No office rate
19301 reports the partial mastectomy itself. Use 19294 as an add-on when the tumor cavity is prepared and an applicator is placed for intraoperative radiation.
On this page
CMS RVU26D · Effective 2026-10-01
19294 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$140.22
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 surgery
About 19294: Tumor cavity preparation for breast IORT
Reports preparation of a breast tumor cavity and placement of an intraoperative radiation applicator following partial mastectomy.
During breast-conserving surgery, the surgeon prepares the excision cavity and positions an applicator so radiation can be delivered intraoperatively. The service is performed in the operating room after removal of the breast lesion; the applicator is placed in the resulting tumor bed for the planned intraoperative treatment. Radiation delivery itself is a distinct service, commonly performed by a radiation oncologist with the surgical team present.
Report 19294 as an add-on with the primary partial mastectomy procedure, not as a stand-alone service. The operative report should support the partial mastectomy, preparation of the cavity, and placement of the applicator for intraoperative radiation. CMS treats this as an add-on paid within the primary procedure’s global period. The code represents cavity preparation and applicator placement, not the radiation dose or delivery.
CMS billing rules for 19294
- 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 RVU2.93 · 66%
- Practice expense (office) RVU0.74 · 17%
- Malpractice RVU0.76 · 17%
263
Medicare services in 2024 · #4093 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.
19294 compared with similar codes
Office rates for Modesto, from the same CMS release.
$4,350.60
19296 concerns breast catheter placement for a radiation approach using a catheter after partial mastectomy; 19294 is for an applicator placed for treatment during surgery.
No office rate
19297 also concerns breast catheter placement for radiation after partial mastectomy. It is not the cavity-preparation and intraoperative-applicator service described by 19294.
77424
No office rateIo rad tx delivery by x-ray
77424 represents electron intraoperative radiation delivery. 19294 reports the surgical preparation and applicator placement, not the radiation treatment.
The same code, a different location
How does Modesto compare?
19294 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Merced
California · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Napa
California · 19294
Office
Unavailable
Facility
$149.50
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 19294
Office
Unavailable
Facility
$145.63
No comparable office rate is available.
Redding
California · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Rest Of California
California · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 19294
Office
Unavailable
Facility
$148.37
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 19294
Office
Unavailable
Facility
$143.74
No comparable office rate is available.
Salinas
California · 19294
Office
Unavailable
Facility
$143.15
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 19294
Office
Unavailable
Facility
$144.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 19294
Office
Unavailable
Facility
$153.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 19294
Office
Unavailable
Facility
$152.80
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 19294
Office
Unavailable
Facility
$157.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 19294
Office
Unavailable
Facility
$154.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 19294
Office
Unavailable
Facility
$141.29
No comparable office rate is available.
Santa Cruz-Watsonville
California · 19294
Office
Unavailable
Facility
$143.56
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 19294
Office
Unavailable
Facility
$143.03
No comparable office rate is available.
Santa Rosa-Petaluma
California · 19294
Office
Unavailable
Facility
$144.76
No comparable office rate is available.
Stockton
California · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Vallejo
California · 19294
Office
Unavailable
Facility
$148.26
No comparable office rate is available.
Visalia
California · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Yuba City
California · 19294
Office
Unavailable
Facility
$140.22
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 19294
Office
Unavailable
Facility
$160.52
No comparable office rate is available.
Miami
Florida · 19294
Office
Unavailable
Facility
$187.79
No comparable office rate is available.
Chicago
Illinois · 19294
Office
Unavailable
Facility
$181.65
No comparable office rate is available.
Manhattan
New York · 19294
Office
Unavailable
Facility
$173.11
No comparable office rate is available.
Alaska*
Alaska · 19294
Office
Unavailable
Facility
$187.11
No comparable office rate is available.
Alabama
Alabama · 19294
Office
Unavailable
Facility
$133.86
No comparable office rate is available.
Arkansas
Arkansas · 19294
Office
Unavailable
Facility
$132.17
No comparable office rate is available.
Arizona
Arizona · 19294
Office
Unavailable
Facility
$143.54
No comparable office rate is available.
Colorado
Colorado · 19294
Office
Unavailable
Facility
$145.16
No comparable office rate is available.
Connecticut
Connecticut · 19294
Office
Unavailable
Facility
$157.16
No comparable office rate is available.
Delaware
Delaware · 19294
Office
Unavailable
Facility
$145.59
No comparable office rate is available.
Fort Lauderdale
Florida · 19294
Office
Unavailable
Facility
$168.80
No comparable office rate is available.
Rest Of Florida
Florida · 19294
Office
Unavailable
Facility
$159.65
No comparable office rate is available.
