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CMS RVU26D · Effective 2026-10-01

19084 in Galveston

Office / nonfacility

$354.76

Base rate per service

Facility setting

$64.55

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.

Breast imaging procedure

About 19084: Additional ultrasound-guided breast biopsy

Reports ultrasound-guided core biopsy of an additional distinct breast lesion during a session in which a primary breast biopsy procedure is also performed.

This add-on service covers biopsy of an additional distinct breast target identified and sampled with ultrasound guidance. A radiologist, breast surgeon, or other qualified physician may perform it in an outpatient imaging center, hospital, or office. The service includes ultrasound guidance and, when performed, marker placement and imaging of the specimen. It is selected by the imaging method used to guide the biopsy, not by the number of tissue cores taken from one target.

Report 19084 for each additional lesion beyond the first ultrasound-guided breast biopsy target, with 19083 serving as the primary code for the first lesion. The record should identify each separately sampled target and support ultrasound guidance for the additional biopsy. Multiple cores from one lesion do not represent multiple lesions. As an add-on code, 19084 is billed only with a primary procedure and its payment falls within that procedure's global period.

CMS billing rules for 19084

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 RVU1.51 · 14%
  • Practice expense (office) RVU9.03 · 84%
  • Malpractice RVU0.16 · 1%

13.8K

Medicare services in 2024 · #1298 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.

19084 compared with similar codes

Office rates for Galveston, from the same CMS release.

19083

Breast biopsy

First lesion, ultrasound-guided

$471.94

19083 covers the first breast lesion biopsied with ultrasound guidance; 19084 covers each additional distinct lesion in the session.

19082

Breast biopsy

Additional stereotactic lesion

$360.73

Both address an additional breast lesion, but 19082 is for stereotactic guidance and 19084 is for ultrasound guidance.

19086

Breast biopsy

Additional MRI-guided lesion

$549.20

Both address an additional breast lesion, but 19086 is for MRI guidance and 19084 is for ultrasound guidance.

The same code, a different location

How does Galveston compare?

In Austin, the office rate for 19084 is $374.37—$19.61 higher than the $354.76 rate in Galveston. Both use the same code, release and participation basis.

19084 across payment areas

Same release and payment basis · bars start at $0

  1. Galveston · This locality

    $354.76

  2. Austin

    $374.37

    $19.61 higher than Galveston

  3. Beaumont

    $329.87

    $24.89 lower than Galveston

  4. Brazoria

    $353.90

    $0.86 lower than Galveston

  5. Dallas

    $355.88

    $1.12 higher than Galveston

  6. Fort Worth

    $352.93

    $1.83 lower than Galveston

  7. Houston

    $357.69

    $2.93 higher than Galveston

Other payment areas listed in Texas 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, 19084 ranges from $312.27 in Arkansas to $493.77 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

  • Rest Of Texas

    Texas · 19084

    Office

    $341.49

    Facility

    $64.14

    $13.27 lower than Galveston for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 19084

    Office

    $412.86

    Facility

    $67.12

    $58.10 higher than Galveston for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 19084

    Office

    $414.40

    Facility

    $70.12

    $59.64 higher than Galveston for the office setting.

  • Miami

    Florida · 19084

    Office

    $377.93

    Facility

    $73.69

    $23.17 higher than Galveston for the office setting.

  • Chicago

    Illinois · 19084

    Office

    $366.17

    Facility

    $72.45

    $11.41 higher than Galveston for the office setting.

  • Manhattan

    New York · 19084

    Office

    $412.61

    Facility

    $73.01

    $57.85 higher than Galveston for the office setting.

  • Alaska*

    Alaska · 19084

    Office

    $399.81

    Facility

    $88.56

    $45.05 higher than Galveston for the office setting.

  • Alabama

    Alabama · 19084

    Office

    $317.37

    Facility

    $61.64

    $37.39 lower than Galveston for the office setting.

  • Arkansas

    Arkansas · 19084

    Office

    $312.27

    Facility

    $61.22

    $42.49 lower than Galveston for the office setting.

  • Arizona

    Arizona · 19084

    Office

    $347.27

    Facility

    $64.07

    $7.49 lower than Galveston for the office setting.

