Billing code 19085: Breast biopsyMedicare rate & RVUs in Nevada**
Reports percutaneous tissue sampling of a breast lesion targeted with MRI, for the first lesion biopsied using MRI guidance.
In Nevada**, Medicare pays $717.42 for 19085 in the office and $149.37 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 19085 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 19085 covers
This service covers percutaneous sampling of a breast lesion located and targeted with magnetic resonance imaging, typically when the lesion is not adequately accessible for targeting by ultrasound or mammography. A radiologist or other qualified breast imager guides a biopsy needle to the lesion, obtains tissue, and may place a marker clip and image the specimen. The code represents the biopsy with MRI guidance, not a diagnostic breast MRI alone or surgical removal of the lesion.
Report 19085 for the first lesion sampled with MRI guidance; report 19086 for each additional lesion sampled with that guidance. The record should support the targeted lesion, MRI guidance, tissue sampling, and any marker placement or specimen imaging performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, 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.
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 Nevada** compares for 19085
Across 109 of 109 payment localities, the office rate for 19085 runs from $630.14 in Arkansas to $986.53 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Nevada** pays $717.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada** · this page$717.42
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$827.42+$110.00
- Dc + Md/Va Suburbs · District of Columbia$831.27+$113.85
- Miami · Florida$760.79+$43.37
- Chicago · Illinois$737.70+$20.28
- Manhattan · New York$828.57+$111.15
- Alaska* · Alaska$811.08+$93.66
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $640.15 | $143.60 |
| ArkansasArkansas | $630.14 | $142.67 |
| ArizonaArizona | $698.86 | $148.97 |
| BakersfieldCalifornia | $772.97 | $151.01 |
| ChicoCalifornia | $771.88 | $149.92 |
| El CentroCalifornia | $771.94 | $149.98 |
| FresnoCalifornia | $771.88 | $149.92 |
| Hanford-CorcoranCalifornia | $771.88 | $149.92 |
| MaderaCalifornia | $771.88 | $149.92 |
| MercedCalifornia | $771.88 | $149.92 |
| ModestoCalifornia | $771.88 | $149.92 |
| NapaCalifornia | $907.66 | $159.72 |
| Oxnard-Thousand Oaks-VenturaCalifornia | $824.81 | $154.05 |
| ReddingCalifornia | $771.88 | $149.92 |
| Rest Of CaliforniaCalifornia | $771.88 | $149.92 |
| Riverside-San Bernardino-OntarioCalifornia | $775.70 | $153.74 |
| Sacramento-Roseville-FolsomCalifornia | $813.56 | $153.58 |
| SalinasCalifornia | $810.61 | $152.90 |
| San Diego-Chula Vista-CarlsbadCalifornia | $832.34 | $153.63 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $965.02 | $164.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $964.62 | $164.48 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $986.53 | $168.23 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $984.91 | $166.60 |
| San Luis Obispo-Paso RoblesCalifornia | $797.18 | $150.82 |
| Santa Cruz-WatsonvilleCalifornia | $842.39 | $152.90 |
| Santa Maria-Santa BarbaraCalifornia | $814.38 | $152.69 |
| Santa Rosa-PetalumaCalifornia | $851.10 | $154.24 |
| StocktonCalifornia | $771.88 | $149.92 |
| VallejoCalifornia | $907.08 | $159.14 |