Atlanta
Georgia · 19294
Office
Unavailable
Facility
$153.76
No comparable office rate is available.
Rest Of Georgia
Georgia · 19294
Office
Unavailable
Facility
$150.17
No comparable office rate is available.
Hawaii, Guam
Hawaii · 19294
Office
Unavailable
Facility
$140.67
No comparable office rate is available.
Iowa
Iowa · 19294
Office
Unavailable
Facility
$130.56
No comparable office rate is available.
Idaho
Idaho · 19294
Office
Unavailable
Facility
$132.61
No comparable office rate is available.
East St. Louis
Illinois · 19294
Office
Unavailable
Facility
$171.73
No comparable office rate is available.
Rest Of Illinois
Illinois · 19294
Office
Unavailable
Facility
$160.11
No comparable office rate is available.
Suburban Chicago
Illinois · 19294
Office
Unavailable
Facility
$168.92
No comparable office rate is available.
Indiana
Indiana · 19294
Office
Unavailable
Facility
$133.11
No comparable office rate is available.
Kansas
Kansas · 19294
Office
Unavailable
Facility
$133.00
No comparable office rate is available.
Kentucky
Kentucky · 19294
Office
Unavailable
Facility
$143.06
No comparable office rate is available.
New Orleans
Louisiana · 19294
Office
Unavailable
Facility
$149.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 19294
Office
Unavailable
Facility
$144.06
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 19294
Office
Unavailable
Facility
$153.98
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 19294
Office
Unavailable
Facility
$145.69
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 19294
Office
Unavailable
Facility
$157.35
No comparable office rate is available.
Rest Of Maryland
Maryland · 19294
Office
Unavailable
Facility
$147.16
No comparable office rate is available.
Rest Of Maine
Maine · 19294
Office
Unavailable
Facility
$136.39
No comparable office rate is available.
Southern Maine
Maine · 19294
Office
Unavailable
Facility
$138.38
No comparable office rate is available.
Detroit
Michigan · 19294
Office
Unavailable
Facility
$164.51
No comparable office rate is available.
Rest Of Michigan
Michigan · 19294
Office
Unavailable
Facility
$149.09
No comparable office rate is available.
Minnesota
Minnesota · 19294
Office
Unavailable
Facility
$130.81
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 19294
Office
Unavailable
Facility
$145.87
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 19294
Office
Unavailable
Facility
$146.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 19294
Office
Unavailable
Facility
$143.90
No comparable office rate is available.
Mississippi
Mississippi · 19294
Office
Unavailable
Facility
$137.90
No comparable office rate is available.
Montana**
Montana · 19294
Office
Unavailable
Facility
$147.92
No comparable office rate is available.
North Carolina
North Carolina · 19294
Office
Unavailable
Facility
$137.15
No comparable office rate is available.
North Dakota**
North Dakota · 19294
Office
Unavailable
Facility
$132.89
No comparable office rate is available.
Nebraska
Nebraska · 19294
Office
Unavailable
Facility
$130.27
No comparable office rate is available.
New Hampshire
New Hampshire · 19294
Office
Unavailable
Facility
$145.81
No comparable office rate is available.
Northern Nj
New Jersey · 19294
Office
Unavailable
Facility
$159.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 19294
Office
Unavailable
Facility
$156.62
No comparable office rate is available.
New Mexico
New Mexico · 19294
Office
Unavailable
Facility
$151.02
No comparable office rate is available.
Nevada**
Nevada · 19294
Office
Unavailable
Facility
$143.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 19294
Office
Unavailable
Facility
$180.66
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 19294
Office
Unavailable
Facility
$160.05
No comparable office rate is available.
Queens
New York · 19294
Office
Unavailable
Facility
$169.95
No comparable office rate is available.
Rest Of New York
New York · 19294
Office
Unavailable
Facility
$139.19
No comparable office rate is available.
Ohio
Ohio · 19294
Office
Unavailable
Facility
$146.02
No comparable office rate is available.
Oklahoma
Oklahoma · 19294
Office
Unavailable
Facility
$139.66
No comparable office rate is available.
Portland
Oregon · 19294
Office
Unavailable
Facility
$145.78
No comparable office rate is available.
Rest Of Oregon
Oregon · 19294
Office
Unavailable
Facility
$140.33
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 19294
Office
Unavailable
Facility
$155.64
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 19294
Office
Unavailable
Facility
$144.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 19294
Office
Unavailable
Facility
$147.86
No comparable office rate is available.
Rhode Island
Rhode Island · 19294
Office
Unavailable
Facility
$147.90
No comparable office rate is available.
South Carolina
South Carolina · 19294
Office
Unavailable
Facility
$142.28
No comparable office rate is available.
