CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19083 RVU and Medicare Payment (2026)
Bx breast 1st lesion us imag — 3.02 work RVU, about $475.63 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.02
- PE RVU (non-facility)
- 10.88
- PE RVU (facility)
- 0.55
- MP RVU
- 0.34
- Office payment
- $475.63
- Facility payment
- $130.6
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 19083 in a non-facility setting with national GPCI: (3.02 + 10.88 + 0.34) × $33.4009 ≈ $475.63. The same code in a facility setting pays about $130.6 because facility PE RVU (0.55) replaces office PE RVU.
What changes by locality
GPCI moves 19083 non-facility payment from $418.88 to $642.08 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 19083?
3.02. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 19083 in 2026?
About $475.63 non-facility ($130.6 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (3.02) and malpractice RVU stay fixed; only practice expense changes (10.88 office vs 0.55 facility). That is the entire office-vs-facility payment gap.