CPT 19082
Global ZZZ ActiveBx breast add lesion strtctc
CPT 19082 Billing & Documentation Guide
CPT code 19082 (Bx breast add lesion strtctc) is classified under Anesthesia with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.61, a non-facility practice expense RVU of 9.1, and a malpractice RVU of 0.17, a total non-facility RVU of 10.88 and facility RVU of 2.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $376.95, though rates vary from $317.79 to $501.03 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 19082, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 19082 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 19082 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 19082
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.61 | 1.61 |
| Practice Expense RVU | 9.1 | 0.3 |
| Malpractice RVU | 0.17 | 0.17 |
| Total RVU | 10.88 | 2.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 19082
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $418.44 | $70.64 | $390.86 - $501.03 | 29 |
| Florida | $369.79 | $74.88 | $352.88 - $384.55 | 3 |
| Georgia | $350.62 | $70.21 | $331.67 - $369.57 | 2 |
| Illinois | $358.51 | $74.5 | $340.16 - $376.37 | 4 |
| Michigan | $347.18 | $71.18 | $337.69 - $356.66 | 2 |
| North Carolina | $340.99 | $66.75 | $340.99 - $340.99 | 1 |
| New York | $403.13 | $75.23 | $346.52 - $429.16 | 5 |
| Ohio | $337 | $68.65 | $337 - $337 | 1 |
| Pennsylvania | $358.05 | $70.15 | $338.17 - $377.93 | 2 |
| Texas | $358.58 | $69.21 | $335.64 - $380.49 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 19082
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 19082 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00400 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0694T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 10005 | Column 1 (primary), can be billed with modifier | Yes | Sequential procedure |
| 10007 | Column 1 (primary), can be billed with modifier | Yes | Sequential procedure |
Frequently Asked Questions, CPT 19082
What does CPT code 19082 mean? +
CPT code 19082 represents: Bx breast add lesion strtctc. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 19082? +
The 2026 Medicare national average non-facility payment for CPT 19082 is $376.95. Rates range from $317.79 to $501.03 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 19082? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 19082? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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