$217.66–$239.50
10009 is for the initial lesion sampled with CT guidance; 10010 is for each additional lesion sampled with CT guidance during the session.
On this page
CMS RVU26D · Effective 2026-10-01
10009 FNA biopsy Medicare reimbursement rates in Georgia
Reports CT-guided fine-needle aspiration of the initial lesion when a clinician uses imaging to direct needle sampling for cytologic evaluation. Compare 10009 office and facility rates across CMS payment localities in Georgia.
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 10009 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$378.19–$419.57
2 of 2 localities have a supported rate.
Facility setting
$93.36–$95.15
2 of 2 localities have a supported rate.
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 10009: CT-guided fine-needle aspiration biopsy, first lesion
Reports CT-guided fine-needle aspiration of the initial lesion when a clinician uses imaging to direct needle sampling for cytologic evaluation.
A clinician advances a fine needle into a lesion while using CT images to plan and guide sampling. The needle collects cells or fluid for cytologic evaluation rather than a core of tissue. Radiologists and interventional radiologists commonly perform this service for lesions that need image-guided access, such as a lung or deep soft-tissue mass, in an outpatient imaging department or hospital setting.
Report 10009 for the first lesion sampled with CT guidance. For another distinct lesion sampled during the same session with CT guidance, use the applicable additional-lesion code rather than reporting another first-lesion service. The record should identify the target lesion or site, CT guidance, and the aspiration sampling performed. CT guidance is part of this service; cytology interpretation is a separate service when performed and appropriately reported. Under the standard multiple procedure reduction, the highest-valued procedure in the same session is paid in full and other procedures are paid at 50%.
CMS billing rules for 10009
- 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 RVU2.20 · 18%
- Practice expense (office) RVU9.92 · 80%
- Malpractice RVU0.23 · 2%
1.7K
Medicare services in 2024 · #2599 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.
10009 compared with similar codes
Office rates for Georgia, from the same CMS release.
$124.81–$134.82
Both report image-guided FNA of the first lesion, but 10005 uses ultrasound guidance and 10009 uses CT guidance.
$94.99–$102.92
10021 is for first-lesion FNA without imaging guidance. Use 10009 when CT guides needle placement.
Compare 10009 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$419.57
Facility
$95.15
Rest Of Georgia →
Office / nonfacility
$378.19
Facility
$93.36
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10009 billing questions
When should 10009 be selected instead of an unguided FNA code?
Use 10009 when CT images guide needle placement for the initial lesion. If the FNA is performed without imaging guidance, select the code for an unguided first-lesion FNA instead.
Does 10009 include the CT guidance?
Yes. The code represents the FNA biopsy with CT guidance, so the guidance for that sampling is included in the service.
How is a second lesion handled in the same session?
For another distinct lesion sampled with CT guidance during the session, report 10010 for the additional lesion rather than another 10009.
What documentation supports reporting 10009?
Document the target lesion or site, that CT was used to guide the needle, and that fine-needle aspiration sampling was performed.
How does the multiple procedure reduction affect payment?
When multiple procedures subject to the standard rule are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
Is cytology interpretation included in 10009?
10009 covers the CT-guided needle sampling, not interpretation of the specimen. Cytology may be reported separately when that service is performed and appropriately documented.
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.
1,06210006,,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
1,0671000T,,Autol musc cell therapy admn,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06810010,,Fna bx w/ct gdn ea addl,A,,1.61,5.22,,0.15,,0.21,7.04,1.97,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00