$496.81–$525.61
19287 is for the first MRI-guided localization target; 19288 reports each additional lesion.
On this page
CMS RVU26D · Effective 2026-10-01
19287 Breast localization Medicare reimbursement rates in New Jersey
Report this service for percutaneous placement of a breast localization device at the first lesion when MRI provides the procedural guidance. Compare 19287 office and facility rates across CMS payment localities in New Jersey.
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 19287 in New Jersey?
New Jersey 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
$650.05–$686.31
2 of 2 localities have a supported rate.
Facility setting
$111.34–$114.05
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 19287: MRI-guided breast localization device placement
Report this service for percutaneous placement of a breast localization device at the first lesion when MRI provides the procedural guidance.
A radiologist typically uses MRI to guide a needle or delivery system through the skin and place a localization device at a breast lesion. The marker helps identify the target for a later procedure, such as surgical excision, particularly when the abnormality is best seen on MRI. This code represents localization, not tissue sampling; it may be performed after a prior biopsy has identified the target.
Report this code for the first lesion localized with MRI guidance, and document the target, percutaneous placement, and MRI guidance. The add-on code 19288 is used for each additional lesion. MRI guidance for placement is included. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 19287
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.49 · 14%
- Practice expense (office) RVU15.22 · 85%
- Malpractice RVU0.23 · 1%
281
Medicare services in 2024 · #4044 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.
19287 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$379.76–$400.50
Choose 19285 when ultrasound guides placement. Choose 19287 when MRI guides placement.
$778.81–$821.22
19085 includes MRI-guided tissue sampling and marker placement when performed; 19287 reports localization device placement without biopsy sampling.
$269.84–$283.24
19283 is the first-lesion localization code for stereotactic guidance, rather than MRI guidance.
Compare 19287 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
Northern Nj →
Office / nonfacility
$686.31
Facility
$114.05
Rest Of New Jersey →
Office / nonfacility
$650.05
Facility
$111.34
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19287 billing questions
When should 19287 be used instead of 19288?
Use 19287 for the first lesion localized with MRI guidance. Report 19288 for each additional lesion.
How does 19287 differ from 19285?
Both describe percutaneous breast localization device placement, but 19287 uses MRI guidance and 19285 uses ultrasound guidance.
Can 19287 be reported for a breast biopsy?
19287 describes placement of a localization device, not tissue sampling. For an MRI-guided percutaneous biopsy with marker placement, consider 19085, which includes the biopsy service.
Is MRI guidance separately reported with 19287?
No. MRI guidance for the localization placement is included in 19287.
What documentation supports 19287?
Document the breast target, percutaneous device placement, and use of MRI guidance. Identify additional lesions separately when reporting 19288.
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.
1,67619284,,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
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