Billing code 10007: Fine needle aspirationMedicare rate & RVUs in Florida
Fluoroscopic-guided fine needle aspiration biopsy samples the first lesion for cytologic evaluation when fluoroscopy directs needle placement.
Medicare pays $336.73–$369.49 for 10007 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
What 10007 covers
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.
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.
Where 10007 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$336.73 to $369.49
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $355.25 | $87.61 |
| Miami | $369.49 | $94.46 |
| Rest Of Florida | $336.73 | $84.15 |
How the 10007 rate is calculated
Each of 10007’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 · 10007
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.76Practice expense 8.28Malpractice 0.27
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 10007
The CMS indicators that decide how 10007 is paid alongside other services.
CMS payment indicators · 10007
Fine needle aspiration
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 51 · payment effect
With and without the modifier
10007 without 51 · national office
$344.36
Fine needle aspiration
10007-51 · Second procedure: 50%
$172.18
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
10007 compared with similar codes
Compare codes
10007 vs 10008 vs 10005 vs 10009 vs 10021: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 10008FNA biopsy
- 10007 covers fluoroscopic-guided sampling of the first lesion; 10008 is the add-on for each additional lesion sampled with fluoroscopy.
- 10005Ultrasound-guided FNA
- Both cover image-guided fine needle aspiration of a first lesion, but 10005 uses ultrasound guidance rather than fluoroscopy.
- 10009FNA biopsy
- Both cover image-guided fine needle aspiration of a first lesion, but 10009 uses CT guidance rather than fluoroscopy.
- 10021Fine needle aspiration
- Use 10021 for first-lesion aspiration without imaging guidance; use 10007 when fluoroscopy guides the needle.
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 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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