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See a sample rate comparisonCPT 19030 Fee Schedule
Last Verified: October 2026
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.
Inject Dye For Breast Imaging, A Contrast Solution Such As Salt Water Or Dye Is Injected Into A Breast Duct To Prepare For An Imaging Procedure.
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 19030 |
| Medicaid Fee Schedule | View Medicaid rates for 19030 |
National average reimbursement for CPT 19030 by major payers:
$205.88
$214.65
$207.84
$137.02
Compare published rates across providers.
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CPT 19030
5 of 25 sample ratesHigher to lower in this preview
Surgical Center Of South Jersey Limited Partnership
$1,708.00Published rateAdvocate Condell Ambulatory Surgery Center, LLC
Advocate Condell Ambulatory Surgery Center LLC
$450.00Published rateWestern Wyoming Medical LLC
$225.00Published rateCummins Womens Healthcare LLC, Elizabeth Cummins Md
Cummins Womens Healthcare, LLC
$150.00Published rateExecutive Park Surgery Center Of Fort Smith, Inc
$70.00Published rate
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See a sample payer proposalCPT 19030 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 19030 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 19030 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 |
|---|---|---|
| 19000-CPT | Low | Puncture Aspiration Breast Cyst |
| 19001-CPT | Low | Puncture Aspiration Of Cyst Of, Puncture Aspiration Of Cyst Of Breast Each Additional Cyst (List Separately In Addition To Code Forprimary Procedure) |
| 19020-CPT | Moderate | Drain Infected Breast Tissue, Surgical Drainage Of An Infected Area (Abscess) In Breast Tissue. Samples May Be Examined To Determine The Cause Of Infection. The Wound May Be Stitched Closed Or Packed With Gauze To Encourage Full Drainage. |
| 19030-CPT | Moderate | Inject Dye For Breast Imaging, A Contrast Solution Such As Salt Water Or Dye Is Injected Into A Breast Duct To Prepare For An Imaging Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19030 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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