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CPT 19303 Fee Schedule

Last Verified: December 2025

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.

Mastectomy Simple Complete
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

50 - Bilateral Procedure

LT - Left side of body

Complexity LevelHigh

National average reimbursement for CPT 19303 by major payers:

bcbs

$1,232.47

uhc

$1,234.89

aetna

$1,312.32

cigna

$1,587.22

Preview provider-level rates for...
For billing codeCPT 19303
PayerCodeRateNPITax IDStateSpecialty

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Choose a payer from the options above to see rates for CPT 19303

United
19303$3205.091326096397 - WHITNEY GOLDNER742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOEndocrinology, Diabetes & Metabolism Physician (207RE0101X)
United
19303$3269.181235416488 - JENNIFER ASTERIS742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOCertified Registered Nurse Anesthetist (367500000X)
United
19303$4160.791194734962 - GLENN FURUTA742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOPediatric Gastroenterology Physician (2080P0206X)
United
19303$3265.371295073195 - ANGELA POYNTER742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOCertified Registered Nurse Anesthetist (367500000X)
United
19303$3265.371689759334 - ANGELA PELTZ742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOMedical Physician Assistant (363AM0700X)
United
19303$1469.311548221344 - JEFFREY LEE274505226 - (CO) SUMMIT SURGICAL SPECIALISTS PCCOSpecialist (174400000X)
United
19303$3570.001114926714 - ENDOSCOPY CENTER OF DAYTON LTD311460799 - (OH) ENDOSCOPY CENTER OF DAYTON LTDOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
19303$1607.561952516825 - DAVID LOY800348943 - POUDRE VALLEY MEDICAL GROUP LLCMODiagnostic Radiology Physician (2085R0202X)
United
19303$1232.381871528836 - TERRY ROBINSON61778980 - (CO) TERRY E ROBINSON MD LLCCOSpecialist (174400000X)
United
19303$4160.791831416387 - SARKIS DERDERIAN742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOPediatric Surgery Physician (2086S0120X)
United
19303$3375.881134347669 - JACOB BENIFLAH742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOPediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X)
United
19303$2562.061083064968 - JEREMY KALMA742161737 - UNIVERSITY PHYSICIANS INCORPORATEDKYOrthopaedic Foot and Ankle Surgery Physician (207XX0004X)
United
19303$1826.841760411995 - MARK NISHIYA813228396 - (CO) COLORADO SURGICAL AFFILIATES, LLCCOSpecialist (174400000X)
United
19303$2612.301588074207 - SANA ASLAM742161737 - UNIVERSITY PHYSICIANS INCORPORATEDAZNeurology Physician (2084N0400X)
United
19303$3375.881194871707 - MEGAN KELSEY742161737 - UNIVERSITY PHYSICIANS INCORPORATEDCOPediatric Endocrinology Physician (2080P0205X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 19303 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 19303 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 19303 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.

CodeComplexityDescription
19294-CPTModeratePreparation Of Tumor Cavity With Placement Of A Radiation Therapy Applicator For Intraoperative Radiation Therapy (Iort) Concurrent With Partial Mastectomy (List Separately In Addition To Code For Primary Procedure)
19301-CPTModerateMastectomy, Partial (E.G. Lumpectomy, Tylectomy, Quandrantectomy, Segmentectomy)
19302-CPTHighWith Axillary Lymphadenectomy
19303-CPTHighMastectomy Simple Complete

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19303. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 19303 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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