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CMS RVU26D · Effective 2026-10-01

19287 in Merced

Office / nonfacility

$645.86

Base rate per service

Facility setting

$105.17

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

About 19287: MRI-guided breast localization device placement

Report this service for percutaneous placement of a breast localization device at the first lesion when MRI provides the procedural guidance.

A radiologist typically uses MRI to guide a needle or delivery system through the skin and place a localization device at a breast lesion. The marker helps identify the target for a later procedure, such as surgical excision, particularly when the abnormality is best seen on MRI. This code represents localization, not tissue sampling; it may be performed after a prior biopsy has identified the target.

Report this code for the first lesion localized with MRI guidance, and document the target, percutaneous placement, and MRI guidance. The add-on code 19288 is used for each additional lesion. MRI guidance for placement is included. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. 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 19287

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 RVU2.49 · 14%
  • Practice expense (office) RVU15.22 · 85%
  • Malpractice RVU0.23 · 1%

281

Medicare services in 2024 · #4044 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.

19287 compared with similar codes

Office rates for Merced, from the same CMS release.

19288

Breast localization

Additional lesion, MRI guidance

$495.25

19287 is for the first MRI-guided localization target; 19288 reports each additional lesion.

19285

Breast localization

First lesion, ultrasound guidance

$376.26

Choose 19285 when ultrasound guides placement. Choose 19287 when MRI guides placement.

19085

Breast biopsy

First lesion, MRI guidance

$771.88

19085 includes MRI-guided tissue sampling and marker placement when performed; 19287 reports localization device placement without biopsy sampling.

19283

Breast localization

First lesion, stereotactic guidance

$265.12

19283 is the first-lesion localization code for stereotactic guidance, rather than MRI guidance.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 19287 is $646.59—$0.73 higher than the $645.86 rate in Merced. Both use the same code, release and participation basis.

19287 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $645.86

  2. Bakersfield

    $646.59

    $0.73 higher than Merced

  3. Chico

    $645.86

    The same base rate than Merced

  4. El Centro

    $645.90

    $0.04 higher than Merced

  5. Fresno

    $645.86

    The same base rate than Merced

  6. Hanford-Corcoran

    $645.86

    The same base rate than Merced

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

    $693.07

    $47.21 higher than Merced

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, 19287 ranges from $523.81 in Arkansas to $829.49 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

Compare all 108 other payment areas

  • Madera

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Modesto

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Napa

    California · 19287

    Office

    $762.33

    Facility

    $112.12

    $116.47 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 19287

    Office

    $691.17

    Facility

    $108.05

    $45.31 higher than Merced for the office setting.

  • Redding

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 19287

    Office

    $648.38

    Facility

    $107.69

    $2.52 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 19287

    Office

    $681.50

    Facility

    $107.76

    $35.64 higher than Merced for the office setting.

  • Salinas

    California · 19287

    Office

    $679.06

    Facility

    $107.28

    $33.20 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 19287

    Office

    $697.83

    Facility

    $107.80

    $51.97 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 19287

    Office

    $811.39

    Facility

    $115.79

    $165.53 higher than Merced for the office setting.

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

    California · 19287

    Office

    $811.12

    Facility

    $115.53

    $165.26 higher than Merced for the office setting.

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

    California · 19287

    Office

    $829.49

    Facility

    $118.11

    $183.63 higher than Merced for the office setting.

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

    California · 19287

    Office

    $828.42

    Facility

    $117.04

    $182.56 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 19287

    Office

    $667.72

    Facility

    $105.82

    $21.86 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 19287

    Office

    $706.69

    Facility

    $107.29

    $60.83 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 19287

    Office

    $682.36

    Facility

    $107.14

    $36.50 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 19287

    Office

    $714.05

    Facility

    $108.24

    $68.19 higher than Merced for the office setting.

  • Stockton

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 19287

    Office

    $761.95

    Facility

    $111.74

    $116.09 higher than Merced for the office setting.

  • Visalia

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 19287

    Office

    $645.86

    Facility

    $105.17

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 19287

    Office

    $695.06

    Facility

    $113.92

    $49.20 higher than Merced for the office setting.

