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CMS RVU26D · Effective 2026-10-01

10005 in Redding

Office / nonfacility

$138.04

Base rate per service

Facility setting

$61.53

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.

Image-guided biopsy

About 10005: Ultrasound-guided fine-needle aspiration biopsy

Ultrasound-guided fine-needle aspiration biopsy of the first lesion, commonly used to sample a thyroid nodule, lymph node, or other accessible target.

A clinician uses ultrasound to guide a fine needle into a lesion and aspirate cells or fluid for diagnostic evaluation. Common targets include thyroid nodules and enlarged lymph nodes; radiologists, endocrinologists, surgeons, and other clinicians may perform the procedure in an office or hospital setting. The code represents the first lesion sampled with ultrasound guidance, not a core-needle tissue biopsy.

Report 10005 for the first lesion and 10006 for each additional lesion sampled using ultrasound guidance during the session. The record should support the target lesion, ultrasound guidance, and performance of the aspiration. Ultrasound guidance is included in this service. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces payment for the others by 50%.

CMS billing rules for 10005

Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.

Where the value comes from

  • Work RVU1.42 · 36%
  • Practice expense (office) RVU2.37 · 60%
  • Malpractice RVU0.17 · 4%

132.9K

Medicare services in 2024 · #484 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.

10005 compared with similar codes

Office rates for Redding, from the same CMS release.

10006

FNA biopsy

Each additional lesion

$61.25

10005 covers the first lesion sampled with ultrasound guidance. Use 10006 for each additional lesion sampled with that guidance.

10021

Fine needle aspiration

First lesion, no imaging

$105.30

10021 is for fine-needle aspiration biopsy without imaging guidance; 10005 includes ultrasound guidance.

10007

Fine needle aspiration

Fluoroscopy, first lesion

$367.73

Both cover the first lesion, but 10007 uses fluoroscopic guidance rather than ultrasound.

10009

FNA biopsy

CT guidance, first lesion

$441.99

Both cover the first lesion, but 10009 uses CT guidance rather than ultrasound.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 10005 is $138.55—$0.51 higher than the $138.04 rate in Redding. Both use the same code, release and participation basis.

10005 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $138.04

  2. Bakersfield

    $138.55

    $0.51 higher than Redding

  3. Chico

    $138.04

    The same base rate than Redding

  4. El Centro

    $138.07

    $0.03 higher than Redding

  5. Fresno

    $138.04

    The same base rate than Redding

  6. Hanford-Corcoran

    $138.04

    The same base rate than Redding

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

    $146.79

    $8.75 higher than Redding

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, 10005 ranges from $118.35 in Arkansas to $169.84 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 · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Merced

    California · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Modesto

    California · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Napa

    California · 10005

    Office

    $157.63

    Facility

    $65.63

    $19.59 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 10005

    Office

    $145.86

    Facility

    $63.35

    $7.82 higher than Redding for the office setting.

  • Rest Of California

    California · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 10005

    Office

    $139.89

    Facility

    $63.38

    $1.85 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 10005

    Office

    $144.24

    Facility

    $63.06

    $6.20 higher than Redding for the office setting.

  • Salinas

    California · 10005

    Office

    $143.69

    Facility

    $62.78

    $5.65 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 10005

    Office

    $146.61

    Facility

    $63.12

    $8.57 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 10005

    Office

    $166.16

    Facility

    $67.73

    $28.12 higher than Redding for the office setting.

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

    California · 10005

    Office

    $165.96

    Facility

    $67.53

    $27.92 higher than Redding for the office setting.

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

    California · 10005

    Office

    $169.84

    Facility

    $69.18

    $31.80 higher than Redding for the office setting.

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

    California · 10005

    Office

    $169.05

    Facility

    $68.39

    $31.01 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 10005

    Office

    $141.44

    Facility

    $61.93

    $3.40 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 10005

    Office

    $147.65

    Facility

    $62.83

    $9.61 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 10005

    Office

    $144.10

    Facility

    $62.71

    $6.06 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 10005

    Office

    $149.10

    Facility

    $63.38

    $11.06 higher than Redding for the office setting.

  • Stockton

    California · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 10005

    Office

    $157.36

    Facility

    $65.35

    $19.32 higher than Redding for the office setting.

