$248.35
19283 is for the first breast lesion localized with stereotactic guidance; 19284 is for each additional lesion and is reported with 19283.
On this page
CMS RVU26D · Effective 2026-10-01
19284 Breast localization Medicare reimbursement rates in Wyoming
Report 19284 for percutaneous placement of a localization device in each additional breast lesion targeted with stereotactic imaging. Compare 19284 office and facility rates across CMS payment localities in Wyoming.
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 19284 in Wyoming?
Wyoming 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
$180.75
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$41.46
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Breast imaging
About 19284: Additional stereotactic breast lesion localization
Report 19284 for percutaneous placement of a localization device in each additional breast lesion targeted with stereotactic imaging.
This add-on represents percutaneous placement of a localization device, such as a clip or marker, in an additional breast lesion using stereotactic imaging guidance. Breast radiologists and other clinicians who perform image-guided breast procedures commonly place these devices in a breast imaging center or hospital before surgical excision, including when more than one lesion needs localization.
Report 19284 for each additional lesion after the first stereotactically localized lesion, and pair it with 19283 for the first lesion. The record should identify the separately targeted lesions, the stereotactic guidance used, and the device placement at each site. The code includes the stereotactic guidance for the additional placement. CMS classifies 19284 as an add-on code: it is billed only with a primary procedure, and its payment falls within that procedure's global period.
CMS billing rules for 19284
- 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 · 18%
- Practice expense (office) RVU4.35 · 80%
- Malpractice RVU0.11 · 2%
504
Medicare services in 2024 · #3555 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.
19284 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$285.80
Both address additional breast lesions, but 19286 uses ultrasound guidance. Use 19284 when placement is stereotactically guided.
$455.88
19288 covers an additional lesion localized with MRI guidance; 19284 is for stereotactic guidance.
$163.97
19282 applies to an additional lesion placed without imaging guidance. Use 19284 when stereotactic guidance is used.
Compare 19284 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
Wyoming** →
Office / nonfacility
$180.75
Facility
$41.46
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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 19284 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,676
- Code
- 19284
- Physician work
- 0.98
- Practice expense
- 4.35
- Malpractice
- 0.11
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 4.35 | × 1.000 | 4.3500 |
| Malpractice | 0.11 | × 0.740 | 0.0814 |
| Total RVUs | 5.4114 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$180.75
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 4.35 | 1 |
| Malpractice | 0.11 | 0.74 |
(0.98 × 1 + 4.35 × 1 + 0.11 × 0.74) × $33.4009 = $180.75
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 0.18 | 1 |
| Malpractice | 0.11 | 0.74 |
(0.98 × 1 + 0.18 × 1 + 0.11 × 0.74) × $33.4009 = $41.46
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.
19284 billing questions
When should 19284 be reported instead of 19283?
Use 19283 for the first lesion localized with stereotactic guidance. Report 19284 for each additional lesion localized by that method.
What primary code must accompany 19284?
Report 19284 with 19283, which represents the first stereotactically localized lesion. The add-on code is not reported by itself.
Can 19284 be used for an ultrasound-guided lesion?
No. For an additional lesion localized with ultrasound guidance, use 19286 rather than 19284.
Is stereotactic guidance separately reported for the additional placement?
The stereotactic guidance is included in 19284. The code accounts for the guidance used to place the device in the additional lesion.
What documentation supports reporting multiple units?
Document each distinct lesion receiving a device and the stereotactic guidance used. Report 19284 for each additional lesion beyond the first, alongside 19283.
How does the global-period rule affect payment?
CMS treats 19284 as an add-on paid within the primary procedure's global period. It must accompany the primary procedure rather than stand alone.
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.
1,67319281,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,