$121.85
10005 reports the first ultrasound-guided lesion; 10006 reports each additional distinct lesion sampled in the same session.
On this page
CMS RVU26D · Effective 2026-10-01
10006 FNA biopsy Medicare reimbursement rates in Kansas
Report this add-on for each additional distinct lesion sampled by fine needle aspiration under ultrasound guidance after the first lesion. Compare 10006 office and facility rates across CMS payment localities in Kansas.
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 10006 in Kansas?
Kansas 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
$56.02
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$40.62
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Fine needle aspiration
About 10006: Ultrasound-guided additional lesion aspiration
Report this add-on for each additional distinct lesion sampled by fine needle aspiration under ultrasound guidance after the first lesion.
A clinician uses ultrasound to locate a target and guide a fine needle to collect cells or fluid from an additional lesion. Common targets include thyroid nodules, cervical lymph nodes, and accessible soft-tissue masses. Radiologists, endocrinologists, surgeons, and other clinicians performing image-guided sampling may report the service in office or outpatient settings. This code represents an additional lesion after the first ultrasound-guided lesion in the same session, not additional needle passes into one lesion.
Report 10006 with 10005 for the first lesion, counting each separately sampled additional lesion. Document the site and identity of each target and the use of ultrasound guidance. The CMS add-on rule requires this code to be billed with a primary procedure; it is paid within that procedure’s global period.
CMS billing rules for 10006
- 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 RVU0.98 · 54%
- Practice expense (office) RVU0.71 · 39%
- Malpractice RVU0.11 · 6%
30.7K
Medicare services in 2024 · #968 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.
10006 compared with similar codes
Office rates for Kansas, from the same CMS release.
$48.77
Both describe additional-lesion FNA, but 10004 is for sampling without imaging guidance and 10006 is for ultrasound guidance.
$129.41
Both are add-on codes for an additional lesion; use 10006 for ultrasound guidance and 10008 for fluoroscopic guidance.
$92.52
10021 is for the first lesion sampled without imaging guidance. It is not the add-on for an ultrasound-guided additional lesion.
Compare 10006 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
Kansas →
Office / nonfacility
$56.02
Facility
$40.62
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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 10006 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
1,062
- Code
- 10006
- Physician work
- 0.98
- Practice expense
- 0.71
- Malpractice
- 0.11
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 0.71 | × 0.904 | 0.6418 |
| Malpractice | 0.11 | × 0.504 | 0.0554 |
| Total RVUs | 1.6773 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$56.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 0.71 | 0.904 |
| Malpractice | 0.11 | 0.504 |
(0.98 × 1 + 0.71 × 0.904 + 0.11 × 0.504) × $33.4009 = $56.02
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 0.2 | 0.904 |
| Malpractice | 0.11 | 0.504 |
(0.98 × 1 + 0.2 × 0.904 + 0.11 × 0.504) × $33.4009 = $40.62
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.
10006 billing questions
What primary code must accompany 10006?
Report 10006 with 10005 for the first lesion sampled with ultrasound guidance. It is an add-on code and is not reported by itself.
Does each needle pass count as an additional lesion?
No. The add-on is for each additional distinct lesion, not for repeat passes or samples taken from the same lesion.
Can ultrasound guidance be billed separately?
Ultrasound guidance is part of the FNA service represented by 10005 and 10006. Do not separately report guidance for the same sampling service.
What documentation supports reporting multiple units?
Document the location and identity of each distinct lesion sampled, along with ultrasound guidance. The record should distinguish the additional targets from the first lesion.
When should 10004 be considered instead?
10004 is for an additional lesion sampled without imaging guidance. Use 10006 when ultrasound guides sampling of the additional lesion.
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.
1,0590999T,,Autol musc cell therapy hrvg,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
1,06010004,,Fna bx w/o img gdn ea addl,A,,0.78,0.68,,0.19,,0.13,1.59,1.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06110005,,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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958