  • Bakersfield

    California · 19084

    Office

    $385.21

    Facility

    $64.90

    $30.45 higher than Galveston for the office setting.

  • Chico

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • El Centro

    California · 19084

    Office

    $384.75

    Facility

    $64.43

    $29.99 higher than Galveston for the office setting.

  • Fresno

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Hanford-Corcoran

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Madera

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Merced

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Modesto

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Napa

    California · 19084

    Office

    $453.85

    Facility

    $68.65

    $99.09 higher than Galveston for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 19084

    Office

    $411.68

    Facility

    $66.23

    $56.92 higher than Galveston for the office setting.

  • Redding

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Rest Of California

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 19084

    Office

    $386.47

    Facility

    $66.15

    $31.71 higher than Galveston for the office setting.

  • Sacramento-Roseville-Folsom

    California · 19084

    Office

    $405.89

    Facility

    $65.99

    $51.13 higher than Galveston for the office setting.

  • Salinas

    California · 19084

    Office

    $404.43

    Facility

    $65.70

    $49.67 higher than Galveston for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 19084

    Office

    $415.57

    Facility

    $66.03

    $60.81 higher than Galveston for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 19084

    Office

    $482.95

    Facility

    $70.87

    $128.19 higher than Galveston for the office setting.

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

    California · 19084

    Office

    $482.77

    Facility

    $70.68

    $128.01 higher than Galveston for the office setting.

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

    California · 19084

    Office

    $493.77

    Facility

    $72.33

    $139.01 higher than Galveston for the office setting.

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

    California · 19084

    Office

    $493.03

    Facility

    $71.59

    $138.27 higher than Galveston for the office setting.

  • San Luis Obispo-Paso Robles

    California · 19084

    Office

    $397.69

    Facility

    $64.81

    $42.93 higher than Galveston for the office setting.

  • Santa Cruz-Watsonville

    California · 19084

    Office

    $420.82

    Facility

    $65.72

    $66.06 higher than Galveston for the office setting.

  • Santa Maria-Santa Barbara

    California · 19084

    Office

    $406.39

    Facility

    $65.62

    $51.63 higher than Galveston for the office setting.

  • Santa Rosa-Petaluma

    California · 19084

    Office

    $425.19

    Facility

    $66.30

    $70.43 higher than Galveston for the office setting.

  • Stockton

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Vallejo

    California · 19084

    Office

    $453.59

    Facility

    $68.39

    $98.83 higher than Galveston for the office setting.

  • Visalia

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Yuba City

    California · 19084

    Office

    $384.72

    Facility

    $64.41

    $29.96 higher than Galveston for the office setting.

  • Colorado

    Colorado · 19084

    Office

    $376.13

    Facility

    $65.17

    $21.37 higher than Galveston for the office setting.

  • Connecticut

    Connecticut · 19084

    Office

    $382.74

    Facility

    $67.98

    $27.98 higher than Galveston for the office setting.

  • Delaware

    Delaware · 19084

    Office

    $353.48

    Facility

    $64.73

    $1.28 lower than Galveston for the office setting.

  • Fort Lauderdale

    Florida · 19084

    Office

    $365.63

    Facility

    $69.57

    $10.87 higher than Galveston for the office setting.

  • Rest Of Florida

    Florida · 19084

    Office

    $346.81

    Facility

    $67.41

    $7.95 lower than Galveston for the office setting.

  • Atlanta

    Georgia · 19084

    Office

    $363.44

    Facility

    $66.51

    $8.68 higher than Galveston for the office setting.

  • Rest Of Georgia

    Georgia · 19084

    Office

    $325.84

    Facility

    $65.15

    $28.92 lower than Galveston for the office setting.

  • Hawaii, Guam

    Hawaii · 19084

    Office

    $396.46

    Facility

    $64.16

    $41.70 higher than Galveston for the office setting.

  • Iowa

    Iowa · 19084

    Office

    $328.53

    Facility

    $61.11

    $26.23 lower than Galveston for the office setting.

  • Idaho

    Idaho · 19084

    Office

    $330.44

    Facility

    $61.57

    $24.32 lower than Galveston for the office setting.

