19086
Bx breast add lesion mr imag
Code typeAdd-on
Paid with — select a primary to see the real payable total
19085
Bx breast 1st lesion mr imag
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
How these numbers were computed
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
3.55
3.55
Practice expense
17.62
0.63
Malpractice
0.35
0.35
Total RVU
21.52
4.53
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,078.19 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split