$286.18
10035 reports localization of the first soft-tissue lesion; 10036 reports each additional lesion.
On this page
CMS RVU26D · Effective 2026-10-01
10035 Soft-tissue localization Medicare reimbursement rates in Vermont
Percutaneous placement of an image-guided marker in a soft-tissue target before surgery, reported for the first lesion requiring localization. Compare 10035 office and facility rates across CMS payment localities in Vermont.
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 10035 in Vermont?
Vermont 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
$339.72
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$68.24
1 of 1 localities have a supported rate.
Payment area: Vermont
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 procedure
About 10035: Percutaneous soft-tissue localization placement
Percutaneous placement of an image-guided marker in a soft-tissue target before surgery, reported for the first lesion requiring localization.
A physician places a localization marker into a soft-tissue target through the skin so the site can be identified for a later procedure. Devices may include a clip, wire, metallic marker, or radioactive seed. Common targets include a nonpalpable mass or lymph node that a surgeon needs to locate for excision. The service is typically performed by an interventional radiologist or another physician in an imaging suite or operating room. Imaging guidance is included in the placement service.
Report 10035 for the first lesion; use 10036 for each additional lesion. Documentation should identify the target and site, the localization device placed, and the imaging guidance used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. 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 10035
- 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 RVU1.66 · 16%
- Practice expense (office) RVU8.51 · 82%
- Malpractice RVU0.17 · 2%
11.3K
Medicare services in 2024 · #1413 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.
10035 compared with similar codes
Office rates for Vermont, from the same CMS release.
$344.52
19285 is the breast-specific code for percutaneous localization of a first lesion. Use 10035 for a soft-tissue target outside the breast localization code family.
$128.67
10005 reports ultrasound-guided fine-needle aspiration sampling of a lesion. 10035 places a localization marker and does not describe aspiration or tissue sampling.
Compare 10035 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
Vermont →
Office / nonfacility
$339.72
Facility
$68.24
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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 10035 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
1,078
- Code
- 10035
- Physician work
- 1.66
- Practice expense
- 8.51
- Malpractice
- 0.17
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.66 | × 1.000 | 1.6600 |
| Practice expense | 8.51 | × 0.990 | 8.4249 |
| Malpractice | 0.17 | × 0.506 | 0.0860 |
| Total RVUs | 10.1709 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$339.72
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.66 | 1 |
| Practice expense | 8.51 | 0.99 |
| Malpractice | 0.17 | 0.506 |
(1.66 × 1 + 8.51 × 0.99 + 0.17 × 0.506) × $33.4009 = $339.72
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.66 | 1 |
| Practice expense | 0.3 | 0.99 |
| Malpractice | 0.17 | 0.506 |
(1.66 × 1 + 0.3 × 0.99 + 0.17 × 0.506) × $33.4009 = $68.24
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.
10035 billing questions
When should 10035 be used instead of 10036?
Use 10035 for the first soft-tissue lesion localized during the service. Report 10036 for each additional lesion.
Can imaging guidance be billed separately?
Imaging guidance is included in 10035. Do not report separate guidance for the same marker placement.
Is 10035 appropriate for a breast lesion?
Breast localization has dedicated codes, including 19285 for the first lesion. Use the code family that applies to the breast localization service rather than 10035.
How is bilateral placement reported?
When the service is bilateral, report modifier 50. CMS pays the bilateral procedure at 150%.
What documentation supports 10035?
Document the target and anatomical site, the marker placed, and the imaging guidance used. The record should support that this was localization of the first lesion.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only with documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
1,0751002T,26,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,,33.4009,09,0,99,0.00,0.00,0.00
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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817