  • Miami

    Florida · 19287

    Office

    $631.80

    Facility

    $118.24

    $14.06 lower than Merced for the office setting.

  • Chicago

    Illinois · 19287

    Office

    $612.28

    Facility

    $116.49

    $33.58 lower than Merced for the office setting.

  • Manhattan

    New York · 19287

    Office

    $691.39

    Facility

    $118.14

    $45.53 higher than Merced for the office setting.

  • Alaska*

    Alaska · 19287

    Office

    $670.39

    Facility

    $144.99

    $24.53 higher than Merced for the office setting.

  • Alabama

    Alabama · 19287

    Office

    $532.33

    Facility

    $100.67

    $113.53 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 19287

    Office

    $523.81

    Facility

    $100.04

    $122.05 lower than Merced for the office setting.

  • Arizona

    Arizona · 19287

    Office

    $582.35

    Facility

    $104.31

    $63.51 lower than Merced for the office setting.

  • Colorado

    Colorado · 19287

    Office

    $631.06

    Facility

    $106.16

    $14.80 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 19287

    Office

    $641.63

    Facility

    $110.31

    $4.23 lower than Merced for the office setting.

  • Delaware

    Delaware · 19287

    Office

    $592.75

    Facility

    $105.34

    $53.11 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 19287

    Office

    $612.03

    Facility

    $112.28

    $33.83 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 19287

    Office

    $580.71

    Facility

    $109.08

    $65.15 lower than Merced for the office setting.

  • Atlanta

    Georgia · 19287

    Office

    $609.14

    Facility

    $107.91

    $36.72 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 19287

    Office

    $545.78

    Facility

    $105.73

    $100.08 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 19287

    Office

    $665.62

    Facility

    $104.71

    $19.76 higher than Merced for the office setting.

  • Iowa

    Iowa · 19287

    Office

    $551.37

    Facility

    $99.97

    $94.49 lower than Merced for the office setting.

  • Idaho

    Idaho · 19287

    Office

    $554.49

    Facility

    $100.63

    $91.37 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 19287

    Office

    $566.33

    Facility

    $112.47

    $79.53 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 19287

    Office

    $559.31

    Facility

    $108.90

    $86.55 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 19287

    Office

    $619.45

    Facility

    $112.80

    $26.41 lower than Merced for the office setting.

  • Indiana

    Indiana · 19287

    Office

    $558.15

    Facility

    $100.83

    $87.71 lower than Merced for the office setting.

  • Kansas

    Kansas · 19287

    Office

    $546.60

    Facility

    $100.63

    $99.26 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 19287

    Office

    $542.13

    Facility

    $103.56

    $103.73 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 19287

    Office

    $570.26

    Facility

    $106.04

    $75.60 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 19287

    Office

    $540.43

    Facility

    $103.83

    $105.43 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 19287

    Office

    $700.40

    Facility

    $111.36

    $54.54 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 19287

    Office

    $625.93

    Facility

    $106.45

    $19.93 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 19287

    Office

    $639.47

    Facility

    $110.13

    $6.39 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 19287

    Office

    $605.51

    Facility

    $106.26

    $40.35 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 19287

    Office

    $555.64

    Facility

    $101.77

    $90.22 lower than Merced for the office setting.

  • Southern Maine

    Maine · 19287

    Office

    $591.80

    Facility

    $102.91

    $54.06 lower than Merced for the office setting.

  • Detroit

    Michigan · 19287

    Office

    $586.69

    Facility

    $110.62

    $59.17 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 19287

    Office

    $555.98

    Facility

    $105.56

    $89.88 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 19287

    Office

    $608.55

    Facility

    $100.91

    $37.31 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 19287

    Office

    $568.03

    Facility

    $104.79

    $77.83 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 19287

    Office

    $574.83

    Facility

    $105.17

    $71.03 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 19287

    Office

    $528.86

    Facility

    $103.61

    $117.00 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 19287

    Office

    $526.54

    Facility

    $101.79

    $119.32 lower than Merced for the office setting.