  • Visalia

    California · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 10005

    Office

    $138.04

    Facility

    $61.53

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 10005

    Office

    $149.56

    Facility

    $67.33

    $11.52 higher than Redding for the office setting.

  • Miami

    Florida · 10005

    Office

    $144.20

    Facility

    $71.53

    $6.16 higher than Redding for the office setting.

  • Chicago

    Illinois · 10005

    Office

    $140.35

    Facility

    $70.19

    $2.31 higher than Redding for the office setting.

  • Manhattan

    New York · 10005

    Office

    $151.45

    Facility

    $70.34

    $13.41 higher than Redding for the office setting.

  • Alaska*

    Alaska · 10005

    Office

    $158.58

    Facility

    $84.23

    $20.54 higher than Redding for the office setting.

  • Alabama

    Alabama · 10005

    Office

    $119.91

    Facility

    $58.83

    $18.13 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 10005

    Office

    $118.35

    Facility

    $58.39

    $19.69 lower than Redding for the office setting.

  • Arizona

    Arizona · 10005

    Office

    $129.00

    Facility

    $61.35

    $9.04 lower than Redding for the office setting.

  • Colorado

    Colorado · 10005

    Office

    $136.66

    Facility

    $62.38

    $1.38 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 10005

    Office

    $140.50

    Facility

    $65.32

    $2.46 higher than Redding for the office setting.

  • Delaware

    Delaware · 10005

    Office

    $130.98

    Facility

    $62.01

    $7.06 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 10005

    Office

    $137.88

    Facility

    $67.17

    $0.16 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 10005

    Office

    $131.64

    Facility

    $64.90

    $6.40 lower than Redding for the office setting.

  • Atlanta

    Georgia · 10005

    Office

    $134.82

    Facility

    $63.89

    $3.22 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 10005

    Office

    $124.81

    Facility

    $62.54

    $13.23 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 10005

    Office

    $140.72

    Facility

    $61.35

    $2.68 higher than Redding for the office setting.

  • Iowa

    Iowa · 10005

    Office

    $122.12

    Facility

    $58.24

    $15.92 lower than Redding for the office setting.

  • Idaho

    Idaho · 10005

    Office

    $122.94

    Facility

    $58.72

    $15.10 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 10005

    Office

    $131.69

    Facility

    $67.47

    $6.35 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 10005

    Office

    $128.58

    Facility

    $64.84

    $9.46 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 10005

    Office

    $139.12

    Facility

    $67.43

    $1.08 higher than Redding for the office setting.

  • Indiana

    Indiana · 10005

    Office

    $123.57

    Facility

    $58.86

    $14.47 lower than Redding for the office setting.

  • Kansas

    Kansas · 10005

    Office

    $121.85

    Facility

    $58.75

    $16.19 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 10005

    Office

    $123.00

    Facility

    $60.94

    $15.04 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 10005

    Office

    $128.37

    Facility

    $62.68

    $9.67 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 10005

    Office

    $122.93

    Facility

    $61.15

    $15.11 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 10005

    Office

    $148.94

    Facility

    $65.59

    $10.90 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 10005

    Office

    $136.07

    Facility

    $62.56

    $1.97 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 10005

    Office

    $140.15

    Facility

    $65.25

    $2.11 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 10005

    Office

    $133.23

    Facility

    $62.58

    $4.81 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 10005

    Office

    $123.79

    Facility

    $59.57

    $14.25 lower than Redding for the office setting.

  • Southern Maine

    Maine · 10005

    Office

    $129.46

    Facility

    $60.28

    $8.58 lower than Redding for the office setting.

  • Detroit

    Michigan · 10005

    Office

    $133.39

    Facility

    $66.03

    $4.65 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 10005

    Office

    $126.11

    Facility

    $62.38

    $11.93 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 10005

    Office

    $130.57

    Facility

    $58.73

    $7.47 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 10005

    Office

    $127.31

    Facility

    $61.76

    $10.73 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 10005

    Office

    $128.48

    Facility

    $62.02

    $9.56 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 10005

    Office

    $121.20

    Facility

    $61.02

    $16.84 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 10005

    Office

    $119.78

    Facility

    $59.68

    $18.26 lower than Redding for the office setting.