| VisaliaCalifornia | $771.88 | $149.92 |
| Yuba CityCalifornia | $771.88 | $149.92 |
| ColoradoColorado | $755.32 | $151.52 |
| ConnecticutConnecticut | $768.93 | $157.75 |
| DelawareDelaware | $711.14 | $150.47 |
| Fort LauderdaleFlorida | $735.88 | $161.03 |
| Rest Of FloridaFlorida | $698.77 | $156.26 |
| AtlantaGeorgia | $730.91 | $154.35 |
| Rest Of GeorgiaGeorgia | $657.47 | $151.28 |
| Hawaii, GuamHawaii | $794.49 | $149.27 |
| IowaIowa | $661.71 | $142.47 |
| IdahoIdaho | $665.54 | $143.46 |
| East St. LouisIllinois | $683.56 | $161.48 |
| Rest Of IllinoisIllinois | $674.17 | $156.06 |
| Suburban ChicagoIllinois | $744.53 | $161.73 |
| IndianaIndiana | $669.82 | $143.76 |
| KansasKansas | $656.49 | $143.49 |
| KentuckyKentucky | $652.47 | $147.98 |
| New OrleansLouisiana | $685.65 | $151.65 |
| Rest Of LouisianaLouisiana | $650.62 | $148.40 |
| Metropolitan BostonMassachusetts | $836.54 | $158.96 |
| Rest Of MassachusettsMassachusetts | $749.50 | $151.95 |
| Baltimore/Surr. CntysMaryland | $766.42 | $157.51 |
| Rest Of MarylandMaryland | $726.08 | $151.79 |
| Rest Of MaineMaine | $667.29 | $145.20 |
| Southern MaineMaine | $709.18 | $146.80 |
| DetroitMichigan | $706.21 | $158.59 |
| Rest Of MichiganMichigan | $669.09 | $150.98 |
| MinnesotaMinnesota | $727.62 | $143.69 |
| Metropolitan Kansas CityMissouri | $682.62 | $149.75 |
| Metropolitan St. LouisMissouri | $690.56 | $150.32 |
| Rest Of MissouriMissouri | $637.27 | $148.10 |
| MississippiMississippi | $633.93 | $145.33 |
| Montana**Montana | $718.76 | $151.28 |
| North CarolinaNorth Carolina | $675.14 | $145.68 |
| North Dakota**North Dakota | $711.84 | $144.36 |
| NebraskaNebraska | $666.20 | $142.41 |
| New HampshireNew Hampshire | $741.46 | $150.71 |
| Northern NjNew Jersey | $821.22 | $162.94 |
| Rest Of New JerseyNew Jersey | $778.81 | $159.12 |
| New MexicoNew Mexico | $672.29 | $151.91 |
| Nyc Suburbs/Long IslandNew York | $847.63 | $172.89 |
| Poughkpsie/N Nyc SuburbsNew York | $782.49 | $161.10 |
| QueensNew York | $838.65 | $167.89 |
| Rest Of New YorkNew York | $685.89 | $146.78 |
| OhioOhio | $667.68 | $149.57 |
| OklahomaOklahoma | $653.21 | $146.45 |
| PortlandOregon | $783.02 | $152.55 |
| Rest Of OregonOregon | $712.96 | $147.75 |
| Metropolitan PhiladelphiaPennsylvania | $747.31 | $156.56 |
| Rest Of PennsylvaniaPennsylvania | $669.89 | $148.94 |
| Puerto RicoPuerto Rico | $725.09 | $151.36 |
| Rhode IslandRhode Island | $739.20 | $152.99 |
| South CarolinaSouth Carolina | $672.31 | $147.95 |
| South Dakota**South Dakota | $711.02 | $143.54 |
| TennesseeTennessee | $659.82 | $143.98 |
| AustinTexas | $751.83 | $151.43 |
| BeaumontTexas | $664.99 | $148.58 |
| BrazoriaTexas | $711.87 | $149.49 |
| DallasTexas | $715.84 | $150.63 |
| Fort WorthTexas | $710.11 | $150.57 |
| GalvestonTexas | $713.61 | $150.10 |
| HoustonTexas | $720.01 | $156.50 |
| Rest Of TexasTexas | $687.64 | $149.10 |
| UtahUtah | $682.28 | $148.85 |
| VirginiaVirginia | $705.35 | $147.51 |
| Virgin IslandsUnited States Virgin Islands | $725.09 | $151.36 |
| VermontVermont | $707.13 | $145.32 |
| Rest Of WashingtonWashington | $748.73 | $151.17 |
| Seattle (King Cnty)Washington | $856.17 | $159.87 |
| WisconsinWisconsin | $685.98 | $142.33 |
| West VirginiaWest Virginia | $646.73 | $153.59 |
| Wyoming**Wyoming | $715.75 | $148.27 |
19085 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.
