$532.19
Choose 19105 for cryoablation of a fibroadenoma in place. Choose 19120 when the breast lesion is surgically removed.
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CMS RVU26D · Effective 2026-10-01
19105 Fibroadenoma ablation Medicare reimbursement rates in Kentucky
Percutaneous cryoablation treats a diagnosed breast fibroadenoma under ultrasound guidance; report one unit for each fibroadenoma treated. Compare 19105 office and facility rates across CMS payment localities in Kentucky.
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 19105 in Kentucky?
Kentucky 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
$2268.52
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$186.42
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 procedure
About 19105: Cryoablation of breast fibroadenoma
Percutaneous cryoablation treats a diagnosed breast fibroadenoma under ultrasound guidance; report one unit for each fibroadenoma treated.
This service uses a probe to freeze and ablate a breast fibroadenoma, with ultrasound guidance used to target the lesion. It is typically performed by a breast surgeon or radiologist in an outpatient setting for a patient whose fibroadenoma is suitable for ablation. The approach treats the mass in place rather than removing it for examination as a surgical specimen; the code includes the ultrasound guidance.
Report one unit for each fibroadenoma ablated, not for each freeze cycle or probe placement. The record should identify each treated fibroadenoma and document the ablation and ultrasound-guided targeting. This minor procedure 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 other procedures are subject to the standard 50% reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 19105
- 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 RVU3.60 · 5%
- Practice expense (office) RVU71.34 · 94%
- Malpractice RVU0.98 · 1%
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.
19105 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$590.10
19125 describes surgical excision of a lesion identified by preoperative placement of a localization marker; 19105 treats a fibroadenoma by cryoablation.
$150.06
19100 is percutaneous breast tissue sampling for diagnosis. It does not describe treatment of a known fibroadenoma by freezing.
Compare 19105 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
Kentucky →
Office / nonfacility
$2268.52
Facility
$186.42
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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 19105 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
1,667
- Code
- 19105
- Physician work
- 3.60
- Practice expense
- 71.34
- Malpractice
- 0.98
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.60 | × 1.000 | 3.6000 |
| Practice expense | 71.34 | × 0.889 | 63.4213 |
| Malpractice | 0.98 | × 0.915 | 0.8967 |
| Total RVUs | 67.9180 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$2268.52
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.6 | 1 |
| Practice expense | 71.34 | 0.889 |
| Malpractice | 0.98 | 0.915 |
(3.6 × 1 + 71.34 × 0.889 + 0.98 × 0.915) × $33.4009 = $2268.52
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.6 | 1 |
| Practice expense | 1.22 | 0.889 |
| Malpractice | 0.98 | 0.915 |
(3.6 × 1 + 1.22 × 0.889 + 0.98 × 0.915) × $33.4009 = $186.42
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.
19105 billing questions
Is ultrasound guidance separately reported?
No. Ultrasound guidance is included in the cryoablation service described by this code.
How many units should be reported?
Report one unit for each fibroadenoma treated. Do not count probe placements or freeze cycles as additional units.
How does this differ from breast lesion excision?
This code describes freezing a fibroadenoma in place. Codes 19120 and 19125 describe surgical removal of a breast lesion.
Can modifier 50 be used for bilateral treatment?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
Is same-day follow-up included in the global period?
The 0-day global period includes same-day preoperative and postoperative 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.
1,66419086,,Bx breast add lesion mr imag,A,,1.77,14.62,,0.32,,0.17,16.56,2.26,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66519100,,Bx breast percut w/o image,A,,1.24,3.35,,0.31,,0.30,4.89,1.85,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66619101,,Biopsy of breast open,A,,3.15,6.55,,2.54,,0.79,10.49,6.48,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66719105,,Cryosurg ablate fa each,A,,3.60,71.34,,1.22,,0.98,75.92,5.80,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66819110,,Nipple exploration,A,,4.33,10.54,,5.19,,1.13,16.00,10.65,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,66919112,,Excise breast duct fistula,A,,3.71,10.42,,5.19,,1.01,15.14,9.91,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,67019120,,Removal of breast lesion,A,,5.77,9.94,,4.99,,1.45,17.16,12.21,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631