  • Montana**

    Montana · 19287

    Office

    $599.20

    Facility

    $105.87

    $46.66 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 19287

    Office

    $562.38

    Facility

    $102.10

    $83.48 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 19287

    Office

    $594.65

    Facility

    $101.32

    $51.21 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 19287

    Office

    $555.29

    Facility

    $99.95

    $90.57 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 19287

    Office

    $619.09

    Facility

    $105.54

    $26.77 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 19287

    Office

    $686.31

    Facility

    $114.05

    $40.45 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 19287

    Office

    $650.05

    Facility

    $111.34

    $4.19 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 19287

    Office

    $558.56

    Facility

    $106.18

    $87.30 lower than Merced for the office setting.

  • Nevada**

    Nevada · 19287

    Office

    $598.44

    Facility

    $104.61

    $47.42 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 19287

    Office

    $707.20

    Facility

    $120.63

    $61.34 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 19287

    Office

    $652.86

    Facility

    $112.66

    $7.00 higher than Merced for the office setting.

  • Queens

    New York · 19287

    Office

    $700.45

    Facility

    $117.33

    $54.59 higher than Merced for the office setting.

  • Rest Of New York

    New York · 19287

    Office

    $571.51

    Facility

    $102.85

    $74.35 lower than Merced for the office setting.

  • Ohio

    Ohio · 19287

    Office

    $555.05

    Facility

    $104.63

    $90.81 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 19287

    Office

    $543.10

    Facility

    $102.56

    $102.76 lower than Merced for the office setting.

  • Portland

    Oregon · 19287

    Office

    $655.00

    Facility

    $106.91

    $9.14 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 19287

    Office

    $594.90

    Facility

    $103.54

    $50.96 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 19287

    Office

    $623.03

    Facility

    $109.48

    $22.83 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 19287

    Office

    $557.10

    Facility

    $104.23

    $88.76 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 19287

    Office

    $604.69

    Facility

    $105.93

    $41.17 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 19287

    Office

    $616.74

    Facility

    $107.13

    $29.12 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 19287

    Office

    $559.42

    Facility

    $103.59

    $86.44 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 19287

    Office

    $594.11

    Facility

    $100.78

    $51.75 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 19287

    Office

    $549.39

    Facility

    $100.96

    $96.47 lower than Merced for the office setting.

  • Austin

    Texas · 19287

    Office

    $627.99

    Facility

    $106.04

    $17.87 lower than Merced for the office setting.

  • Beaumont

    Texas · 19287

    Office

    $552.91

    Facility

    $103.98

    $92.95 lower than Merced for the office setting.

  • Brazoria

    Texas · 19287

    Office

    $593.61

    Facility

    $104.72

    $52.25 lower than Merced for the office setting.

  • Dallas

    Texas · 19287

    Office

    $596.84

    Facility

    $105.48

    $49.02 lower than Merced for the office setting.

  • Fort Worth

    Texas · 19287

    Office

    $591.85

    Facility

    $105.43

    $54.01 lower than Merced for the office setting.

  • Galveston

    Texas · 19287

    Office

    $595.00

    Facility

    $105.12

    $50.86 lower than Merced for the office setting.

  • Houston

    Texas · 19287

    Office

    $599.21

    Facility

    $109.33

    $46.65 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 19287

    Office

    $572.54

    Facility

    $104.37

    $73.32 lower than Merced for the office setting.

  • Utah

    Utah · 19287

    Office

    $567.93

    Facility

    $104.20

    $77.93 lower than Merced for the office setting.

  • Virginia

    Virginia · 19287

    Office

    $588.31

    Facility

    $103.37

    $57.55 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 19287

    Office

    $604.69

    Facility

    $105.93

    $41.17 lower than Merced for the office setting.

  • Vermont

    Vermont · 19287

    Office

    $590.33

    Facility

    $101.94

    $55.53 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 19287

    Office

    $625.40

    Facility

    $105.92

    $20.46 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 19287

    Office

    $717.36

    Facility

    $112.05

    $71.50 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 19287

    Office

    $572.54

    Facility

    $99.93

    $73.32 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 19287

    Office

    $535.93

    Facility

    $107.22

    $109.93 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 19287

    Office

    $597.21

    Facility

    $103.88

    $48.65 lower than Merced for the office setting.