  • Montana**

    Montana · 10005

    Office

    $132.26

    Facility

    $62.45

    $5.78 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 10005

    Office

    $124.91

    Facility

    $59.78

    $13.13 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 10005

    Office

    $128.89

    Facility

    $59.09

    $9.15 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 10005

    Office

    $122.64

    Facility

    $58.21

    $15.40 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 10005

    Office

    $134.80

    Facility

    $62.13

    $3.24 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 10005

    Office

    $148.31

    Facility

    $67.33

    $10.27 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 10005

    Office

    $142.00

    Facility

    $65.77

    $3.96 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 10005

    Office

    $126.84

    Facility

    $62.82

    $11.20 lower than Redding for the office setting.

  • Nevada**

    Nevada · 10005

    Office

    $131.40

    Facility

    $61.52

    $6.64 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 10005

    Office

    $155.13

    Facility

    $72.13

    $17.09 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 10005

    Office

    $143.11

    Facility

    $66.67

    $5.07 higher than Redding for the office setting.

  • Queens

    New York · 10005

    Office

    $152.22

    Facility

    $69.71

    $14.18 higher than Redding for the office setting.

  • Rest Of New York

    New York · 10005

    Office

    $126.62

    Facility

    $60.31

    $11.42 lower than Redding for the office setting.

  • Ohio

    Ohio · 10005

    Office

    $125.43

    Facility

    $61.69

    $12.61 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 10005

    Office

    $122.53

    Facility

    $60.19

    $15.51 lower than Redding for the office setting.

  • Portland

    Oregon · 10005

    Office

    $140.36

    Facility

    $62.80

    $2.32 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 10005

    Office

    $130.26

    Facility

    $60.74

    $7.78 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 10005

    Office

    $137.46

    Facility

    $64.79

    $0.58 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 10005

    Office

    $125.46

    Facility

    $61.38

    $12.58 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 10005

    Office

    $133.05

    Facility

    $62.48

    $4.99 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 10005

    Office

    $135.17

    Facility

    $63.06

    $2.87 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 10005

    Office

    $125.40

    Facility

    $60.90

    $12.64 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 10005

    Office

    $128.50

    Facility

    $58.69

    $9.54 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 10005

    Office

    $122.44

    Facility

    $58.98

    $15.60 lower than Redding for the office setting.

  • Austin

    Texas · 10005

    Office

    $136.31

    Facility

    $62.45

    $1.73 lower than Redding for the office setting.

  • Beaumont

    Texas · 10005

    Office

    $124.74

    Facility

    $61.21

    $13.30 lower than Redding for the office setting.

  • Brazoria

    Texas · 10005

    Office

    $130.69

    Facility

    $61.51

    $7.35 lower than Redding for the office setting.

  • Dallas

    Texas · 10005

    Office

    $131.57

    Facility

    $62.04

    $6.47 lower than Redding for the office setting.

  • Fort Worth

    Texas · 10005

    Office

    $130.85

    Facility

    $62.02

    $7.19 lower than Redding for the office setting.

  • Galveston

    Texas · 10005

    Office

    $131.12

    Facility

    $61.80

    $6.92 lower than Redding for the office setting.

  • Houston

    Texas · 10005

    Office

    $134.23

    Facility

    $64.91

    $3.81 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 10005

    Office

    $127.68

    Facility

    $61.43

    $10.36 lower than Redding for the office setting.

  • Utah

    Utah · 10005

    Office

    $126.94

    Facility

    $61.32

    $11.10 lower than Redding for the office setting.

  • Virginia

    Virginia · 10005

    Office

    $129.25

    Facility

    $60.63

    $8.79 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 10005

    Office

    $133.05

    Facility

    $62.48

    $4.99 lower than Redding for the office setting.

  • Vermont

    Vermont · 10005

    Office

    $128.67

    Facility

    $59.56

    $9.37 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 10005

    Office

    $135.72

    Facility

    $62.21

    $2.32 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 10005

    Office

    $151.57

    Facility

    $65.92

    $13.53 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 10005

    Office

    $125.01

    Facility

    $58.14

    $13.03 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 10005

    Office

    $124.34

    Facility

    $63.68

    $13.70 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 10005

    Office

    $130.79

    Facility

    $60.98

    $7.25 lower than Redding for the office setting.