$630.14
$879.20
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 | $811.08 | 1 |
| AL | $640.15 | 1 |
| AR | $630.14 | 1 |
| AZ | $698.86 | 1 |
| CA | $771.88–$986.53 | 29 |
| CO | $755.32 | 1 |
| CT | $768.93 | 1 |
| DC | $831.27 | 1 |
| DE | $711.14 | 1 |
| FL | $698.77–$760.79 | 3 |
| GA | $657.47–$730.91 | 2 |
| GU | $794.49 | 1 |
| HI | $794.49 | 1 |
| IA | $661.71 | 1 |
| ID | $665.54 | 1 |
| IL | $674.17–$744.53 | 4 |
| IN | $669.82 | 1 |
| KS | $656.49 | 1 |
| KY | $652.47 | 1 |
| LA | $650.62–$685.65 | 2 |
| MA | $749.50–$836.54 | 2 |
| MD | $726.08–$831.27 | 3 |
| ME | $667.29–$709.18 | 2 |
| MI | $669.09–$706.21 | 2 |
| MN | $727.62 | 1 |
| MO | $637.27–$690.56 | 3 |
| MS | $633.93 | 1 |
| MT | $718.76 | 1 |
| NC | $675.14 | 1 |
| ND | $711.84 | 1 |
| NE | $666.20 | 1 |
| NH | $741.46 | 1 |
| NJ | $778.81–$821.22 | 2 |
| NM | $672.29 | 1 |
| NV | $717.42 | 1 |
| NY | $685.89–$847.63 | 5 |
| OH | $667.68 | 1 |
| OK | $653.21 | 1 |
| OR | $712.96–$783.02 | 2 |
| PA | $669.89–$747.31 | 2 |
| PR | $725.09 | 1 |
| RI | $739.20 | 1 |
| SC | $672.31 | 1 |
| SD | $711.02 | 1 |
| TN | $659.82 | 1 |
| TX | $664.99–$751.83 | 8 |
| UT | $682.28 | 1 |
| VA | $705.35–$831.27 | 2 |
| VI | $725.09 | 1 |
| VT | $707.13 | 1 |
| WA | $748.73–$856.17 | 2 |
| WI | $685.98 | 1 |
| WV | $646.73 | 1 |
| WY | $715.75 | 1 |
How the 19085 rate is calculated
Each of 19085’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 · 19085
RVUs × geographic indexes × conversion factor
Work3.55
3.55 RVUs× 1.000 GPCI
Practice expense17.62
17.62 RVUs× 1.000 GPCI
Malpractice0.35
0.35 RVUs× 1.000 GPCI
Adjusted RVUs
21.5200
Conversion factor
$33.4009
Medicare rate
$718.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada** inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,663
- Code
- 19085
- Physician work
- 3.55
- Practice expense
- 17.62
- Malpractice
- 0.35
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.55 | × 1.000 | 3.5500 |
| Practice expense | 17.62 | × 1.001 | 17.6376 |
| Malpractice | 0.35 | × 0.833 | 0.2915 |
| Total RVUs | 21.4792 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nevada**$717.42
Office: (3.55 × 1 + 17.62 × 1.001 + 0.35 × 0.833) × $33.4009 = $717.42
Facility: (3.55 × 1 + 0.63 × 1.001 + 0.35 × 0.833) × $33.4009 = $149.37
Payment rules and modifiers for 19085
The CMS indicators that decide how 19085 is paid alongside other services.
CMS payment indicators · 19085
Breast biopsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
19085 without 50 · national office
$718.79
Breast biopsy
19085-50 · Bilateral: 150%
$1,078.19
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 19085 has changed in Nevada**
19085 · Office / nonfacility
$717.42
Effective 2026-10-01
The base rate is $7.14 higher than on 2025-10-01, moving from $710.28 to $717.42 (1.0%).
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
$710.28changed to$717.42
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.64 changed to 3.55
- Practice expense RVU 18.04 changed to 17.62
- Malpractice RVU 0.33 changed to 0.35
- Practice expense GPCI 1.000 changed to 1.001
- Malpractice GPCI 0.844 changed to 0.833
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$752.91changed to$710.28
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 18.70 changed to 18.04
Held through RVU25B, RVU25C, RVU25D.
October 1, 2024
RVU24D
$830.45changed to$752.91
- Conversion factor 34.6062 changed to 33.2875
- Practice expense RVU 19.92 changed to 18.70
- Malpractice RVU 0.31 changed to 0.33
- Work GPCI 1.005 changed to 1.000
- Malpractice GPCI 1.351 changed to 0.844
July 1, 2022
RVU22C
$909.79changed to$830.45
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 22.01 changed to 19.92
- Malpractice RVU 0.30 changed to 0.31
January 1, 2021
RVU21A
$946.76changed to$909.79
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 22.24 changed to 22.01
- Work GPCI 1.004 changed to 1.005
- Malpractice GPCI 1.130 changed to 1.351
Held through RVU21B.
