$321.37–$339.31
10035 reports localization of the first soft-tissue lesion; 10036 is for each additional lesion in the session.
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CMS RVU26D · Effective 2026-10-01
10036 Soft-tissue localization Medicare reimbursement rates in Michigan
Report for percutaneous placement of a localization device in each additional soft-tissue lesion beyond the first lesion treated in the session. Compare 10036 office and facility rates across CMS payment localities in Michigan.
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 10036 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$268.51–$284.04
2 of 2 localities have a supported rate.
Facility setting
$36.75–$39.07
2 of 2 localities have a supported rate.
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.
Image-guided procedure
About 10036: Additional soft-tissue lesion localization
Report for percutaneous placement of a localization device in each additional soft-tissue lesion beyond the first lesion treated in the session.
This add-on code covers percutaneous placement of a localization device in an additional soft-tissue lesion, with imaging guidance included in the service. Devices can include a wire, clip, metallic marker, or radioactive seed used to identify a target for a later procedure. Radiologists, interventional radiologists, or surgeons may perform the placement, often before excision of a nonpalpable soft-tissue target.
Report 10036 for each additional lesion after the first lesion, which is reported with 10035. Count lesions, not individual devices placed in one lesion. Documentation should identify the target sites, the number of lesions localized, the devices placed, and the imaging guidance used. CMS classifies 10036 as an add-on code: it must be billed with a primary procedure, and payment is included within that procedure’s global period.
CMS billing rules for 10036
- 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 RVU0.83 · 10%
- Practice expense (office) RVU7.76 · 89%
- Malpractice RVU0.11 · 1%
407
Medicare services in 2024 · #3725 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.
10036 compared with similar codes
Office rates for Michigan, from the same CMS release.
$326.02–$344.39
Use 19285 for the first breast lesion. Code 10036 is for additional non-breast soft-tissue lesions.
$264.71–$279.69
19286 reports each additional breast lesion; 10036 reports each additional non-breast soft-tissue lesion.
Compare 10036 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$284.04
Facility
$39.07
Rest Of Michigan →
Office / nonfacility
$268.51
Facility
$36.75
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10036 billing questions
When should 10036 be reported instead of 10035?
Use 10035 for the first soft-tissue lesion localized during the session. Report 10036 for each additional lesion.
Is 10036 counted per device or per lesion?
It is counted per additional lesion. Multiple localization devices placed in one lesion do not make that lesion count as multiple lesions.
Can 10036 be billed by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 10035 for the first localized lesion.
Can imaging guidance be billed separately for the placement?
Imaging guidance is included in the localization service described by 10036; do not report it separately for that same placement.
What documentation supports multiple units?
Document each target lesion and its site, the device or devices placed, and the imaging-guided placement. The record should support that each reported unit represents a separate additional lesion.
Does 10036 apply to breast lesion localization?
Use the breast-specific localization codes for breast targets: 19285 for the first lesion and 19286 for each 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.
1,0761002T,TC,Air displacmnt plethysmograp,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,9,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
1,07710030,,Img gid flu coll drg sft tis,A,,2.68,15.56,,0.51,,0.35,18.59,3.54,9,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,07810035,,Plmt sft tiss loclzj dev 1st,A,,1.66,8.51,,0.30,,0.17,10.34,2.13,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,07910036,,Plmt sft tiss loclzj dev ea,A,,0.83,7.76,,0.16,,0.11,8.70,1.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,0801003F,,Level of activity assess,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,0811003T,,Arthrp 1st crp/mtcrpl prostc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,08210040,,Extraction,A,,0.89,2.42,,0.30,,0.08,3.39,1.27,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00