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19085 Biopsy breast first lesion mr imag

Surgery Global 0d

Also known as: MRI breast biopsy, MR imag biopsy first

Percutaneous needle or core biopsy of breast lesion under magnetic resonance imaging guidance for first lesion.

In Plain Language

Magnet imaging guided breast biopsy; MRI-directed breast sampling

Clinical Context

Performed for lesions visible only on MRI imaging. Requires specialized equipment and expertise. Used for problem-solving in diagnostic dilemmas.

RVU Breakdown

Work RVU3.55
Total RVU3.55

Est. Medicare Payment

$118.57

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 3.55, this code ranks in the 25th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Breast SurgerySurgical OncologyRadiology

Frequently Asked Questions

What is CPT code 19085?

CPT 19085 (Biopsy breast first lesion mr imag) is a Surgery code. Percutaneous needle or core biopsy of breast lesion under magnetic resonance imaging guidance for first lesion.

What is the wRVU value for CPT 19085?

The work RVU for CPT 19085 is 3.55. This code is primarily used by Breast Surgery, Surgical Oncology, Radiology.

When is CPT 19085 used?

Performed for lesions visible only on MRI imaging. Requires specialized equipment and expertise. Used for problem-solving in diagnostic dilemmas.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.