January 1, 2020
RVU20A
$1000.68changed to$946.76
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 23.43 changed to 22.24
- Malpractice RVU 0.32 changed to 0.30
- Work GPCI 1.002 changed to 1.004
- Practice expense GPCI 1.017 changed to 1.000
- Malpractice GPCI 0.909 changed to 1.130
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1040.99changed to$1000.68
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 24.57 changed to 23.43
- Malpractice RVU 0.31 changed to 0.32
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1068.84changed to$1040.99
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 24.93 changed to 24.57
- Malpractice RVU 0.37 changed to 0.31
- Work GPCI 1.004 changed to 1.002
- Practice expense GPCI 1.034 changed to 1.017
- Malpractice GPCI 0.946 changed to 0.909
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1094.08changed to$1068.84
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 25.22 changed to 24.93
- Malpractice RVU 0.40 changed to 0.37
- Work GPCI 1.005 changed to 1.004
- Practice expense GPCI 1.051 changed to 1.034
- Malpractice GPCI 0.982 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1091.72changed to$1094.08
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 24.67 changed to 25.22
- Malpractice RVU 0.81 changed to 0.40
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1086.29changed to$1091.72
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1075.99changed to$1086.29
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 24.23 changed to 24.67
- Malpractice RVU 0.75 changed to 0.81
- Work GPCI 1.001 changed to 1.005
- Practice expense GPCI 1.055 changed to 1.051
- Malpractice GPCI 1.107 changed to 0.982
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$1075.99
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $717.42 | $149.37 | RVU26D |
| 2026-07-01 | $717.42 | $149.37 | RVU26C |
| 2026-04-01 | $717.42 | $149.37 | RVU26B |
| 2026-01-01 | $717.42 | $149.37 | RVU26A |
| 2025-10-01 | $710.28 | $169.77 | RVU25D |
| 2025-07-01 | $710.28 | $169.77 | RVU25C |
| 2025-04-01 | $710.28 | $169.77 | RVU25B |
| 2025-01-01 | $710.28 | $169.77 | RVU25A |
| 2024-10-01 | $752.91 | $173.38 | RVU24D |
| 2022-07-01 | $830.45 | $186.42 | RVU22C |
| 2021-04-01 | $909.79 | $187.85 | RVU21B |
| 2021-01-01 | $909.79 | $187.85 | RVU21A |
| 2020-10-01 | $946.76 | $192.49 | RVU20D |
| 2020-07-01 | $946.76 | $192.49 | RVU20C |
| 2020-04-01 | $946.76 | $192.49 | RVU20B |
| 2020-01-01 | $946.76 | $192.49 | RVU20A |
| 2019-10-01 | $1,000.68 | $191.04 | RVU19D |
| 2019-07-01 | $1,000.68 | $191.04 | RVU19C |
| 2019-04-01 | $1,000.68 | $191.04 | RVU19B |
| 2019-01-01 | $1,000.68 | $191.04 | RVU19A |
| 2018-10-01 | $1,040.99 | $190.50 | RVU18D |
| 2018-07-01 | $1,040.99 | $190.50 | RVU18C |
| 2018-04-01 | $1,040.99 | $190.50 | RVU18B |
| 2018-01-01 | $1,040.99 | $190.50 | RVU18AR1 |
| 2017-10-01 | $1,068.84 | $194.19 | RVU17D |
| 2017-07-01 | $1,068.84 | $194.19 | RVU17C |
| 2017-04-01 | $1,068.84 | $194.19 | RVU17B |
| 2017-01-01 | $1,068.84 | $194.19 | RVU17A |
| 2016-10-01 | $1,094.08 | $195.84 | RVU16D |
| 2016-07-01 | $1,094.08 | $195.84 | RVU16C |
| 2016-04-01 | $1,094.08 | $195.84 | RVU16B |
| 2016-01-01 | $1,094.08 | $195.84 | RVU16A |
| 2015-10-01 | $1,091.72 | $211.02 | RVU15D |
| 2015-07-01 | $1,091.72 | $211.02 | RVU15C |
| 2015-04-01 | $1,086.29 | $209.97 | RVU15B |
| 2015-01-01 | $1,086.29 | $209.97 | RVU15A |
| 2014-10-01 | $1,075.99 | $210.53 | RVU14D |
| 2014-07-01 | $1,075.99 | $210.53 | RVU14C |
| 2014-04-01 | $1,075.99 | $210.53 | RVU14B |
| 2014-01-01 | $1,075.99 | $210.53 | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nevada** rate applies
Nevada** is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
19085 billing questions
When is 19085 used instead of 19083?
Use 19085 when MRI guides the percutaneous breast biopsy. Use 19083 when ultrasound provides the guidance.
How is a second MRI-guided lesion reported?
Report 19086 for each additional lesion sampled with MRI guidance, along with 19085 for the first lesion.
Are marker placement and specimen imaging separately reported?
Marker placement and imaging of the biopsy specimen are included in 19085 when performed; they are not separate services under this code.
How should bilateral MRI-guided biopsies be reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document the biopsies performed on both breasts.
What documentation supports 19085?
Document the breast lesion targeted, MRI guidance, and percutaneous tissue sampling. Record marker placement and specimen imaging when performed.
Can an assistant or co-surgeon be billed?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery 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 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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