  • East St. Louis

    Illinois · 19084

    Office

    $338.68

    Facility

    $69.80

    $16.08 lower than Galveston for the office setting.

  • Rest Of Illinois

    Illinois · 19084

    Office

    $334.16

    Facility

    $67.33

    $20.60 lower than Galveston for the office setting.

  • Suburban Chicago

    Illinois · 19084

    Office

    $370.01

    Facility

    $69.86

    $15.25 higher than Galveston for the office setting.

  • Indiana

    Indiana · 19084

    Office

    $332.63

    Facility

    $61.70

    $22.13 lower than Galveston for the office setting.

  • Kansas

    Kansas · 19084

    Office

    $325.78

    Facility

    $61.58

    $28.98 lower than Galveston for the office setting.

  • Kentucky

    Kentucky · 19084

    Office

    $323.46

    Facility

    $63.64

    $31.30 lower than Galveston for the office setting.

  • New Orleans

    Louisiana · 19084

    Office

    $340.32

    Facility

    $65.31

    $14.44 lower than Galveston for the office setting.

  • Rest Of Louisiana

    Louisiana · 19084

    Office

    $322.48

    Facility

    $63.83

    $32.28 lower than Galveston for the office setting.

  • Metropolitan Boston

    Massachusetts · 19084

    Office

    $417.38

    Facility

    $68.43

    $62.62 higher than Galveston for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 19084

    Office

    $373.10

    Facility

    $65.35

    $18.34 higher than Galveston for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 19084

    Office

    $381.48

    Facility

    $67.89

    $26.72 higher than Galveston for the office setting.

  • Rest Of Maryland

    Maryland · 19084

    Office

    $361.08

    Facility

    $65.31

    $6.32 higher than Galveston for the office setting.

  • Rest Of Maine

    Maine · 19084

    Office

    $331.24

    Facility

    $62.36

    $23.52 lower than Galveston for the office setting.

  • Southern Maine

    Maine · 19084

    Office

    $352.70

    Facility

    $63.08

    $2.06 lower than Galveston for the office setting.

  • Detroit

    Michigan · 19084

    Office

    $350.50

    Facility

    $68.47

    $4.26 lower than Galveston for the office setting.

  • Rest Of Michigan

    Michigan · 19084

    Office

    $331.84

    Facility

    $65.01

    $22.92 lower than Galveston for the office setting.

  • Minnesota

    Minnesota · 19084

    Office

    $362.37

    Facility

    $61.64

    $7.61 higher than Galveston for the office setting.

  • Metropolitan Kansas City

    Missouri · 19084

    Office

    $338.87

    Facility

    $64.44

    $15.89 lower than Galveston for the office setting.

  • Metropolitan St. Louis

    Missouri · 19084

    Office

    $342.92

    Facility

    $64.69

    $11.84 lower than Galveston for the office setting.

  • Rest Of Missouri

    Missouri · 19084

    Office

    $315.63

    Facility

    $63.70

    $39.13 lower than Galveston for the office setting.

  • Mississippi

    Mississippi · 19084

    Office

    $314.07

    Facility

    $62.44

    $40.69 lower than Galveston for the office setting.

  • Montana**

    Montana · 19084

    Office

    $357.38

    Facility

    $65.12

    $2.62 higher than Galveston for the office setting.

  • North Carolina

    North Carolina · 19084

    Office

    $335.25

    Facility

    $62.58

    $19.51 lower than Galveston for the office setting.

  • North Dakota**

    North Dakota · 19084

    Office

    $354.22

    Facility

    $61.96

    $0.54 lower than Galveston for the office setting.

  • Nebraska

    Nebraska · 19084

    Office

    $330.84

    Facility

    $61.09

    $23.92 lower than Galveston for the office setting.

  • New Hampshire

    New Hampshire · 19084

    Office

    $369.09

    Facility

    $64.85

    $14.33 higher than Galveston for the office setting.

  • Northern Nj

    New Jersey · 19084

    Office

    $409.19

    Facility

    $70.17

    $54.43 higher than Galveston for the office setting.

