19282 Perq device breast ea imag
What 19282 is
CMS fee schedule short descriptor: Perq device breast ea imag.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 19282 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.98 | 3.87 | 0.08 | 4.93 | $164.67 |
| Facility (hospital, ASC) | 0.98 | 0.18 | 0.08 | 1.24 | $41.42 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 19282 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 19282? These codes are bundled into it
19282 is a Column 1 code in 212 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00400 | Anes integumentary sys nos | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 1 - modifier may bypass | Check pair |
12016 | Rpr fe/e/en/l/m 12.6-20.0 cm | 1 - modifier may bypass | Check pair |
12017 | Rpr fe/e/en/l/m 20.1-30.0 cm | 1 - modifier may bypass | Check pair |
12018 | Rpr f/e/e/n/l/m >30.0 cm | 1 - modifier may bypass | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 - modifier may bypass | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 - modifier may bypass | Check pair |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
12035 | Intmd rpr s/a/t/ext 12.6-20 | 1 - modifier may bypass | Check pair |
12036 | Intmd rpr s/a/t/ext 20.1-30 | 1 - modifier may bypass | Check pair |
12037 | Intmd rpr s/tr/ext >30.0 cm | 1 - modifier may bypass | Check pair |
12041 | Intmd rpr n-hf/genit 2.5cm/< | 1 - modifier may bypass | Check pair |
12042 | Intmd rpr n-hf/genit2.6-7.5 | 1 - modifier may bypass | Check pair |
12044 | Intmd rpr n-hf/genit7.6-12.5 | 1 - modifier may bypass | Check pair |
12045 | Intmd rpr n-hf/genit12.6-20 | 1 - modifier may bypass | Check pair |
Showing 30 of 212 column 2 codes. Use the pair checker for any specific combination.
19282 is bundled into these codes
19282 appears as a Column 2 code in 16 active edits. Reported with one of these Column 1 codes on the same date of service, 19282 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
10035 | Plmt sft tiss loclzj dev 1st | 1 | Check pair |
10036 | Plmt sft tiss loclzj dev ea | 1 | Check pair |
19081 | Bx breast 1st lesion strtctc | 1 | Check pair |
19082 | Bx breast add lesion strtctc | 1 | Check pair |
19083 | Bx breast 1st lesion us imag | 1 | Check pair |
19084 | Bx breast add lesion us imag | 1 | Check pair |
19085 | Bx breast 1st lesion mr imag | 1 | Check pair |
19086 | Bx breast add lesion mr imag | 1 | Check pair |
19300 | Mastectomy for gynecomastia | 1 | Check pair |
19301 | Partial mastectomy | 1 | Check pair |
19302 | P-mastectomy w/ln removal | 1 | Check pair |
19303 | Mast simple complete | 1 | Check pair |
19305 | Mast radical | 1 | Check pair |
19306 | Mast rad urban type | 1 | Check pair |
19307 | Mast mod rad | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.