See how rates vary across the country

19287 · 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.

$523.81

$737.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$670.391
AL$532.331
AR$523.811
AZ$582.351
CA$645.86–$829.4929
CO$631.061
CT$641.631
DC$695.061
DE$592.751
FL$580.71–$631.803
GA$545.78–$609.142
GU$665.621
HI$665.621
IA$551.371
ID$554.491
IL$559.31–$619.454
IN$558.151
KS$546.601
KY$542.131
LA$540.43–$570.262
MA$625.93–$700.402
MD$605.51–$695.063
ME$555.64–$591.802
MI$555.98–$586.692
MN$608.551
MO$528.86–$574.833
MS$526.541
MT$599.201
NC$562.381
ND$594.651
NE$555.291
NH$619.091
NJ$650.05–$686.312
NM$558.561
NV$598.441
NY$571.51–$707.205
OH$555.051
OK$543.101
OR$594.90–$655.002
PA$557.10–$623.032
PR$604.691
RI$616.741
SC$559.421
SD$594.111
TN$549.391
TX$552.91–$627.998
UT$567.931
VA$588.31–$695.062
VI$604.691
VT$590.331
WA$625.40–$717.362
WI$572.541
WV$535.931
WY$597.211

Explore 19287 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 19287 in Merced, the physician’s office rate is $645.86 and the facility-setting rate is $105.17: a difference of $540.69.

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 19287 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$710.45

$645.86 × 110% = $710.45

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 19287 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,679

Code
19287
Physician work
2.49
Practice expense
15.22
Malpractice
0.23

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 19287 in Merced
ComponentRVULocality factorAdjusted
Physician work2.49× 1.0172.5323
Practice expense15.22× 1.09616.6811
Malpractice0.23× 0.5360.1233
Total RVUs19.3367
Conversion factor× 33.4009

Office / nonfacility rate, Merced$645.86

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

Open 19287 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.491.017
Practice expense15.221.096
Malpractice0.230.536

(2.49 × 1.017 + 15.22 × 1.096 + 0.23 × 0.536) × $33.4009 = $645.86

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.491.017
Practice expense0.451.096
Malpractice0.230.536

(2.49 × 1.017 + 0.45 × 1.096 + 0.23 × 0.536) × $33.4009 = $105.17

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

19287 · Office / nonfacility

$645.86

Effective 2026-10-01

The base rate is $10.95 higher than on 2025-10-01, moving from $634.91 to $645.86 (1.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $634.91changed to$645.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.55 changed to 2.49
    • Practice expense RVU 15.48 changed to 15.22
    • Malpractice RVU 0.22 changed to 0.23
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $634.91

    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$645.86$105.17RVU26D
2026-07-01$645.86$105.17RVU26C
2026-04-01$645.86$105.17RVU26B
2026-01-01$645.86$105.17RVU26A
2025-10-01$634.91$120.50RVU25D
2025-07-01$634.91$120.50RVU25C
2025-04-01$634.91$120.50RVU25B
2025-01-01$634.91$120.50RVU25A

19287 billing questions

When should 19287 be used instead of 19288?

Use 19287 for the first lesion localized with MRI guidance. Report 19288 for each additional lesion.

How does 19287 differ from 19285?

Both describe percutaneous breast localization device placement, but 19287 uses MRI guidance and 19285 uses ultrasound guidance.

Can 19287 be reported for a breast biopsy?

19287 describes placement of a localization device, not tissue sampling. For an MRI-guided percutaneous biopsy with marker placement, consider 19085, which includes the biopsy service.

Is MRI guidance separately reported with 19287?

No. MRI guidance for the localization placement is included in 19287.

What documentation supports 19287?

Document the breast target, percutaneous device placement, and use of MRI guidance. Identify additional lesions separately when reporting 19288.

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 19287PPRRVU2026_Oct_nonQPP.csv, line 1,679 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet