CPT 19000 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Integumentary System |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 19000 |
National average reimbursement for CPT 19000 by major payers:

$123.98

$139.37

$145.73

$172.71
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 19000 | ||||||
United | 19000 | $149.50 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 19000 | $140.24 | 1912620980 - NIDHI MEHTA | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 19000 | $199.46 | 1992185649 - ANGELO CANEDO | 113613997 - (NY) CHS PHYSICIAN PARTNERS PC | NY | Family Medicine Physician (207Q00000X) |
United | 19000 | $3853.00 | 1619031416 - DEACONESS HOSPITAL, INC, <UNAVAIL> | 350593390 - DEACONESS HOSPITAL INC | IN | Anesthesiology Physician (207L00000X) |
United | 19000 | $193.91 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 19000 | $191.75 | 1649614462 - JAVED IQBAL | 350593390 - DEACONESS HOSPITAL INC | IN | Family Medicine Physician (207Q00000X) |
United | 19000 | $62.55 | 1881628881 - BIAGIO MANNA | 453508249 - (NJ) SURGICAL SPECIALTIES OF NEW JERSEY LLC | NJ | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
United | 19000 | $134.55 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 19000 | $191.75 | 1538346200 - IRTAZA KHAN | 350593390 - DEACONESS HOSPITAL INC | IL | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 19000 | $112.05 | 1407144694 - MEL KAPLAN MD PC | 452789485 - (NY) MEL KAPLAN MD PC | NY | Internal Medicine Physician (207R00000X) |
United | 19000 | $73.62 | 1730623075 - ASHLEY CATIZONE | 61655704 - (NY) SPORTS PHYSICAL THERAPY OCCUPATIONA THERAPY AND REHABILITATION SERVICE | NY | Physical Medicine & Rehabilitation Physician (208100000X) |
United | 19000 | $227.16 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 19000 | $88.09 | 1851575476 - MARTIN KELLY | 350593390 - DEACONESS HOSPITAL INC | AR | Certified Registered Nurse Anesthetist (367500000X) |
United | 19000 | $205.09 | 1447421896 - SCOTT SEQUEIRA | 113613997 - (NY) CHS PHYSICIAN PARTNERS PC | NY | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 19000 | $191.75 | 1356505101 - MOUHAMMAD YABRODI | 350593390 - DEACONESS HOSPITAL INC | IN | Pediatric Critical Care Medicine Physician (2080P0203X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 19000 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 19000 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. 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 19000 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 |
|---|---|---|
| 15958-CPT | High | Excision, Trochanteric Pressure Ulcer, In Preparation For Muscle Or Myocutaneous Flap Or Skin Graft Closure; With Ostectomy |
| 17999-CPT | Moderate | Unlisted Procedure, Skin, Mucous Membrane And Subcutaneous Tissue |
| 19000-CPT | Low | Puncture Aspiration Breast Cyst |
| 19001-CPT | Low | Puncture Asp Breast Cyst Ea Add |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19000 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 19000) and we'll show you how you compare in 15 minutes or less.
