$424.00
10009 is for the first lesion sampled with CT guidance. Use 10010 for each additional distinct lesion in the same procedure.
On this page
CMS RVU26D · Effective 2026-10-01
10010 Fine needle aspiration Medicare reimbursement rates in Rhode Island
Reports CT-guided fine needle aspiration of each additional distinct lesion sampled after the first lesion during the same procedure. Compare 10010 office and facility rates across CMS payment localities in Rhode Island.
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 10010 in Rhode Island?
Rhode Island 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
$241.16
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$66.23
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Image-guided biopsy
About 10010: CT-guided fine needle aspiration, additional lesion
Reports CT-guided fine needle aspiration of each additional distinct lesion sampled after the first lesion during the same procedure.
A clinician uses CT to localize and guide a fine needle into an additional distinct lesion, aspirating cells or fluid for cytologic evaluation. The service is typically performed by an interventional radiologist or another physician performing image-guided sampling, often in a hospital or outpatient procedure suite. CT can help target lesions that are deep or difficult to access by palpation or other imaging methods.
Report one unit for each additional lesion sampled after the first CT-guided lesion, which is reported with 10009. Additional needle passes into the same lesion do not constitute additional lesions. The procedure note should identify each target separately and document CT guidance and sampling. CMS classifies 10010 as an add-on code: report it only with its primary procedure, 10009, and payment falls within that procedure's global period.
CMS billing rules for 10010
- 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 RVU1.61 · 23%
- Practice expense (office) RVU5.22 · 74%
- Malpractice RVU0.21 · 3%
15
Medicare services in 2024 · #6054 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.
10010 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$144.70
Both describe aspiration of an additional lesion, but 10008 uses fluoroscopic guidance and 10010 uses CT guidance.
10012
No office rateFna bx w/mr gdn ea addl
10012 is for an additional lesion sampled with MRI guidance; 10010 is the corresponding additional-lesion code for CT guidance.
$53.88
10004 applies to an additional lesion sampled without imaging guidance. Use 10010 when CT guides the sampling.
Compare 10010 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
Rhode Island →
Office / nonfacility
$241.16
Facility
$66.23
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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 10010 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,068
- Code
- 10010
- Physician work
- 1.61
- Practice expense
- 5.22
- Malpractice
- 0.21
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.61 | × 1.019 | 1.6406 |
| Practice expense | 5.22 | × 1.033 | 5.3923 |
| Malpractice | 0.21 | × 0.892 | 0.1873 |
| Total RVUs | 7.2202 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$241.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.61 | 1.019 |
| Practice expense | 5.22 | 1.033 |
| Malpractice | 0.21 | 0.892 |
(1.61 × 1.019 + 5.22 × 1.033 + 0.21 × 0.892) × $33.4009 = $241.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.61 | 1.019 |
| Practice expense | 0.15 | 1.033 |
| Malpractice | 0.21 | 0.892 |
(1.61 × 1.019 + 0.15 × 1.033 + 0.21 × 0.892) × $33.4009 = $66.23
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.
10010 billing questions
When is 10010 reported instead of 10009?
Use 10009 for the first lesion sampled with CT guidance. Report 10010 for each additional distinct lesion sampled during the procedure.
Can 10010 be billed by itself?
No. CMS identifies it as an add-on code, so report it with the primary procedure, 10009.
Do multiple needle passes into one lesion support multiple units?
No. Units represent additional distinct lesions, not additional passes into the same target.
Is CT guidance separately reported for the additional target?
The CT-guided aspiration service is represented by 10010 for the additional lesion; do not report a separate guidance code for that same target.
What documentation supports an additional-lesion unit?
Document the additional target as a distinct lesion and record its CT-guided sampling. The record should distinguish it from the first lesion and from repeat passes at one site.
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.
1,06510009,,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
1,0661000F,,Tobacco use assessed,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
1,0671000T,,Autol musc cell therapy admn,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
1,06810010,,Fna bx w/ct gdn ea addl,A,,1.61,5.22,,0.15,,0.21,7.04,1.97,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,06910011,,Fna bx w/mr gdn 1st les,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,07010012,,Fna bx w/mr gdn ea addl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,0711001T,,Autol musc cell therapy njx,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537