19086 Biopsy breast add lesion mr imag
Also known as: MRI breast biopsy add-on, MR imag biopsy add-on
Percutaneous needle or core biopsy of breast lesion under magnetic resonance imaging guidance for each additional lesion.
In Plain Language
Additional MRI-guided breast biopsies
Clinical Context
Add-on code for multiple MRI-guided biopsies in same session. Each additional lesion requiring guidance coded separately.
RVU Breakdown
| Work RVU | 1.77 |
| Total RVU | 1.77 |
Est. Medicare Payment
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.77, this code ranks in the 12th percentile among Surgery codes — 4.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19086?
CPT 19086 (Biopsy breast add lesion mr imag) is a Surgery code. Percutaneous needle or core biopsy of breast lesion under magnetic resonance imaging guidance for each additional lesion.
What is the wRVU value for CPT 19086?
The work RVU for CPT 19086 is 1.77. This code is primarily used by Breast Surgery, Surgical Oncology.
When is CPT 19086 used?
Add-on code for multiple MRI-guided biopsies in same session. Each additional lesion requiring guidance coded separately.
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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.