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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Lymphovenous Bypass Procedure with Robotic Assistance |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 1019T |
National average reimbursement for CPT 1019T by major payers:

$5,441.30

$N/A

$1,898.22

$N/A
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See a sample payer proposalCPT 1019T vs. Other Lymphovenous Bypass Procedure with Robotic Assistance Codes
The CPT 1019T code is part of the Category III Codes services used for Lymphovenous Bypass Procedure with Robotic Assistance. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 1019T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 1019T-CPT | High | Lymphovenous Bypass Per Xtr, Lymphovenous Bypass Including Robotic Assistance When Performed Per Extremity (Do Not Report 1019t In Conjunction With 38308 38790 38900 69990) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1019T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1019T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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