$221.42–$233.45
19281 covers the first lesion in the applicable localization service; 19282 covers each additional lesion and is billed with 19281.
On this page
CMS RVU26D · Effective 2026-10-01
19282 Breast localization Medicare reimbursement rates in Michigan
Reports percutaneous placement of a localization device for each additional breast lesion, using imaging guidance, when a separate lesion requires localization. Compare 19282 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 19282 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
$153.77–$161.98
2 of 2 localities have a supported rate.
Facility setting
$41.24–$43.04
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.
Breast imaging
About 19282: Additional percutaneous breast localization
Reports percutaneous placement of a localization device for each additional breast lesion, using imaging guidance, when a separate lesion requires localization.
A breast imaging physician typically uses image guidance to place a localization device at an additional breast lesion before surgical excision. This service is for targeting a separate lesion beyond the first lesion addressed by the corresponding primary localization service; it describes device placement, not diagnostic imaging of the lesion itself. It is commonly performed in an outpatient breast imaging center or hospital before breast-conserving surgery or another planned excision.
Report 19282 for each additional lesion when the applicable primary service is 19281. The record should identify the separate target lesion and document image-guided percutaneous device placement. If the guidance is stereotactic, ultrasound, or MRI, select the matching modality-specific additional-lesion code instead. CMS classifies 19282 as an add-on code: bill it only with its primary procedure, and payment falls within that procedure’s global period.
CMS billing rules for 19282
- 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 · 20%
- Practice expense (office) RVU3.87 · 78%
- Malpractice RVU0.08 · 2%
3.1K
Medicare services in 2024 · #2147 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.
19282 compared with similar codes
Office rates for Michigan, from the same CMS release.
$169.53–$179.14
Both address an additional lesion, but 19284 is for stereotactic-guided placement; 19282 is used with the 19281 primary service.
$264.71–$279.69
19286 is the additional-lesion code when ultrasound guidance is used. Use 19282 with the 19281 primary service instead.
$421.67–$445.28
19288 applies to additional-lesion placement under MRI guidance; 19282 accompanies the 19281 primary service.
Compare 19282 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
$161.98
Facility
$43.04
Rest Of Michigan →
Office / nonfacility
$153.77
Facility
$41.24
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19282 billing questions
When is 19282 reported instead of 19281?
19281 represents the first lesion in the applicable imaging-guided localization service. Report 19282 for each additional lesion localized in that service.
Can 19282 be billed by itself?
No. It is an add-on code and must be billed with its primary procedure, 19281.
Which code applies when guidance is stereotactic, ultrasound, or MRI?
Use the modality-specific additional-lesion code: 19284 for stereotactic guidance, 19286 for ultrasound guidance, or 19288 for MRI guidance.
What documentation supports reporting an additional lesion?
Document the distinct additional breast target and the image-guided percutaneous placement of a localization device at that target.
How does CMS treat payment for this add-on code?
CMS requires 19282 to be billed with its primary procedure, and payment is within that procedure’s global period.
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.
1,67119125,,Excision breast lesion,A,,6.52,10.81,,5.35,,1.68,19.01,13.55,0,090,0.10,0.71,0.19,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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