South Dakota**
South Dakota · 19294
Office
Unavailable
Facility
$131.11
No comparable office rate is available.
Tennessee
Tennessee · 19294
Office
Unavailable
Facility
$133.96
No comparable office rate is available.
Austin
Texas · 19294
Office
Unavailable
Facility
$146.70
No comparable office rate is available.
Beaumont
Texas · 19294
Office
Unavailable
Facility
$143.94
No comparable office rate is available.
Brazoria
Texas · 19294
Office
Unavailable
Facility
$142.94
No comparable office rate is available.
Dallas
Texas · 19294
Office
Unavailable
Facility
$145.14
No comparable office rate is available.
Fort Worth
Texas · 19294
Office
Unavailable
Facility
$145.23
No comparable office rate is available.
Galveston
Texas · 19294
Office
Unavailable
Facility
$144.21
No comparable office rate is available.
Houston
Texas · 19294
Office
Unavailable
Facility
$158.12
No comparable office rate is available.
Rest Of Texas
Texas · 19294
Office
Unavailable
Facility
$144.24
No comparable office rate is available.
Utah
Utah · 19294
Office
Unavailable
Facility
$143.89
No comparable office rate is available.
Virginia
Virginia · 19294
Office
Unavailable
Facility
$140.08
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 19294
Office
Unavailable
Facility
$147.86
No comparable office rate is available.
Vermont
Vermont · 19294
Office
Unavailable
Facility
$135.18
No comparable office rate is available.
Rest Of Washington
Washington · 19294
Office
Unavailable
Facility
$144.48
No comparable office rate is available.
Seattle (King Cnty)
Washington · 19294
Office
Unavailable
Facility
$153.82
No comparable office rate is available.
Wisconsin
Wisconsin · 19294
Office
Unavailable
Facility
$129.36
No comparable office rate is available.
West Virginia
West Virginia · 19294
Office
Unavailable
Facility
$155.67
No comparable office rate is available.
Wyoming**
Wyoming · 19294
Office
Unavailable
Facility
$141.37
No comparable office rate is available.
See how rates vary across the country
19294 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 19294 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$154.24
$140.22 × 110% = $154.24
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.
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 19294 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
1,681
- Code
- 19294
- Physician work
- 2.93
- Practice expense
- 0.74
- Malpractice
- 0.76
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.017 | 2.9798 |
| Practice expense | 0.74 | × 1.096 | 0.8110 |
| Malpractice | 0.76 | × 0.536 | 0.4074 |
| Total RVUs | 4.1982 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$140.22
Open 19294 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1.017 |
| Practice expense | 0.74 | 1.096 |
| Malpractice | 0.76 | 0.536 |
(2.93 × 1.017 + 0.74 × 1.096 + 0.76 × 0.536) × $33.4009 = $140.22
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
19294 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $140.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $140.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $140.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $140.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $153.18 | RVU25D |
| 2025-07-01 | Not available in this setting | $153.18 | RVU25C |
| 2025-04-01 | Not available in this setting | $153.18 | RVU25B |
| 2025-01-01 | Not available in this setting | $153.18 | RVU25A |
19294 billing questions
Can 19294 be reported by itself?
No. It is an add-on code and must be billed with an eligible primary procedure, typically the partial mastectomy.
How does 19294 differ from 19301?
19301 reports the partial mastectomy. 19294 reports the additional work of preparing the tumor cavity and placing the applicator for intraoperative radiation.
Does 19294 include radiation delivery?
No. It covers cavity preparation and applicator placement; radiation delivery is a distinct service, such as the treatment represented by 77424 or 77425.
What documentation supports 19294?
The operative report should describe the partial mastectomy, preparation of the tumor bed, and placement of the applicator for intraoperative radiation.
How does the global-period rule affect reporting?
CMS pays this add-on within the primary procedure’s global period. It must be reported with the primary procedure rather than as a separate stand-alone service.
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.
1,67819286,,Perq dev breast add us imag,A,,0.83,7.66,,0.16,,0.09,8.58,1.08,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67919287,,Perq dev breast 1st mr guide,A,,2.49,15.22,,0.45,,0.23,17.94,3.17,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68019288,,Perq dev breast add mr guide,A,,1.25,12.31,,0.23,,0.12,13.68,1.60,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68119294,,Prepj tum cav iort prtl mast,A,,2.93,0.74,NA,0.74,,0.76,4.43,4.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68219296,,Place po breast cath for rad,A,,3.54,115.12,,1.36,,0.90,119.56,5.80,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68319297,,Place breast cath for rad,A,,1.68,0.40,NA,0.40,,0.41,2.49,2.49,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68419298,,Place breast rad tube/caths,A,,5.61,19.44,,1.84,,0.44,25.49,7.89,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536