$315.42
10007 covers the first lesion sampled with fluoroscopic guidance. Use 10008 only for an additional lesion.
On this page
CMS RVU26D · Effective 2026-10-01
10008 FNA biopsy Medicare reimbursement rates in Iowa
Report this add-on for each additional lesion sampled by fine-needle aspiration biopsy with fluoroscopic guidance after the first lesion. Compare 10008 office and facility rates across CMS payment localities in Iowa.
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 10008 in Iowa?
Iowa 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
$129.95
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$43.76
1 of 1 localities have a supported rate.
Payment area: Iowa
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 10008: Additional fluoroscopy-guided aspiration biopsy lesion
Report this add-on for each additional lesion sampled by fine-needle aspiration biopsy with fluoroscopic guidance after the first lesion.
A clinician uses fluoroscopic imaging to guide a needle to an additional lesion and aspirates material for examination, commonly cytology. Interventional radiologists and other physicians who perform image-guided biopsies may report the service in an imaging or procedure suite. This code represents an additional target after the first lesion sampled with fluoroscopic guidance; it is not the code for the initial lesion.
Report 10008 with 10007 for the first lesion, and document the additional lesion sampled and the use of fluoroscopic guidance. The record should distinguish each target lesion from repeated needle passes or additional samples from the same lesion. CMS treats 10008 as an add-on code: it must be billed with its primary procedure, and payment is within that procedure’s global period.
CMS billing rules for 10008
- 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 RVU1.15 · 27%
- Practice expense (office) RVU2.93 · 69%
- Malpractice RVU0.15 · 4%
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.
10008 compared with similar codes
Office rates for Iowa, from the same CMS release.
$55.89
Both codes cover an additional lesion, but 10006 uses ultrasound guidance instead of fluoroscopy.
$216.09
10010 is for an additional lesion sampled with CT guidance; 10008 is for fluoroscopic guidance.
$48.56
10004 covers an additional lesion sampled without imaging guidance. Choose 10008 when fluoroscopy guides the biopsy.
Compare 10008 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
Iowa →
Office / nonfacility
$129.95
Facility
$43.76
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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 10008 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,064
- Code
- 10008
- Physician work
- 1.15
- Practice expense
- 2.93
- Malpractice
- 0.15
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.15 | × 1.000 | 1.1500 |
| Practice expense | 2.93 | × 0.915 | 2.6810 |
| Malpractice | 0.15 | × 0.397 | 0.0595 |
| Total RVUs | 3.8905 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$129.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.15 | 1 |
| Practice expense | 2.93 | 0.915 |
| Malpractice | 0.15 | 0.397 |
(1.15 × 1 + 2.93 × 0.915 + 0.15 × 0.397) × $33.4009 = $129.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.15 | 1 |
| Practice expense | 0.11 | 0.915 |
| Malpractice | 0.15 | 0.397 |
(1.15 × 1 + 0.11 × 0.915 + 0.15 × 0.397) × $33.4009 = $43.76
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.
10008 billing questions
When should 10008 be reported instead of 10007?
Use 10007 for the first lesion sampled with fluoroscopic guidance. Report 10008 for each additional lesion sampled during the service.
Can 10008 be billed by itself?
No. It is an add-on code and must be reported with the primary fluoroscopy-guided aspiration biopsy code, 10007.
Does each needle pass support another unit of 10008?
No. The add-on represents an additional lesion, not another pass or specimen from the same lesion.
What documentation supports reporting 10008?
Document the additional lesion sampled, the aspiration biopsy performed, and fluoroscopic guidance. The record should make the separate lesion distinguishable from the first target.
How does 10008 differ from 10006?
Both represent an additional lesion, but 10008 is for fluoroscopic guidance and 10006 is for ultrasound guidance.
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.
1,06110005,,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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136