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CMS RVU26D · Effective 2026-10-01

19001 in Redding

Office / nonfacility

$26.90

Base rate per service

Facility setting

$17.75

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 procedure

About 19001: Additional breast cyst aspiration

Reports needle aspiration of each additional breast cyst treated after the first cyst during the same session as the primary aspiration.

Code 19001 represents aspiration of each additional breast cyst after the initial cyst is aspirated. A needle is placed into a distinct fluid-filled breast cyst and fluid is withdrawn; this is commonly performed by a breast surgeon, radiologist, or other qualified clinician in an office or imaging setting. It applies to additional cysts treated in the same session, not to repeated passes into one cyst.

Report 19001 only with the primary breast cyst aspiration code 19000, using one unit for each additional cyst aspirated beyond the first. The record should identify the separate cysts treated and support aspiration at each site; multiple needle passes into one cyst do not establish additional cyst units. CMS classifies 19001 as an add-on code and pays it within the primary procedure’s global period, so it is not submitted by itself. When the service samples tissue from a breast lesion rather than aspirating a cyst, use the applicable biopsy code instead.

CMS billing rules for 19001

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 RVU0.41 · 52%
  • Practice expense (office) RVU0.33 · 42%
  • Malpractice RVU0.05 · 6%

417

Medicare services in 2024 · #3701 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.

19001 compared with similar codes

Office rates for Redding, from the same CMS release.

19000

Breast aspiration

First cyst

$101.21

Code 19000 covers aspiration of the first breast cyst; 19001 is added for each additional cyst aspirated in that session.

19083

Breast biopsy

First lesion, ultrasound-guided

$506.96

Code 19083 covers ultrasound-guided breast biopsy for tissue sampling. Code 19001 is for aspiration of an additional breast cyst.

19020

Breast abscess drainage

Deep abscess, open approach

$536.70

Code 19020 describes surgical exploration and drainage of a breast abscess; 19001 reports needle aspiration of an additional cyst.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 19001 is $27.05—$0.15 higher than the $26.90 rate in Redding. Both use the same code, release and participation basis.

19001 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $26.90

  2. Bakersfield

    $27.05

    $0.15 higher than Redding

  3. Chico

    $26.90

    The same base rate than Redding

  4. El Centro

    $26.91

    $0.01 higher than Redding

  5. Fresno

    $26.90

    The same base rate than Redding

  6. Hanford-Corcoran

    $26.90

    The same base rate than Redding

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

    $28.40

    $1.50 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, 19001 ranges from $24.02 in Arkansas to $33.20 in Alaska*. 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 · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Merced

    California · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Modesto

    California · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Napa

    California · 19001

    Office

    $29.93

    Facility

    $18.93

    $3.03 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 19001

    Office

    $28.15

    Facility

    $18.28

    $1.25 higher than Redding for the office setting.

  • Rest Of California

    California · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 19001

    Office

    $27.45

    Facility

    $18.29

    $0.55 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 19001

    Office

    $27.90

    Facility

    $18.19

    $1.00 higher than Redding for the office setting.

  • Salinas

    California · 19001

    Office

    $27.79

    Facility

    $18.11

    $0.89 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 19001

    Office

    $28.19

    Facility

    $18.21

    $1.29 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 19001

    Office

    $31.30

    Facility

    $19.53

    $4.40 higher than Redding for the office setting.

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

    California · 19001

    Office

    $31.25

    Facility

    $19.47

    $4.35 higher than Redding for the office setting.

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

    California · 19001

    Office

    $31.99

    Facility

    $19.95

    $5.09 higher than Redding for the office setting.

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

    California · 19001

    Office

    $31.76

    Facility

    $19.72

    $4.86 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 19001

    Office

    $27.38

    Facility

    $17.87

    $0.48 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 19001

    Office

    $28.27

    Facility

    $18.12

    $1.37 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 19001

    Office

    $27.82

    Facility

    $18.09

    $0.92 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 19001

    Office

    $28.54

    Facility

    $18.28

    $1.64 higher than Redding for the office setting.

  • Stockton

    California · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 19001

    Office

    $29.85

    Facility

    $18.85

    $2.95 higher than Redding for the office setting.

  • Visalia

    California · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 19001

    Office

    $26.90

    Facility

    $17.75

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 19001

    Office

    $29.28

    Facility

    $19.44

    $2.38 higher than Redding for the office setting.

  • Miami

    Florida · 19001

    Office

    $29.39

    Facility

    $20.70

    $2.49 higher than Redding for the office setting.

  • Chicago

    Illinois · 19001

    Office

    $28.70

    Facility

    $20.31

    $1.80 higher than Redding for the office setting.

  • Manhattan

    New York · 19001

    Office

    $30.03

    Facility

    $20.32

    $3.13 higher than Redding for the office setting.

  • Alaska*

    Alaska · 19001

    Office

    $33.20

    Facility

    $24.31

    $6.30 higher than Redding for the office setting.

  • Alabama

    Alabama · 19001

    Office

    $24.28

    Facility

    $16.98

    $2.62 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 19001

    Office

    $24.02

    Facility

    $16.85

    $2.88 lower than Redding for the office setting.

  • Arizona

    Arizona · 19001

    Office

    $25.80

    Facility

    $17.71

    $1.10 lower than Redding for the office setting.

  • Colorado

    Colorado · 19001

    Office

    $26.89

    Facility

    $18.01

    $0.01 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 19001

    Office

    $27.86

    Facility

    $18.87

    $0.96 higher than Redding for the office setting.

  • Delaware

    Delaware · 19001

    Office

    $26.15

    Facility

    $17.90

    $0.75 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 19001

    Office

    $27.88

    Facility

    $19.42

    $0.98 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 19001

    Office

    $26.74

    Facility

    $18.76

    $0.16 lower than Redding for the office setting.

  • Atlanta

    Georgia · 19001

    Office

    $26.94

    Facility

    $18.46

    $0.04 higher than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 19001

    Office

    $25.52

    Facility

    $18.07

    $1.38 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 19001

    Office

    $27.19

    Facility

    $17.70

    $0.29 higher than Redding for the office setting.

  • Iowa

    Iowa · 19001

    Office

    $24.44

    Facility

    $16.80

    $2.46 lower than Redding for the office setting.

  • Idaho

    Idaho · 19001

    Office

    $24.62

    Facility

    $16.94

    $2.28 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 19001

    Office

    $27.20

    Facility

    $19.52

    $0.30 higher than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 19001

    Office

    $26.37

    Facility

    $18.74

    $0.53 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 19001

    Office

    $28.07

    Facility

    $19.49

    $1.17 higher than Redding for the office setting.

  • Indiana

    Indiana · 19001

    Office

    $24.72

    Facility

    $16.98

    $2.18 lower than Redding for the office setting.

  • Kansas

    Kansas · 19001

    Office

    $24.50

    Facility

    $16.95

    $2.40 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 19001

    Office

    $25.02

    Facility

    $17.60

    $1.88 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 19001

    Office

    $25.96

    Facility

    $18.11

    $0.94 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 19001

    Office

    $25.05

    Facility

    $17.66

    $1.85 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 19001

    Office

    $28.90

    Facility

    $18.93

    $2.00 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 19001

    Office

    $26.85

    Facility

    $18.06

    $0.05 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 19001

    Office

    $27.81

    Facility

    $18.85

    $0.91 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 19001

    Office

    $26.52

    Facility

    $18.07

    $0.38 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 19001

    Office

    $24.87

    Facility

    $17.19

    $2.03 lower than Redding for the office setting.

  • Southern Maine

    Maine · 19001

    Office

    $25.67

    Facility

    $17.40

    $1.23 lower than Redding for the office setting.

  • Detroit

    Michigan · 19001

    Office

    $27.15

    Facility

    $19.09

    $0.25 higher than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 19001

    Office

    $25.64

    Facility

    $18.02

    $1.26 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 19001

    Office

    $25.53

    Facility

    $16.94

    $1.37 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 19001

    Office

    $25.68

    Facility

    $17.84

    $1.22 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 19001

    Office

    $25.86

    Facility

    $17.91

    $1.04 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 19001

    Office

    $24.82

    Facility

    $17.62

    $2.08 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 19001

    Office

    $24.42

    Facility

    $17.23

    $2.48 lower than Redding for the office setting.

  • Montana**

    Montana · 19001

    Office

    $26.38

    Facility

    $18.03

    $0.52 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 19001

    Office

    $25.05

    Facility

    $17.25

    $1.85 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 19001

    Office

    $25.39

    Facility

    $17.04

    $1.51 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 19001

    Office

    $24.50

    Facility

    $16.79

    $2.40 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 19001

    Office

    $26.63

    Facility

    $17.94

    $0.27 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 19001

    Office

    $29.13

    Facility

    $19.44

    $2.23 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 19001

    Office

    $28.11

    Facility

    $18.99

    $1.21 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 19001

    Office

    $25.81

    Facility

    $18.15

    $1.09 lower than Redding for the office setting.

  • Nevada**

    Nevada · 19001

    Office

    $26.12

    Facility

    $17.76

    $0.78 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 19001

    Office

    $30.78

    Facility

    $20.85

    $3.88 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 19001

    Office

    $28.40

    Facility

    $19.26

    $1.50 higher than Redding for the office setting.

  • Queens

    New York · 19001

    Office

    $30.01

    Facility

    $20.14

    $3.11 higher than Redding for the office setting.

  • Rest Of New York

    New York · 19001

    Office

    $25.34

    Facility

    $17.41

    $1.56 lower than Redding for the office setting.

  • Ohio

    Ohio · 19001

    Office

    $25.44

    Facility

    $17.82

    $1.46 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 19001

    Office

    $24.83

    Facility

    $17.38

    $2.07 lower than Redding for the office setting.

  • Portland

    Oregon · 19001

    Office

    $27.40

    Facility

    $18.12

    $0.50 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 19001

    Office

    $25.85

    Facility

    $17.53

    $1.05 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 19001

    Office

    $27.41

    Facility

    $18.71

    $0.51 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 19001

    Office

    $25.39

    Facility

    $17.73

    $1.51 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 19001

    Office

    $26.48

    Facility

    $18.04

    $0.42 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 19001

    Office

    $26.83

    Facility

    $18.20

    $0.07 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 19001

    Office

    $25.30

    Facility

    $17.58

    $1.60 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 19001

    Office

    $25.28

    Facility

    $16.93

    $1.62 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 19001

    Office

    $24.61

    Facility

    $17.02

    $2.29 lower than Redding for the office setting.

  • Austin

    Texas · 19001

    Office

    $26.86

    Facility

    $18.03

    $0.04 lower than Redding for the office setting.

  • Beaumont

    Texas · 19001

    Office

    $25.28

    Facility

    $17.68

    $1.62 lower than Redding for the office setting.

  • Brazoria

    Texas · 19001

    Office

    $26.03

    Facility

    $17.75

    $0.87 lower than Redding for the office setting.

  • Dallas

    Texas · 19001

    Office

    $26.23

    Facility

    $17.91

    $0.67 lower than Redding for the office setting.

  • Fort Worth

    Texas · 19001

    Office

    $26.14

    Facility

    $17.91

    $0.76 lower than Redding for the office setting.

  • Galveston

    Texas · 19001

    Office

    $26.13

    Facility

    $17.84

    $0.77 lower than Redding for the office setting.

  • Houston

    Texas · 19001

    Office

    $27.05

    Facility

    $18.76

    $0.15 higher than Redding for the office setting.

  • Rest Of Texas

    Texas · 19001

    Office

    $25.66

    Facility

    $17.74

    $1.24 lower than Redding for the office setting.

  • Utah

    Utah · 19001

    Office

    $25.56

    Facility

    $17.71

    $1.34 lower than Redding for the office setting.

  • Virginia

    Virginia · 19001

    Office

    $25.71

    Facility

    $17.50

    $1.19 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 19001

    Office

    $26.48

    Facility

    $18.04

    $0.42 lower than Redding for the office setting.

  • Vermont

    Vermont · 19001

    Office

    $25.45

    Facility

    $17.18

    $1.45 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 19001

    Office

    $26.75

    Facility

    $17.96

    $0.15 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 19001

    Office

    $29.27

    Facility

    $19.02

    $2.37 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 19001

    Office

    $24.77

    Facility

    $16.77

    $2.13 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 19001

    Office

    $25.66

    Facility

    $18.41

    $1.24 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 19001

    Office

    $25.95

    Facility

    $17.60

    $0.95 lower than Redding for the office setting.