  • Rest Of New Jersey

    New Jersey · 19084

    Office

    $387.67

    Facility

    $68.53

    $32.91 higher than Galveston for the office setting.

  • New Mexico

    New Mexico · 19084

    Office

    $333.43

    Facility

    $65.43

    $21.33 lower than Galveston for the office setting.

  • Nevada**

    Nevada · 19084

    Office

    $356.80

    Facility

    $64.25

    $2.04 higher than Galveston for the office setting.

  • Nyc Suburbs/Long Island

    New York · 19084

    Office

    $422.20

    Facility

    $74.71

    $67.44 higher than Galveston for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 19084

    Office

    $389.43

    Facility

    $69.41

    $34.67 higher than Galveston for the office setting.

  • Queens

    New York · 19084

    Office

    $417.87

    Facility

    $72.42

    $63.11 higher than Galveston for the office setting.

  • Rest Of New York

    New York · 19084

    Office

    $340.72

    Facility

    $63.08

    $14.04 lower than Galveston for the office setting.

  • Ohio

    Ohio · 19084

    Office

    $331.19

    Facility

    $64.36

    $23.57 lower than Galveston for the office setting.

  • Oklahoma

    Oklahoma · 19084

    Office

    $323.93

    Facility

    $62.94

    $30.83 lower than Galveston for the office setting.

  • Portland

    Oregon · 19084

    Office

    $390.31

    Facility

    $65.61

    $35.55 higher than Galveston for the office setting.

  • Rest Of Oregon

    Oregon · 19084

    Office

    $354.60

    Facility

    $63.51

    $0.16 lower than Galveston for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 19084

    Office

    $371.69

    Facility

    $67.45

    $16.93 higher than Galveston for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 19084

    Office

    $332.36

    Facility

    $64.07

    $22.40 lower than Galveston for the office setting.

  • Puerto Rico

    Puerto Rico · 19084

    Office

    $360.63

    Facility

    $65.15

    $5.87 higher than Galveston for the office setting.

  • Rhode Island

    Rhode Island · 19084

    Office

    $367.72

    Facility

    $65.82

    $12.96 higher than Galveston for the office setting.

  • South Carolina

    South Carolina · 19084

    Office

    $333.67

    Facility

    $63.62

    $21.09 lower than Galveston for the office setting.

  • South Dakota**

    South Dakota · 19084

    Office

    $353.84

    Facility

    $61.58

    $0.92 lower than Galveston for the office setting.

  • Tennessee

    Tennessee · 19084

    Office

    $327.47

    Facility

    $61.81

    $27.29 lower than Galveston for the office setting.

  • Utah

    Utah · 19084

    Office

    $338.75

    Facility

    $64.03

    $16.01 lower than Galveston for the office setting.

  • Virginia

    Virginia · 19084

    Office

    $350.69

    Facility

    $63.40

    $4.07 lower than Galveston for the office setting.

  • Virgin Islands

    United States Virgin Islands · 19084

    Office

    $360.63

    Facility

    $65.15

    $5.87 higher than Galveston for the office setting.

  • Vermont

    Vermont · 19084

    Office

    $351.73

    Facility

    $62.40

    $3.03 lower than Galveston for the office setting.

  • Rest Of Washington

    Washington · 19084

    Office

    $372.75

    Facility

    $65.01

    $17.99 higher than Galveston for the office setting.

  • Seattle (King Cnty)

    Washington · 19084

    Office

    $427.40

    Facility

    $68.80

    $72.64 higher than Galveston for the office setting.

  • Wisconsin

    Wisconsin · 19084

    Office

    $341.02

    Facility

    $61.04

    $13.74 lower than Galveston for the office setting.

  • West Virginia

    West Virginia · 19084

    Office

    $320.18

    Facility

    $66.21

    $34.58 lower than Galveston for the office setting.

  • Wyoming**

    Wyoming · 19084

    Office

    $356.00

    Facility

    $63.74

    $1.24 higher than Galveston for the office setting.

See how rates vary across the country

19084 · 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.

