$551.37
Use 19287 for the first lesion in an MRI-guided localization service. Use 19288 for each additional lesion.
On this page
CMS RVU26D · Effective 2026-10-01
19288 Breast localization Medicare reimbursement rates in Iowa
Reports MRI-guided percutaneous localization of each breast lesion beyond the first, typically to mark additional targets before breast-conserving surgery. Compare 19288 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 19288 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
$419.56
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$50.37
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 19288: Additional MRI-guided breast localization
Reports MRI-guided percutaneous localization of each breast lesion beyond the first, typically to mark additional targets before breast-conserving surgery.
An MRI-guided breast localization procedure places a marker or other localization device percutaneously at an MRI-visible target so the surgeon can identify it for excision. Breast radiologists commonly perform it in an MRI suite, often before surgery for a nonpalpable lesion that needs image-guided targeting.
Report 19288 for each lesion after the first addressed during the MRI-guided localization service, with 19287 for the first lesion. The imaging modality determines the code family: MRI guidance supports this add-on, while mammographic, stereotactic, or ultrasound guidance uses its own family. Documentation should identify the additional lesion, MRI guidance, percutaneous device placement, and connection to the first-lesion service. Imaging guidance is part of the localization service. CMS classifies 19288 as an add-on, so it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 19288
- 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 RVU1.25 · 9%
- Practice expense (office) RVU12.31 · 90%
- Malpractice RVU0.12 · 1%
71
Medicare services in 2024 · #5132 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.
19288 compared with similar codes
Office rates for Iowa, from the same CMS release.
$263.02
Both represent additional breast lesions, but 19286 is for ultrasound guidance and 19288 is for MRI guidance.
$167.14
19284 represents an additional lesion localized stereotactically; 19288 represents one localized with MRI guidance.
$152.07
19282 is for an additional lesion with mammographic guidance. Select 19288 when MRI provides the guidance.
Compare 19288 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
$419.56
Facility
$50.37
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 19288 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,680
- Code
- 19288
- Physician work
- 1.25
- Practice expense
- 12.31
- Malpractice
- 0.12
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.25 | × 1.000 | 1.2500 |
| Practice expense | 12.31 | × 0.915 | 11.2637 |
| Malpractice | 0.12 | × 0.397 | 0.0476 |
| Total RVUs | 12.5613 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$419.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.25 | 1 |
| Practice expense | 12.31 | 0.915 |
| Malpractice | 0.12 | 0.397 |
(1.25 × 1 + 12.31 × 0.915 + 0.12 × 0.397) × $33.4009 = $419.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.25 | 1 |
| Practice expense | 0.23 | 0.915 |
| Malpractice | 0.12 | 0.397 |
(1.25 × 1 + 0.23 × 0.915 + 0.12 × 0.397) × $33.4009 = $50.37
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.
19288 billing questions
Can 19288 be billed by itself?
No. It is an add-on for an additional MRI-guided lesion and is reported with 19287 for the first lesion.
Are units based on the number of devices or lesions?
Report one unit for each additional lesion localized after the first, not for each device placed at a lesion.
Is MRI guidance separately reported?
No. MRI guidance is included in the breast localization service represented by this code.
When should 19286 be used instead?
Use 19286 for an additional lesion localized with ultrasound guidance. Code 19288 is for additional lesions localized with MRI guidance.
What documentation supports an additional unit?
Document the additional target or lesion, percutaneous device placement, MRI guidance, and the first-lesion service reported with 19287.
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.
1,67719285,,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
1,67919287,,Perq dev breast 1st mr guide,A,,2.49,15.22,,0.45,,0.23,17.94,3.17,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68019288,,Perq dev breast add mr guide,A,,1.25,12.31,,0.23,,0.12,13.68,1.60,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68119294,,Prepj tum cav iort prtl mast,A,,2.93,0.74,NA,0.74,,0.76,4.43,4.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68219296,,Place po breast cath for rad,A,,3.54,115.12,,1.36,,0.90,119.56,5.80,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68319297,,Place breast cath for rad,A,,1.68,0.40,NA,0.40,,0.41,2.49,2.49,0,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