$217.10
Choose 19281 for the first lesion when localization uses mammographic guidance. Choose 19283 when the procedure uses stereotactic guidance.
On this page
CMS RVU26D · Effective 2026-10-01
19283 Breast localization Medicare reimbursement rates in Iowa
Percutaneous placement of a localization device in a breast lesion using stereotactic imaging guidance, reported for the first lesion treated with that guidance method. Compare 19283 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 19283 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
$230.81
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$78.92
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
About 19283: Stereotactic breast lesion localization
Percutaneous placement of a localization device in a breast lesion using stereotactic imaging guidance, reported for the first lesion treated with that guidance method.
A breast imaging physician or radiologist uses stereotactic imaging to guide a localization device through the skin to a breast lesion, commonly one that is not palpable and needs to be identified for surgical removal. The service is performed in a breast imaging department or other outpatient setting before the planned excision. The device helps the surgeon find the target; the code covers placement and the associated imaging guidance.
Report this code for the first lesion localized using stereotactic guidance. Documentation should identify the target, laterality, guidance method, and device placement; report 19284 for each additional stereotactically localized lesion. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 19283
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.95 · 26%
- Practice expense (office) RVU5.33 · 71%
- Malpractice RVU0.21 · 3%
3.7K
Medicare services in 2024 · #2043 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.
19283 compared with similar codes
Office rates for Iowa, from the same CMS release.
$167.14
19283 is for the first stereotactically localized lesion; 19284 is for each additional lesion localized with stereotactic guidance.
$322.19
19285 applies when ultrasound guides localization of the first lesion. 19283 applies when the guidance is stereotactic.
$551.37
19287 is for first-lesion localization with MR guidance; 19283 is for first-lesion localization with stereotactic guidance.
Compare 19283 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
$230.81
Facility
$78.92
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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 19283 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,675
- Code
- 19283
- Physician work
- 1.95
- Practice expense
- 5.33
- Malpractice
- 0.21
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.000 | 1.9500 |
| Practice expense | 5.33 | × 0.915 | 4.8769 |
| Malpractice | 0.21 | × 0.397 | 0.0834 |
| Total RVUs | 6.9103 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$230.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 5.33 | 0.915 |
| Malpractice | 0.21 | 0.397 |
(1.95 × 1 + 5.33 × 0.915 + 0.21 × 0.397) × $33.4009 = $230.81
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.95 | 1 |
| Practice expense | 0.36 | 0.915 |
| Malpractice | 0.21 | 0.397 |
(1.95 × 1 + 0.36 × 0.915 + 0.21 × 0.397) × $33.4009 = $78.92
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.
19283 billing questions
How is 19283 different from 19281?
Both describe percutaneous localization of a first breast lesion, but 19283 uses stereotactic guidance. Use 19281 when the guidance method is mammographic rather than stereotactic.
When is 19284 reported with 19283?
Report 19283 for the first lesion localized stereotactically and 19284 for each additional lesion localized by that method.
Can imaging guidance be billed separately?
The imaging guidance for the localization is included in 19283. The record should support the stereotactic guidance and device placement.
What documentation supports 19283?
Document the breast and lesion targeted, the stereotactic guidance method, and the localization device placement. Record additional targets separately when reporting 19284.
How is bilateral localization reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS facts for this code. The record should support localization in both breasts.
Are assistant surgeons or co-surgeons payable?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
1,67219126,,Excision addl breast lesion,A,,2.86,0.72,NA,0.72,,0.73,4.31,4.31,0,ZZZ,0.00,0.00,0.00,0,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67319281,,Perq device breast 1st imag,A,,1.95,4.89,,0.35,,0.19,7.03,2.49,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67419282,,Perq device breast ea imag,A,,0.98,3.87,,0.18,,0.08,4.93,1.24,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67519283,,Perq dev breast 1st strtctc,A,,1.95,5.33,,0.36,,0.21,7.49,2.52,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67619284,,Perq dev breast add strtctc,A,,0.98,4.35,,0.18,,0.11,5.44,1.27,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67719285,,Perq dev breast 1st us imag,A,,1.66,8.65,,0.31,,0.18,10.49,2.15,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67819286,,Perq dev breast add us imag,A,,0.83,7.66,,0.16,,0.09,8.58,1.08,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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