$126.88
10007 covers fluoroscopic-guided sampling of the first lesion; 10008 is the add-on for each additional lesion sampled with fluoroscopy.
On this page
CMS RVU26D · Effective 2026-10-01
10007 Fine needle aspiration Medicare reimbursement rates in Alabama
Fluoroscopic-guided fine needle aspiration biopsy samples the first lesion for cytologic evaluation when fluoroscopy directs needle placement. Compare 10007 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 10007 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$305.88
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$74.70
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Image-guided biopsy
About 10007: Fluoroscopic-guided fine needle aspiration biopsy
Fluoroscopic-guided fine needle aspiration biopsy samples the first lesion for cytologic evaluation when fluoroscopy directs needle placement.
The physician uses live fluoroscopic imaging to guide a fine needle into a target lesion and obtain cellular material for evaluation. A radiologist, interventional radiologist, or another physician trained in image-guided procedures may perform the service in a hospital or outpatient setting. The code represents sampling of the first lesion with fluoroscopic guidance, rather than the number of needle passes or specimens collected from that lesion.
Report 10007 when fluoroscopy guides aspiration of the first lesion. The record should identify the target, document fluoroscopic guidance and needle aspiration, and support that a lesion was sampled. For each additional lesion sampled in the same session, use the corresponding add-on code, 10008. Fluoroscopic guidance is included in this service. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
CMS billing rules for 10007
- 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 RVU1.76 · 17%
- Practice expense (office) RVU8.28 · 80%
- Malpractice RVU0.27 · 3%
553
Medicare services in 2024 · #3465 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.
10007 compared with similar codes
Office rates for Alabama, from the same CMS release.
$119.91
Both cover image-guided fine needle aspiration of a first lesion, but 10005 uses ultrasound guidance rather than fluoroscopy.
$367.75
Both cover image-guided fine needle aspiration of a first lesion, but 10009 uses CT guidance rather than fluoroscopy.
$90.99
Use 10021 for first-lesion aspiration without imaging guidance; use 10007 when fluoroscopy guides the needle.
Compare 10007 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$305.88
Facility
$74.70
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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 10007 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
1,063
- Code
- 10007
- Physician work
- 1.76
- Practice expense
- 8.28
- Malpractice
- 0.27
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 8.28 | × 0.875 | 7.2450 |
| Malpractice | 0.27 | × 0.566 | 0.1528 |
| Total RVUs | 9.1578 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$305.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 8.28 | 0.875 |
| Malpractice | 0.27 | 0.566 |
(1.76 × 1 + 8.28 × 0.875 + 0.27 × 0.566) × $33.4009 = $305.88
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 0.37 | 0.875 |
| Malpractice | 0.27 | 0.566 |
(1.76 × 1 + 0.37 × 0.875 + 0.27 × 0.566) × $33.4009 = $74.70
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.
10007 billing questions
When should 10007 be chosen instead of 10005 or 10009?
Use 10007 when fluoroscopy guides the aspiration. Code 10005 is for ultrasound guidance, and 10009 is for CT guidance.
How is another lesion sampled during the same session reported?
Report 10008 for each additional lesion sampled with fluoroscopic guidance. Do not count separate needle passes into one lesion as additional lesions.
Can fluoroscopic guidance be billed separately?
No. Fluoroscopic guidance is included in 10007.
What documentation supports reporting 10007?
Document the lesion sampled, the use of fluoroscopy to guide needle placement, and the fine needle aspiration performed.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,06010004,,Fna bx w/o img gdn ea addl,A,,0.78,0.68,,0.19,,0.13,1.59,1.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06110005,,Fna bx w/us gdn 1st les,A,,1.42,2.37,,0.28,,0.17,3.96,1.87,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06210006,,Fna bx w/us gdn ea addl,A,,0.98,0.71,,0.20,,0.11,1.80,1.29,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06310007,,Fna bx w/fluor gdn 1st les,A,,1.76,8.28,,0.37,,0.27,10.31,2.40,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06410008,,Fna bx w/fluor gdn ea addl,A,,1.15,2.93,,0.11,,0.15,4.23,1.41,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06510009,,Fna bx w/ct gdn 1st les,A,,2.20,9.92,,0.36,,0.23,12.35,2.79,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,0661000F,,Tobacco use assessed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515