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See a sample rate comparisonCPT 19298 Fee Schedule
Last Verified: September 2026
Healthcare 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 19298 |
| Medicaid Fee Schedule | View Medicaid rates for 19298 |
National average reimbursement for CPT 19298 by major payers:
$1,173.78
$1,453.65
$1,244.65
$694.48
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CPT 19298
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kingsland LLC, Memorial Hermann Surgery Center Kingsland
$8,087.00Published rateMunster Specialty Surgery Center, LLC, Munster Specialty Surgery Center
Munster Specialty Surgery Center, LLC
$4,818.00Published rateBaptist Desoto Surgery Center, Lp
Baptist Desoto Surgery Center Lp
$3,800.00Published rateLargo Surgery LLC, West Bay Surgery Center
Largo Surgery LLC
$2,160.00Published rateGastroenterology Endoscopy Center
$300.00Published rate
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See a sample payer proposalCPT 19298 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 19298 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 19298 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 |
| 19357-CPT | High | Breast Reconstruction, Surgery To Reconstruct A Breast Or Nipple After A Mastectomy. The Procedure May Use Tissue Expanders Implants Skin Or Muscle Flaps Or Other Reconstructive Devices. Additional Procedures May Be Needed To Achieve The Desired Size Or Shape. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19298. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19298 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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