19082 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 19082

Payer coverage policies that name 19082

19082 appears in 5 coverage policies from Aetna, BlueCross BlueShield of South Carolina, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaBreast Biopsy Procedures (0269)covered if criteria are metMay 14, 2026payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 10040-19499)Jul 29, 2026payer document
BlueCross BlueShield of South CarolinaRadioactive Seed Localization of Nonpalpable Breast Lesions (CAM 60157)listed, no stance (range 19081-19086)Oct 1, 2025payer document
Premera Blue CrossPreventive Care
Breast cancer screening Ultrasound, mammography, and MRI
covered if criteria are metSep 21, 2026payer document
UnitedHealthcarePreventive Care Services (MP.016.59)
Procedure Code(s): | No age limit. Requires one of the
listed, no stanceJul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $294.63 (outpatient_hospital, RF133), effective Oct 1, 2025
  • CO: $143.11 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $55.38 (physician, facility), effective Jan 1, 2026
  • IL: $53.84 (practitioner), effective Apr 1, 2024
  • IN: $62.71 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $166.49 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $424.95 (professional), effective Jan 1, 2014
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $287.96 (comprehensive), effective Jul 1, 2026
  • ND: $404.78 (physician), effective Aug 1, 2026
  • NE: $88.92 (physician, non-facility), effective Jul 1, 2026
  • NY: $47.37 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $67.24 (physician, facility), effective Jan 1, 2014
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $64.15 (healthy_texas_women, Clinic/Group Practice, facility), effective Mar 1, 2025
  • VA: $60.19 (medical, facility), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $40.32 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.