See how rates vary across the country

10005 · 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.

$118.35

$158.58

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$158.581
AL$119.911
AR$118.351
AZ$129.001
CA$138.04–$169.8429
CO$136.661
CT$140.501
DC$149.561
DE$130.981
FL$131.64–$144.203
GA$124.81–$134.822
GU$140.721
HI$140.721
IA$122.121
ID$122.941
IL$128.58–$140.354
IN$123.571
KS$121.851
KY$123.001
LA$122.93–$128.372
MA$136.07–$148.942
MD$133.23–$149.563
ME$123.79–$129.462
MI$126.11–$133.392
MN$130.571
MO$121.20–$128.483
MS$119.781
MT$132.261
NC$124.911
ND$128.891
NE$122.641
NH$134.801
NJ$142.00–$148.312
NM$126.841
NV$131.401
NY$126.62–$155.135
OH$125.431
OK$122.531
OR$130.26–$140.362
PA$125.46–$137.462
PR$133.051
RI$135.171
SC$125.401
SD$128.501
TN$122.441
TX$124.74–$136.318
UT$126.941
VA$129.25–$149.562
VI$133.051
VT$128.671
WA$135.72–$151.572
WI$125.011
WV$124.341
WY$130.791

Explore 10005 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 10005 in Redding, the physician’s office rate is $138.04 and the facility-setting rate is $61.53: a difference of $76.51.

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 10005 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$151.84

$138.04 × 110% = $151.84

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 10005 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,061

Code
10005
Physician work
1.42
Practice expense
2.37
Malpractice
0.17

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 10005 in Redding
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0171.4441
Practice expense2.37× 1.0962.5975
Malpractice0.17× 0.5360.0911
Total RVUs4.1328
Conversion factor× 33.4009

Office / nonfacility rate, Redding$138.04

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

Open 10005 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.421.017
Practice expense2.371.096
Malpractice0.170.536

(1.42 × 1.017 + 2.37 × 1.096 + 0.17 × 0.536) × $33.4009 = $138.04

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.421.017
Practice expense0.281.096
Malpractice0.170.536

(1.42 × 1.017 + 0.28 × 1.096 + 0.17 × 0.536) × $33.4009 = $61.53

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

10005 · Office / nonfacility

$138.04

Effective 2026-10-01

The base rate is $3.46 higher than on 2025-10-01, moving from $134.58 to $138.04 (2.6%).

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

    $134.58changed to$138.04

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.46 changed to 1.42
    • Malpractice RVU 0.16 changed to 0.17
    • 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: $134.58

    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$138.04$61.53RVU26D
2026-07-01$138.04$61.53RVU26C
2026-04-01$138.04$61.53RVU26B
2026-01-01$138.04$61.53RVU26A
2025-10-01$134.58$70.23RVU25D
2025-07-01$134.58$70.23RVU25C
2025-04-01$134.58$70.23RVU25B
2025-01-01$134.58$70.23RVU25A

10005 billing questions

When should 10005 be used instead of 10021?

Use 10005 when ultrasound guides the aspiration. Code 10021 describes fine-needle aspiration biopsy without imaging guidance.

How are additional lesions reported?

Report 10005 for the first lesion and 10006 for each additional lesion sampled with ultrasound guidance in the session. Count distinct lesions, not needle passes.

Can ultrasound guidance be billed separately?

No. Ultrasound guidance is included in 10005 for the aspiration it guides.

Does a core-needle biopsy qualify for 10005?

No. This code is for fine-needle aspiration, which collects cells or fluid; it does not describe a core-needle tissue biopsy.

What documentation supports reporting 10005?

Document the lesion sampled, the fine-needle aspiration, and use of ultrasound guidance. The record should distinguish the first lesion from any additional lesions reported with 10006.

How does CMS handle multiple procedures in the same session?

CMS pays the highest-valued procedure in full and reduces payment for the other procedures by 50% when multiple procedures are performed in the same session.

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 10005PPRRVU2026_Oct_nonQPP.csv, line 1,061 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet