$88.44
This code describes contrast injection into a breast duct for ductography. Code 19000 describes aspiration of fluid from a breast cyst.
On this page
CMS RVU26D · Effective 2026-10-01
19030 Ductography Medicare reimbursement rates in Iowa
Reports contrast injection into a breast duct for ductography, typically during evaluation of pathologic nipple discharge. Compare 19030 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 19030 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
$147.41
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$60.31
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.
Breast imaging procedure
About 19030: Breast duct contrast injection
Reports contrast injection into a breast duct for ductography, typically during evaluation of pathologic nipple discharge.
A clinician places a small catheter or needle into a breast duct and instills contrast so the duct can be evaluated with breast imaging. This is most often performed in an outpatient breast imaging setting when a patient has nipple discharge, particularly discharge from a single duct that needs further evaluation. The service is the duct injection, not fluid aspiration or tissue sampling.
Report the injection when the procedure is performed, and document the indication, breast and duct treated, and injection details. Separately performed diagnostic breast imaging may be reported with its applicable imaging code. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. For bilateral performance, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 19030
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.49 · 31%
- Practice expense (office) RVU3.13 · 66%
- Malpractice RVU0.15 · 3%
74
Medicare services in 2024 · #5107 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.
19030 compared with similar codes
Office rates for Iowa, from the same CMS release.
$24.44
Use 19001 for aspiration of an additional breast cyst; it does not describe duct injection or duct imaging.
$437.89
Code 19083 reports ultrasound-guided breast lesion biopsy. It applies when tissue is sampled, rather than when contrast is injected into a duct.
Compare 19030 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
$147.41
Facility
$60.31
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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 19030 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,658
- Code
- 19030
- Physician work
- 1.49
- Practice expense
- 3.13
- 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 | 1.49 | × 1.000 | 1.4900 |
| Practice expense | 3.13 | × 0.915 | 2.8639 |
| Malpractice | 0.15 | × 0.397 | 0.0595 |
| Total RVUs | 4.4135 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$147.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 3.13 | 0.915 |
| Malpractice | 0.15 | 0.397 |
(1.49 × 1 + 3.13 × 0.915 + 0.15 × 0.397) × $33.4009 = $147.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 0.28 | 0.915 |
| Malpractice | 0.15 | 0.397 |
(1.49 × 1 + 0.28 × 0.915 + 0.15 × 0.397) × $33.4009 = $60.31
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.
19030 billing questions
When should this code be used instead of a breast cyst aspiration code?
Use this code for contrast injection into a duct to support ductography. Breast cyst aspiration codes describe needle drainage of cyst fluid, not duct imaging.
Can diagnostic mammography be reported on the same date?
Yes, when diagnostic mammography is separately performed and documented. The injection code represents the duct injection; report the applicable imaging service separately.
What documentation supports the service?
Document the clinical reason for ductography, the breast and duct treated, and the contrast injection performed. Record separately performed imaging in its own documentation.
How is bilateral duct injection reported?
When the procedure is performed on both breasts, report modifier 50. CMS pays the bilateral procedure at 150%.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. Separately performed diagnostic imaging is distinct from that included care.
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.
1,65519000,,Puncture aspir cyst breast,A,,0.82,1.95,,0.16,,0.11,2.88,1.09,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65619001,,Puncture aspir cyst brst ea,A,,0.41,0.33,,0.08,,0.05,0.79,0.54,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65719020,,Mastotomy expl drg absc dp,A,,3.73,10.75,,4.82,,0.92,15.40,9.47,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65819030,,Njx px only mam ducto/glcto,A,,1.49,3.13,,0.28,,0.15,4.77,1.92,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,65919081,,Bx breast 1st lesion strtctc,A,,3.21,10.76,,0.58,,0.35,14.32,4.14,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66019082,,Bx breast add lesion strtctc,A,,1.61,9.10,,0.30,,0.17,10.88,2.08,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66119083,,Bx breast 1st lesion us imag,A,,3.02,10.88,,0.55,,0.34,14.24,3.91,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,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