19100 Biopsy breast percut without image
Also known as: blind breast biopsy, palpation biopsy
Percutaneous biopsy of breast without imaging guidance using needle or core sampling technique for tissue diagnosis.
In Plain Language
Needle breast biopsy without imaging; Touch-guided breast sampling
Clinical Context
Performed for palpable breast masses when imaging guidance is not necessary. Less precise than image-guided biopsies but useful for obvious lesions.
RVU Breakdown
| Work RVU | 1.24 |
| Total RVU | 1.24 |
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. 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 1.24, this code ranks in the 6th percentile among Surgery codes — 6.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19100?
CPT 19100 (Biopsy breast percut without image) is a Surgery code. Percutaneous biopsy of breast without imaging guidance using needle or core sampling technique for tissue diagnosis.
What is the wRVU value for CPT 19100?
The work RVU for CPT 19100 is 1.24. This code is primarily used by Breast Surgery, General Surgery.
When is CPT 19100 used?
Performed for palpable breast masses when imaging guidance is not necessary. Less precise than image-guided biopsies but useful for obvious lesions.
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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.