$312.27

$439.25

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$399.811
AL$317.371
AR$312.271
AZ$347.271
CA$384.72–$493.7729
CO$376.131
CT$382.741
DC$414.401
DE$353.481
FL$346.81–$377.933
GA$325.84–$363.442
GU$396.461
HI$396.461
IA$328.531
ID$330.441
IL$334.16–$370.014
IN$332.631
KS$325.781
KY$323.461
LA$322.48–$340.322
MA$373.10–$417.382
MD$361.08–$414.403
ME$331.24–$352.702
MI$331.84–$350.502
MN$362.371
MO$315.63–$342.923
MS$314.071
MT$357.381
NC$335.251
ND$354.221
NE$330.841
NH$369.091
NJ$387.67–$409.192
NM$333.431
NV$356.801
NY$340.72–$422.205
OH$331.191
OK$323.931
OR$354.60–$390.312
PA$332.36–$371.692
PR$360.631
RI$367.721
SC$333.671
SD$353.841
TN$327.471
TX$329.87–$374.378
UT$338.751
VA$350.69–$414.402
VI$360.631
VT$351.731
WA$372.75–$427.402
WI$341.021
WV$320.181
WY$356.001

Explore 19084 on the national rate map →

Where does this rate apply?

Galveston is a Medicare payment area. Our Census mapping connects it to 16 cities and communities in Texas, 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 Texas →

Why are the office and facility amounts different?

For 19084 in Galveston, the physician’s office rate is $354.76 and the facility-setting rate is $64.55: a difference of $290.21.

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 19084 in Galveston. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$390.24

$354.76 × 110% = $390.24

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 19084 in Galveston.

PPRRVU2026_Oct_nonQPP.csv

1,662

Code
19084
Physician work
1.51
Practice expense
9.03
Malpractice
0.16

GPCI2026.csv

101

Locality
Galveston
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office / nonfacility calculation for 19084 in Galveston
ComponentRVULocality factorAdjusted
Physician work1.51× 1.0081.5221
Practice expense9.03× 0.9938.9668
Malpractice0.16× 0.8280.1325
Total RVUs10.6213
Conversion factor× 33.4009

Office / nonfacility rate, Galveston$354.76

Open 19084 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.511.008
Practice expense9.030.993
Malpractice0.160.828

(1.51 × 1.008 + 9.03 × 0.993 + 0.16 × 0.828) × $33.4009 = $354.76

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.511.008
Practice expense0.280.993
Malpractice0.160.828

(1.51 × 1.008 + 0.28 × 0.993 + 0.16 × 0.828) × $33.4009 = $64.55

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

19084 · Office / nonfacility

$354.76

Effective 2026-10-01

The base rate is $3.20 higher than on 2025-10-01, moving from $351.56 to $354.76 (0.9%).

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

    $351.56changed to$354.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.55 changed to 1.51
    • Practice expense RVU 9.16 changed to 9.03
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $351.56

    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$354.76$64.55RVU26D
2026-07-01$354.76$64.55RVU26C
2026-04-01$354.76$64.55RVU26B
2026-01-01$354.76$64.55RVU26A
2025-10-01$351.56$73.70RVU25D
2025-07-01$351.56$73.70RVU25C
2025-04-01$351.56$73.70RVU25B
2025-01-01$351.56$73.70RVU25A

19084 billing questions

When should 19084 be used instead of 19083?

Use 19083 for the first lesion biopsied with ultrasound guidance and 19084 for each additional distinct lesion biopsied with that guidance during the session.

Does each core from one lesion count as an additional lesion?

No. 19084 represents another distinct biopsy target, not additional tissue cores or passes from the same target.

What primary procedure is reported with 19084?

Report it with a primary breast biopsy procedure; 19083 is the corresponding primary code when the first lesion is biopsied under ultrasound guidance.

Are marker placement and specimen imaging included?

The service includes marker placement and specimen imaging when those steps are performed as part of the biopsy.

How does the global-period rule affect 19084?

It is an add-on code, not a stand-alone service, and its payment is within the global period of the associated primary procedure.

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 19084PPRRVU2026_Oct_nonQPP.csv, line 1,662 (RVU26D)
Geographic factors for GalvestonGPCI2026.csv, line 101 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet