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CMS RVU26D · Effective 2026-10-01

19286 in Redding

Office / nonfacility

$310.22

Base rate per service

Facility setting

$35.66

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Breast imaging procedure

About 19286: Additional ultrasound-guided breast localization

Report this add-on for percutaneous placement of a breast localization device at each additional lesion guided by ultrasound during the same procedure.

This code represents percutaneous placement of a localization device at an additional breast lesion, using ultrasound guidance. It is used when a clinician places devices to mark separate targets, commonly before breast-conserving surgery or another planned breast procedure. The ultrasound-guided placement, rather than a diagnostic ultrasound examination alone, is the service captured by this code.

Report it for each qualifying additional lesion after the first ultrasound-guided lesion, with the primary ultrasound-guided placement code 19285 on the claim. The record should support the separate lesion treated, its location, the percutaneous device placement, and ultrasound guidance. This is an add-on code: it is not billed alone and is paid within the global period of the primary procedure. The first lesion is reported with 19285; this code represents additional lesions, not additional devices placed at the same lesion.

CMS billing rules for 19286

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 RVU0.83 · 10%
  • Practice expense (office) RVU7.66 · 89%
  • Malpractice RVU0.09 · 1%

2.6K

Medicare services in 2024 · #2269 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.

19286 compared with similar codes

Office rates for Redding, from the same CMS release.

19285

Breast localization

First lesion, ultrasound guidance

$376.26

19285 reports the first ultrasound-guided lesion; 19286 reports each additional lesion localized with ultrasound during the procedure.

19282

Breast localization

Each additional lesion

$176.39

Both represent additional breast lesions, but 19282 is for mammographic guidance rather than ultrasound guidance.

19284

Breast localization

Additional stereotactic lesion

$194.50

Both are add-on codes for additional lesions; 19284 applies when stereotactic guidance is used.

19288

Breast localization

Additional lesion, MRI guidance

$495.25

Both cover additional lesions, but 19288 is for MRI-guided placement rather than ultrasound-guided placement.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 19286 is $310.49—$0.27 higher than the $310.22 rate in Redding. Both use the same code, release and participation basis.

19286 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $310.22

  2. Bakersfield

    $310.49

    $0.27 higher than Redding

  3. Chico

    $310.22

    The same base rate than Redding

  4. El Centro

    $310.23

    $0.01 higher than Redding

  5. Fresno

    $310.22

    The same base rate than Redding

  6. Hanford-Corcoran

    $310.22

    The same base rate than Redding

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

    $333.53

    $23.31 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, 19286 ranges from $249.05 in Arkansas to $401.32 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 · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Merced

    California · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Modesto

    California · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Napa

    California · 19286

    Office

    $368.21

    Facility

    $38.04

    $57.99 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 19286

    Office

    $332.79

    Facility

    $36.69

    $22.57 higher than Redding for the office setting.

  • Rest Of California

    California · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 19286

    Office

    $311.20

    Facility

    $36.64

    $0.98 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 19286

    Office

    $327.89

    Facility

    $36.55

    $17.67 higher than Redding for the office setting.

  • Salinas

    California · 19286

    Office

    $326.72

    Facility

    $36.39

    $16.50 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 19286

    Office

    $336.18

    Facility

    $36.58

    $25.96 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 19286

    Office

    $392.49

    Facility

    $39.27

    $82.27 higher than Redding for the office setting.

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

    California · 19286

    Office

    $392.38

    Facility

    $39.17

    $82.16 higher than Redding for the office setting.

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

    California · 19286

    Office

    $401.32

    Facility

    $40.09

    $91.10 higher than Redding for the office setting.

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

    California · 19286

    Office

    $400.90

    Facility

    $39.67

    $90.68 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 19286

    Office

    $321.22

    Facility

    $35.89

    $11.00 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 19286

    Office

    $340.78

    Facility

    $36.41

    $30.56 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 19286

    Office

    $328.43

    Facility

    $36.34

    $18.21 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 19286

    Office

    $344.35

    Facility

    $36.73

    $34.13 higher than Redding for the office setting.

  • Stockton

    California · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 19286

    Office

    $368.06

    Facility

    $37.89

    $57.84 higher than Redding for the office setting.

  • Visalia

    California · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 19286

    Office

    $310.22

    Facility

    $35.66

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 19286

    Office

    $333.96

    Facility

    $38.86

    $23.74 higher than Redding for the office setting.

  • Miami

    Florida · 19286

    Office

    $301.67

    Facility

    $40.89

    $8.55 lower than Redding for the office setting.

  • Chicago

    Illinois · 19286

    Office

    $291.95

    Facility

    $40.19

    $18.27 lower than Redding for the office setting.

  • Manhattan

    New York · 19286

    Office

    $331.56

    Facility

    $40.47

    $21.34 higher than Redding for the office setting.

  • Alaska*

    Alaska · 19286

    Office

    $315.72

    Facility

    $48.93

    $5.50 higher than Redding for the office setting.

  • Alabama

    Alabama · 19286

    Office

    $253.29

    Facility

    $34.10

    $56.93 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 19286

    Office

    $249.05

    Facility

    $33.86

    $61.17 lower than Redding for the office setting.

  • Arizona

    Arizona · 19286

    Office

    $278.22

    Facility

    $35.47

    $32.00 lower than Redding for the office setting.

  • Colorado

    Colorado · 19286

    Office

    $302.63

    Facility

    $36.09

    $7.59 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 19286

    Office

    $307.47

    Facility

    $37.67

    $2.75 lower than Redding for the office setting.

  • Delaware

    Delaware · 19286

    Office

    $283.34

    Facility

    $35.84

    $26.88 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 19286

    Office

    $292.33

    Facility

    $38.57

    $17.89 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 19286

    Office

    $276.83

    Facility

    $37.35

    $33.39 lower than Redding for the office setting.

  • Atlanta

    Georgia · 19286

    Office

    $291.36

    Facility

    $36.85

    $18.86 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 19286

    Office

    $259.52

    Facility

    $36.07

    $50.70 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 19286

    Office

    $320.37

    Facility

    $35.54

    $10.15 higher than Redding for the office setting.

  • Iowa

    Iowa · 19286

    Office

    $263.02

    Facility

    $33.81

    $47.20 lower than Redding for the office setting.

  • Idaho

    Idaho · 19286

    Office

    $264.53

    Facility

    $34.06

    $45.69 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 19286

    Office

    $269.16

    Facility

    $38.69

    $41.06 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 19286

    Office

    $266.01

    Facility

    $37.30

    $44.21 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 19286

    Office

    $296.00

    Facility

    $38.73

    $14.22 lower than Redding for the office setting.

  • Indiana

    Indiana · 19286

    Office

    $266.36

    Facility

    $34.14

    $43.86 lower than Redding for the office setting.

  • Kansas

    Kansas · 19286

    Office

    $260.53

    Facility

    $34.07

    $49.69 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 19286

    Office

    $257.92

    Facility

    $35.22

    $52.30 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 19286

    Office

    $271.89

    Facility

    $36.17

    $38.33 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 19286

    Office

    $257.03

    Facility

    $35.33

    $53.19 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 19286

    Office

    $337.02

    Facility

    $37.92

    $26.80 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 19286

    Office

    $299.97

    Facility

    $36.19

    $10.25 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 19286

    Office

    $306.41

    Facility

    $37.62

    $3.81 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 19286

    Office

    $289.68

    Facility

    $36.17

    $20.54 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 19286

    Office

    $264.98

    Facility

    $34.51

    $45.24 lower than Redding for the office setting.

  • Southern Maine

    Maine · 19286

    Office

    $283.17

    Facility

    $34.92

    $27.05 lower than Redding for the office setting.

  • Detroit

    Michigan · 19286

    Office

    $279.69

    Facility

    $37.95

    $30.53 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 19286

    Office

    $264.71

    Facility

    $36.00

    $45.51 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 19286

    Office

    $291.88

    Facility

    $34.11

    $18.34 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 19286

    Office

    $270.90

    Facility

    $35.68

    $39.32 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 19286

    Office

    $274.30

    Facility

    $35.82

    $35.92 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 19286

    Office

    $251.19

    Facility

    $35.26

    $59.03 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 19286

    Office

    $250.23

    Facility

    $34.55

    $59.99 lower than Redding for the office setting.

