33.4009 = $370.99

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.661.017
Practice expense0.31.096
Malpractice0.170.541

(1.66 × 1.017 + 0.3 × 1.096 + 0.17 × 0.541) × $33.4009 = $70.44

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

10035 · Office / nonfacility

$370.99

Effective 2026-10-01

The base rate is $6.46 higher than on 2025-10-01, moving from $364.53 to $370.99 (1.8%).

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

    $364.53changed to$370.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.70 changed to 1.66
    • Practice expense RVU 8.65 changed to 8.51
    • Malpractice RVU 0.16 changed to 0.17
    • 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: $364.53

    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$370.99$70.44RVU26D
2026-07-01$370.99$70.44RVU26C
2026-04-01$370.99$70.44RVU26B
2026-01-01$370.99$70.44RVU26A
2025-10-01$364.53$80.63RVU25D
2025-07-01$364.53$80.63RVU25C
2025-04-01$364.53$80.63RVU25B
2025-01-01$364.53$80.63RVU25A

10035 billing questions

When should 10035 be used instead of 10036?

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

Can imaging guidance be billed separately?

Imaging guidance is included in 10035. Do not report separate guidance for the same marker placement.

Is 10035 appropriate for a breast lesion?

Breast localization has dedicated codes, including 19285 for the first lesion. Use the code family that applies to the breast localization service rather than 10035.

How is bilateral placement reported?

When the service is bilateral, report modifier 50. CMS pays the bilateral procedure at 150%.

What documentation supports 10035?

Document the target and anatomical site, the marker placed, and the imaging guidance used. The record should support that this was localization of the first lesion.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only with documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.

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 10035PPRRVU2026_Oct_nonQPP.csv, line 1,078 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)