CPT 19282
Global ZZZ ActivePerq device breast ea imag
CPT 19282 Billing & Documentation Guide
CPT code 19282 (Perq device breast ea imag) is classified under Anesthesia with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.98, a non-facility practice expense RVU of 3.87, and a malpractice RVU of 0.08, a total non-facility RVU of 4.93 and facility RVU of 1.24. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $170.59, though rates vary from $145.14 to $224.16 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 19282, 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 19282 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 19282 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 19282
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.98 | 0.98 |
| Practice Expense RVU | 3.87 | 0.18 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 4.93 | 1.24 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 19282
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 | $188.31 | $42.47 | $176.39 - $224.16 | 29 |
| Florida | $167.63 | $43.97 | $160.32 - $174.05 | 3 |
| Georgia | $159.3 | $41.72 | $151.22 - $167.37 | 2 |
| Illinois | $162.85 | $43.77 | $154.93 - $170.45 | 4 |
| Michigan | $157.88 | $42.14 | $153.77 - $161.98 | 2 |
| North Carolina | $155.04 | $40.05 | $155.04 - $155.04 | 1 |
| New York | $182.12 | $44.62 | $157.41 - $193.48 | 5 |
| Ohio | $153.44 | $40.92 | $153.44 - $153.44 | 1 |
| Pennsylvania | $162.5 | $41.78 | $153.92 - $171.07 | 2 |
| Texas | $162.65 | $41.32 | $152.84 - $171.92 | 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 19282
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 19282 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 |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 19282
What does CPT code 19282 mean? +
CPT code 19282 represents: Perq device breast ea imag. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 19282? +
The 2026 Medicare national average non-facility payment for CPT 19282 is $170.59. Rates range from $145.14 to $224.16 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 19282? +
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 19282? +
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 May 31, 2026.
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