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See a sample rate comparisonCPT 19297 Fee Schedule
Last Verified: September 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.
Place Breast Cath For Rad, Placement Of Radiotherapy Afterloading Expandable Catheter (Single Or Multichannel) Into The Breast For Interstitial Radioelement Application Following Partial Mastectomy Includes Imaging Guidance; Concurrent With Partial Mastectomy (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 19297 |
| Medicaid Fee Schedule | View Medicaid rates for 19297 |
National average reimbursement for CPT 19297 by major payers:
$133.87
$123.73
$120.48
$161.29
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CPT 19297
5 of 25 sample ratesHigher to lower in this preview
The Endoscopy Center At St. Francis, LLC
The Endoscopy Center At St Francis LLC
$17,511.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$5,797.00Published rateArapahoe Surgicenter, LLC
$4,641.00Published rateSan Diego Ca Multi Specialty Asc LLC, Mission Valley Heights Surgery Center
Poway Ca Multi-Specialty Asc LLC
$2,800.00Published rateWest Wichita Family Physicians, P.A., West Wichita Surgery Center
West Wichita Family Physicians, P.A.
$819.00Published rate
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See a sample payer proposalCPT 19297 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 19297 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 19297 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 |
|---|---|---|
| 19296-CPT | High | Place Po Breast Cath For Rad, Placement Of Radiotherapy Afterloading Expandable Catheter Single Or Multichannel Into The Breast For Interstitial Radioelement Application Following Partial Mastectomy Includes Imaging Guidance On Date Separate From Partial Mastectomy |
| 19297-CPT | Low | Place Breast Cath For Rad, Placement Of Radiotherapy Afterloading Expandable Catheter (Single Or Multichannel) Into The Breast For Interstitial Radioelement Application Following Partial Mastectomy Includes Imaging Guidance; Concurrent With Partial Mastectomy (List Separately In Addition To Code For Primary Procedure) |
| 19298-CPT | High | Place Breast Rad Tube Caths, Placement Of Radiotherapy After Loading Brachytherapy Catheters Multiple Tube And Button Type Into The Breast For Interstitial Radioelement Application Following At The Time Of Or Subsequent To Partial Mastectomy Includes Imaging Guidance |
| 19301-CPT | Moderate | Removal Of Part Of A Breast, Surgery To Remove A Single Lump Or A Portion Of The Breast Tissue (Partial Mastectomy). Nearby Lymph Nodes Also May Be Removed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19297. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19297 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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