See how rates vary across the country

19001 · 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.

$24.02

$33.20

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$33.201
AL$24.281
AR$24.021
AZ$25.801
CA$26.90–$31.9929
CO$26.891
CT$27.861
DC$29.281
DE$26.151
FL$26.74–$29.393
GA$25.52–$26.942
GU$27.191
HI$27.191
IA$24.441
ID$24.621
IL$26.37–$28.704
IN$24.721
KS$24.501
KY$25.021
LA$25.05–$25.962
MA$26.85–$28.902
MD$26.52–$29.283
ME$24.87–$25.672
MI$25.64–$27.152
MN$25.531
MO$24.82–$25.863
MS$24.421
MT$26.381
NC$25.051
ND$25.391
NE$24.501
NH$26.631
NJ$28.11–$29.132
NM$25.811
NV$26.121
NY$25.34–$30.785
OH$25.441
OK$24.831
OR$25.85–$27.402
PA$25.39–$27.412
PR$26.481
RI$26.831
SC$25.301
SD$25.281
TN$24.611
TX$25.28–$27.058
UT$25.561
VA$25.71–$29.282
VI$26.481
VT$25.451
WA$26.75–$29.272
WI$24.771
WV$25.661
WY$25.951

Explore 19001 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 19001 in Redding, the physician’s office rate is $26.90 and the facility-setting rate is $17.75: a difference of $9.15.

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 19001 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$29.59

$26.90 × 110% = $29.59

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.

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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 19001 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,656

Code
19001
Physician work
0.41
Practice expense
0.33
Malpractice
0.05

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 19001 in Redding
ComponentRVULocality factorAdjusted
Physician work0.41× 1.0170.4170
Practice expense0.33× 1.0960.3617
Malpractice0.05× 0.5360.0268
Total RVUs0.8055
Conversion factor× 33.4009

Office / nonfacility rate, Redding$26.90

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

Open 19001 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.411.017
Practice expense0.331.096
Malpractice0.050.536

(0.41 × 1.017 + 0.33 × 1.096 + 0.05 × 0.536) × $33.4009 = $26.90

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.411.017
Practice expense0.081.096
Malpractice0.050.536

(0.41 × 1.017 + 0.08 × 1.096 + 0.05 × 0.536) × $33.4009 = $17.75

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

19001 · Office / nonfacility

$26.90

Effective 2026-10-01

The base rate is $1.09 higher than on 2025-10-01, moving from $25.81 to $26.90 (4.2%).

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

    $25.81changed to$26.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.42 changed to 0.41
    • Practice expense RVU 0.32 changed to 0.33
    • Malpractice RVU 0.04 changed to 0.05
    • 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: $25.81

    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$26.90$17.75RVU26D
2026-07-01$26.90$17.75RVU26C
2026-04-01$26.90$17.75RVU26B
2026-01-01$26.90$17.75RVU26A
2025-10-01$25.81$19.80RVU25D
2025-07-01$25.81$19.80RVU25C
2025-04-01$25.81$19.80RVU25B
2025-01-01$25.81$19.80RVU25A

19001 billing questions

Can 19001 be reported without 19000?

No. It is an add-on code and must be reported with the primary breast cyst aspiration code 19000.

How many units of 19001 should be reported?

Report one unit for each additional distinct breast cyst aspirated after the first cyst. Multiple needle passes into the same cyst do not count as additional cysts.

How does 19001 differ from 19000?

Code 19000 reports aspiration of the first breast cyst. Code 19001 reports each additional cyst aspirated in the same session.

What documentation supports additional units?

Document the distinct cysts treated and that aspiration was performed at each site. The record should distinguish separate cysts from repeat passes into one cyst.

When is a breast biopsy code more appropriate?

Use a biopsy code when the service obtains tissue from a lesion for diagnosis rather than withdrawing fluid from a breast cyst.

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 19001PPRRVU2026_Oct_nonQPP.csv, line 1,656 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet