Billing code 19082: Breast biopsyMedicare rate & RVUs in Manhattan
Reports percutaneous biopsy of an additional breast lesion sampled with stereotactic guidance during an encounter that includes the primary lesion biopsy.
In Manhattan, Medicare pays $419.41 for 19082 in the office and $77.87 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 19082 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 19082 covers
This add-on code covers percutaneous needle sampling of an additional breast lesion using stereotactic imaging to guide the biopsy. A radiologist or breast surgeon typically performs the procedure in a breast imaging center, outpatient department, or office equipped for stereotactic biopsy. Localization-device placement and imaging of the specimen are included when performed. The additional lesion must be distinct from the lesion reported with the primary biopsy.
Report 19082 with 19081 for each additional lesion biopsied using stereotactic guidance; it is not reported by itself. Documentation should identify the separately sampled lesion and support stereotactic guidance, with separate specimen labeling or pathology identification when applicable. CMS treats 19082 as an add-on billed with a primary procedure, and its payment falls within that primary procedure's global period.
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.
How Manhattan compares for 19082
Across 109 of 109 payment localities, the office rate for 19082 runs from $317.79 in Arkansas to $501.03 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Manhattan pays $419.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Manhattan · this page$419.41
- Nyc Suburbs/Long Island · New York$429.16+$9.75
- Poughkpsie/N Nyc Suburbs · New York$395.89−$23.52
- Queens · New York$424.67+$5.26
- Rest Of New York · New York$346.52−$72.89
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$419.32−$0.09
- Dc + Md/Va Suburbs · District of Columbia$421.05+$1.64
Other areas in New York first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MiamiFlorida | $384.55 | $78.57 |
| ChicagoIllinois | $372.65 | $77.25 |
| Alaska*Alaska | $407.50 | $94.46 |
| AlabamaAlabama | $322.94 | $65.76 |
| ArkansasArkansas | $317.79 | $65.31 |
| ArizonaArizona | $353.16 | $68.35 |
| BakersfieldCalifornia | $391.38 | $69.24 |
| ChicoCalifornia | $390.86 | $68.72 |
| El CentroCalifornia | $390.89 | $68.74 |
| FresnoCalifornia | $390.86 | $68.72 |
| Hanford-CorcoranCalifornia | $390.86 | $68.72 |
| MaderaCalifornia | $390.86 | $68.72 |
| MercedCalifornia | $390.86 | $68.72 |
| ModestoCalifornia | $390.86 | $68.72 |
| NapaCalifornia | $460.65 | $73.25 |
| Oxnard-Thousand Oaks-VenturaCalifornia | $418.09 | $70.66 |
| ReddingCalifornia | $390.86 | $68.72 |
| Rest Of CaliforniaCalifornia | $390.86 | $68.72 |
| Riverside-San Bernardino-OntarioCalifornia | $392.71 | $70.57 |
| Sacramento-Roseville-FolsomCalifornia | $412.25 | $70.41 |
| SalinasCalifornia | $410.76 | $70.10 |
| San Diego-Chula Vista-CarlsbadCalifornia | $421.99 | $70.45 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $490.06 | $75.62 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $489.86 | $75.43 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $501.03 | $77.18 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $500.24 | $76.39 |
| San Luis Obispo-Paso RoblesCalifornia | $403.93 | $69.15 |
| Santa Cruz-WatsonvilleCalifornia | $427.25 | $70.12 |
| Santa Maria-Santa BarbaraCalifornia | $412.73 | $70.01 |
| Santa Rosa-PetalumaCalifornia | $431.68 | $70.74 |
| StocktonCalifornia | $390.86 | $68.72 |
| VallejoCalifornia | $460.37 | $72.98 |
| VisaliaCalifornia | $390.86 | $68.72 |
| Yuba CityCalifornia | $390.86 | $68.72 |
| ColoradoColorado | $382.26 | $69.52 |
| ConnecticutConnecticut | $389.07 | $72.51 |
| DelawareDelaware | $359.45 | $69.05 |
| Fort LauderdaleFlorida | $371.94 | $74.19 |
| Rest Of FloridaFlorida | $352.88 | $71.89 |
| AtlantaGeorgia | $369.57 | $70.94 |
| Rest Of GeorgiaGeorgia | $331.67 | $69.48 |
| Hawaii, GuamHawaii | $402.65 | $68.46 |
| IowaIowa | $334.14 | $65.20 |
| IdahoIdaho | $336.09 | $65.68 |
| East St. LouisIllinois | $344.84 | $74.43 |
| Rest Of IllinoisIllinois | $340.16 | $71.80 |
| Suburban ChicagoIllinois | $376.37 | $74.50 |
| IndianaIndiana | $338.30 | $65.82 |
| KansasKansas | $331.41 | $65.70 |
| KentuckyKentucky | $329.18 | $67.88 |
| New OrleansLouisiana | $346.24 | $69.65 |
| Rest Of LouisianaLouisiana | $328.21 | $68.08 |
| Metropolitan BostonMassachusetts | $423.95 | $73.00 |
| Rest Of MassachusettsMassachusetts | $379.22 | $69.71 |
| Baltimore/Surr. CntysMaryland | $387.80 | $72.41 |
| Rest Of MarylandMaryland | $367.12 | $69.67 |
| Rest Of MaineMaine | $336.94 | $66.53 |
| Southern MaineMaine | $358.57 | $67.29 |
| DetroitMichigan | $356.66 | $73.02 |
| Rest Of MichiganMichigan | $337.69 | $69.33 |
| MinnesotaMinnesota | $368.22 | $65.77 |
| Metropolitan Kansas CityMissouri | $344.73 | $68.73 |
| Metropolitan St. LouisMissouri | $348.82 | $69.00 |
| Rest Of MissouriMissouri | $321.31 | $67.94 |
| MississippiMississippi | $319.67 | $66.60 |
| Montana**Montana | $363.39 | $69.46 |
| North CarolinaNorth Carolina | $340.99 | $66.75 |
| North Dakota**North Dakota | $360.03 | $66.10 |
| NebraskaNebraska | $336.47 | $65.17 |
| New HampshireNew Hampshire | $375.15 | $69.17 |
| Northern NjNew Jersey | $415.81 | $74.85 |
| Rest Of New JerseyNew Jersey | $394.07 | $73.10 |
| New MexicoNew Mexico | $339.32 | $69.78 |
| Nevada**Nevada | $362.76 | $68.54 |
| OhioOhio | $337.00 | $68.65 |
| OklahomaOklahoma | $329.61 | $67.14 |
| PortlandOregon | $396.55 | $69.99 |
| Rest Of OregonOregon | $360.50 | $67.75 |
| Metropolitan PhiladelphiaPennsylvania | $377.93 | $71.95 |
| Rest Of PennsylvaniaPennsylvania | $338.17 | $68.34 |
| Puerto RicoPuerto Rico | $366.66 | $69.50 |
| Rhode IslandRhode Island | $373.84 | $70.21 |
| South CarolinaSouth Carolina | $339.45 | $67.86 |
| South Dakota**South Dakota | $359.63 | $65.70 |
| TennesseeTennessee | $333.11 | $65.93 |
| AustinTexas | $380.49 | $69.52 |
| BeaumontTexas | $335.64 | $68.17 |
| BrazoriaTexas | $359.85 | $68.56 |
| DallasTexas | $361.86 | $69.11 |
| Fort WorthTexas | $358.90 | $69.09 |
| GalvestonTexas | $360.73 | $68.86 |
| HoustonTexas | $363.84 | $71.97 |
| Rest Of TexasTexas | $347.35 | $68.41 |
| UtahUtah | $344.59 | $68.29 |
| VirginiaVirginia | $356.57 | $67.63 |
| Virgin IslandsUnited States Virgin Islands | $366.66 | $69.50 |
| VermontVermont | $357.56 | $66.57 |
| Rest Of WashingtonWashington | $378.85 | $69.35 |
| Seattle (King Cnty)Washington | $434.05 | $73.40 |
| WisconsinWisconsin | $346.71 | $65.12 |
| West VirginiaWest Virginia | $326.03 | $70.61 |
| Wyoming**Wyoming | $361.93 | $68.00 |
19082 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$317.79
$445.95
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $407.50 | 1 |
| AL | $322.94 | 1 |
| AR | $317.79 | 1 |
| AZ | $353.16 | 1 |
| CA | $390.86–$501.03 | 29 |
| CO | $382.26 | 1 |
| CT | $389.07 | 1 |
| DC | $421.05 | 1 |
| DE | $359.45 | 1 |
| FL | $352.88–$384.55 | 3 |
| GA | $331.67–$369.57 | 2 |
| GU | $402.65 | 1 |
| HI | $402.65 | 1 |
| IA | $334.14 | 1 |
| ID | $336.09 | 1 |
| IL | $340.16–$376.37 | 4 |
| IN | $338.30 | 1 |
| KS | $331.41 | 1 |
| KY | $329.18 | 1 |
| LA | $328.21–$346.24 | 2 |
| MA | $379.22–$423.95 | 2 |
| MD | $367.12–$421.05 | 3 |
| ME | $336.94–$358.57 | 2 |
| MI | $337.69–$356.66 | 2 |
| MN | $368.22 | 1 |
| MO | $321.31–$348.82 | 3 |
| MS | $319.67 | 1 |
| MT | $363.39 | 1 |
| NC | $340.99 | 1 |
| ND | $360.03 | 1 |
| NE | $336.47 | 1 |
| NH | $375.15 | 1 |
| NJ | $394.07–$415.81 | 2 |
| NM | $339.32 | 1 |
| NV | $362.76 | 1 |
| NY | $346.52–$429.16 | 5 |
| OH | $337.00 | 1 |
| OK | $329.61 | 1 |
| OR | $360.50–$396.55 | 2 |
| PA | $338.17–$377.93 | 2 |
| PR | $366.66 | 1 |
| RI | $373.84 | 1 |
| SC | $339.45 | 1 |
| SD | $359.63 | 1 |
| TN | $333.11 | 1 |
| TX | $335.64–$380.49 | 8 |
| UT | $344.59 | 1 |
| VA | $356.57–$421.05 | 2 |
| VI | $366.66 | 1 |
| VT | $357.56 | 1 |
| WA | $378.85–$434.05 | 2 |
| WI | $346.71 | 1 |
| WV | $326.03 | 1 |
| WY | $361.93 | 1 |
How the 19082 rate is calculated
Each of 19082’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 19082
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.61Practice expense 9.10Malpractice 0.17
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
The exact Manhattan inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,660
- Code
- 19082
- Physician work
- 1.61
- Practice expense
- 9.10
- Malpractice
- 0.17
GPCI2026.csv
78
- Locality
- Manhattan
- Physician work
- 1.064
- Practice expense
- 1.162
- Malpractice
- 1.586
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.61 | × 1.064 | 1.7130 |
| Practice expense | 9.10 | × 1.162 | 10.5742 |
| Malpractice | 0.17 | × 1.586 | 0.2696 |
| Total RVUs | 12.5569 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Manhattan$419.41
Office: (1.61 × 1.064 + 9.1 × 1.162 + 0.17 × 1.586) × $33.4009 = $419.41
Facility: (1.61 × 1.064 + 0.3 × 1.162 + 0.17 × 1.586) × $33.4009 = $77.87
Payment rules and modifiers for 19082
The CMS indicators that decide how 19082 is paid alongside other services.
CMS payment indicators · 19082
Breast biopsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 19082 has changed in Manhattan
19082 · Office / nonfacility
$419.41
Effective 2026-10-01
The base rate is $4.37 higher than on 2025-10-01, moving from $415.04 to $419.41 (1.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$415.04changed to$419.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.65 changed to 1.61
- Practice expense RVU 9.27 changed to 9.10
- Malpractice RVU 0.16 changed to 0.17
- Work GPCI 1.065 changed to 1.064
- Practice expense GPCI 1.166 changed to 1.162
- Malpractice GPCI 1.656 changed to 1.586
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $415.04
Held through RVU25B, RVU25C, RVU25D.
Where the Manhattan rate applies
Manhattan is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.
- 19082 in New York · multiple payment areas
19082 billing questions
When should 19082 be reported instead of 19081?
Use 19081 for the first lesion biopsied with stereotactic guidance. Report 19082 for each additional distinct lesion sampled with that guidance.
Can 19082 be billed by itself?
No. It is an add-on code and must be reported with the primary stereotactic breast biopsy, 19081.
Can the localization device or specimen imaging be billed separately?
Device placement and imaging of the specimen are included when performed as part of the biopsy described by this code.
What documentation supports reporting an additional lesion?
Record that a distinct additional breast lesion was sampled, the use of stereotactic guidance, and the specimen identification for each sampled site.
How does 19082 differ from 19084?
Both report an additional lesion, but 19082 is for stereotactic guidance and 19084 is for ultrasound guidance.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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