  • Montana**

    Montana · 19286

    Office

    $286.57

    Facility

    $36.07

    $23.65 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 19286

    Office

    $268.35

    Facility

    $34.63

    $41.87 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 19286

    Office

    $284.79

    Facility

    $34.29

    $25.43 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 19286

    Office

    $265.01

    Facility

    $33.79

    $45.21 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 19286

    Office

    $296.69

    Facility

    $35.92

    $13.53 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 19286

    Office

    $329.47

    Facility

    $38.88

    $19.25 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 19286

    Office

    $311.52

    Facility

    $37.97

    $1.30 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 19286

    Office

    $265.95

    Facility

    $36.23

    $44.27 lower than Redding for the office setting.

  • Nevada**

    Nevada · 19286

    Office

    $286.33

    Facility

    $35.58

    $23.89 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 19286

    Office

    $339.29

    Facility

    $41.43

    $29.07 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 19286

    Office

    $312.76

    Facility

    $38.46

    $2.54 higher than Redding for the office setting.

  • Queens

    New York · 19286

    Office

    $336.25

    Facility

    $40.15

    $26.03 higher than Redding for the office setting.

  • Rest Of New York

    New York · 19286

    Office

    $272.89

    Facility

    $34.91

    $37.33 lower than Redding for the office setting.

  • Ohio

    Ohio · 19286

    Office

    $264.34

    Facility

    $35.63

    $45.88 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 19286

    Office

    $258.53

    Facility

    $34.83

    $51.69 lower than Redding for the office setting.

  • Portland

    Oregon · 19286

    Office

    $314.65

    Facility

    $36.34

    $4.43 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 19286

    Office

    $284.66

    Facility

    $35.16

    $25.56 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 19286

    Office

    $298.15

    Facility

    $37.37

    $12.07 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 19286

    Office

    $265.43

    Facility

    $35.47

    $44.79 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 19286

    Office

    $289.35

    Facility

    $36.09

    $20.87 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 19286

    Office

    $295.22

    Facility

    $36.45

    $15.00 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 19286

    Office

    $266.68

    Facility

    $35.22

    $43.54 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 19286

    Office

    $284.58

    Facility

    $34.08

    $25.64 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 19286

    Office

    $261.91

    Facility

    $34.19

    $48.31 lower than Redding for the office setting.

  • Austin

    Texas · 19286

    Office

    $301.13

    Facility

    $36.10

    $9.09 lower than Redding for the office setting.

  • Beaumont

    Texas · 19286

    Office

    $263.34

    Facility

    $35.38

    $46.88 lower than Redding for the office setting.

  • Brazoria

    Texas · 19286

    Office

    $283.84

    Facility

    $35.59

    $26.38 lower than Redding for the office setting.

  • Dallas

    Texas · 19286

    Office

    $285.38

    Facility

    $35.87

    $24.84 lower than Redding for the office setting.

  • Fort Worth

    Texas · 19286

    Office

    $282.86

    Facility

    $35.86

    $27.36 lower than Redding for the office setting.

  • Galveston

    Texas · 19286

    Office

    $284.49

    Facility

    $35.74

    $25.73 lower than Redding for the office setting.

  • Houston

    Texas · 19286

    Office

    $286.14

    Facility

    $37.39

    $24.08 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 19286

    Office

    $273.24

    Facility

    $35.51

    $36.98 lower than Redding for the office setting.

  • Utah

    Utah · 19286

    Office

    $270.92

    Facility

    $35.45

    $39.30 lower than Redding for the office setting.

  • Virginia

    Virginia · 19286

    Office

    $281.35

    Facility

    $35.10

    $28.87 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 19286

    Office

    $289.35

    Facility

    $36.09

    $20.87 lower than Redding for the office setting.

  • Vermont

    Vermont · 19286

    Office

    $282.54

    Facility

    $34.53

    $27.68 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 19286

    Office

    $299.78

    Facility

    $36.00

    $10.44 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 19286

    Office

    $345.49

    Facility

    $38.12

    $35.27 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 19286

    Office

    $273.75

    Facility

    $33.77

    $36.47 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 19286

    Office

    $254.36

    Facility

    $36.67

    $55.86 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 19286

    Office

    $285.80

    Facility

    $35.29

    $24.42 lower than Redding for the office setting.

See how rates vary across the country

19286 · 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.

$249.05

$355.77

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$315.721
AL$253.291
AR$249.051
AZ$278.221
CA$310.22–$401.3229
CO$302.631
CT$307.471
DC$333.961
DE$283.341
FL$276.83–$301.673
GA$259.52–$291.362
GU$320.371
HI$320.371
IA$263.021
ID$264.531
IL$266.01–$296.004
IN$266.361
KS$260.531
KY$257.921
LA$257.03–$271.892
MA$299.97–$337.022
MD$289.68–$333.963
ME$264.98–$283.172
MI$264.71–$279.692
MN$291.881
MO$251.19–$274.303
MS$250.231
MT$286.571
NC$268.351
ND$284.791
NE$265.011
NH$296.691
NJ$311.52–$329.472
NM$265.951
NV$286.331
NY$272.89–$339.295
OH$264.341
OK$258.531
OR$284.66–$314.652
PA$265.43–$298.152
PR$289.351
RI$295.221
SC$266.681
SD$284.581
TN$261.911
TX$263.34–$301.138
UT$270.921
VA$281.35–$333.962
VI$289.351
VT$282.541
WA$299.78–$345.492
WI$273.751
WV$254.361
WY$285.801

Explore 19286 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 19286 in Redding, the physician’s office rate is $310.22 and the facility-setting rate is $35.66: a difference of $274.56.

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 19286 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$341.24

$310.22 × 110% = $341.24

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.

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 19286 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,678

Code
19286
Physician work
0.83
Practice expense
7.66
Malpractice
0.09

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 19286 in Redding
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0170.8441
Practice expense7.66× 1.0968.3954
Malpractice0.09× 0.5360.0482
Total RVUs9.2877
Conversion factor× 33.4009

Office / nonfacility rate, Redding$310.22

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

Open 19286 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.831.017
Practice expense7.661.096
Malpractice0.090.536

(0.83 × 1.017 + 7.66 × 1.096 + 0.09 × 0.536) × $33.4009 = $310.22

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.831.017
Practice expense0.161.096
Malpractice0.090.536

(0.83 × 1.017 + 0.16 × 1.096 + 0.09 × 0.536) × $33.4009 = $35.66

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

19286 · Office / nonfacility

$310.22

Effective 2026-10-01

The base rate is $9.72 higher than on 2025-10-01, moving from $300.50 to $310.22 (3.2%).

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

    $300.50changed to$310.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense RVU 7.67 changed to 7.66
    • Malpractice RVU 0.08 changed to 0.09
    • 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: $300.50

    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$310.22$35.66RVU26D
2026-07-01$310.22$35.66RVU26C
2026-04-01$310.22$35.66RVU26B
2026-01-01$310.22$35.66RVU26A
2025-10-01$300.50$40.29RVU25D
2025-07-01$300.50$40.29RVU25C
2025-04-01$300.50$40.29RVU25B
2025-01-01$300.50$40.29RVU25A

19286 billing questions

When is 19286 reported instead of 19285?

Use 19285 for the first lesion localized with ultrasound guidance. Report 19286 for each additional lesion localized during the procedure.

Can 19286 be billed without 19285?

No. It is an add-on code and must be reported with the primary ultrasound-guided placement code, 19285.

Does 19286 count additional devices or additional lesions?

It represents each additional lesion, not each extra device placed at one lesion. The record should distinguish the separately localized targets.

Is ultrasound guidance separately reported for the placement?

The code represents placement with ultrasound guidance. Document the guidance used for the additional lesion rather than reporting this code for device placement without ultrasound.

What documentation supports the additional-lesion unit?

Document the additional target's location, percutaneous device placement, and ultrasound guidance, as well as the first lesion reported with 19285.

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 19286PPRRVU2026_Oct_nonQPP.csv, line 1,678 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet