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See a sample rate comparisonCPT 19328 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.
Removal Of Breast Implant, Surgery To Remove A Prosthesis (Artificial Breast) Or Other Material Implanted In A Breast.
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 19328 |
| Medicaid Fee Schedule | View Medicaid rates for 19328 |
National average reimbursement for CPT 19328 by major payers:
$676.02
$642.56
$708.72
$856.39
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CPT 19328
5 of 25 sample ratesHigher to lower in this preview
North Campus Surgery Center LLC
$7,825.00Published rateSouth Florida Ambulatory Surgical Center LLC
South Florida Ambulatory Surgi
$3,570.00Published rateNrh Pain Management Group LLC, Castle Surgery Center
Nrh Pain Management Group LLC
$1,822.00Published rateGsi Asc, LLC
Gsi Asc LLC
$1,300.00Published rateTopeka Surgery Center
$624.00Published rate
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See a sample payer proposalCPT 19328 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 19328 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 19328 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 |
|---|---|---|
| 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. |
| 19318-CPT | High | Breast Reduction, Surgery In Which Tissue Is Removed To Reduce The Size Of The Breasts (Reduction Mammaplasty). |
| 19328-CPT | Moderate | Removal Of Breast Implant, Surgery To Remove A Prosthesis (Artificial Breast) Or Other Material Implanted In A Breast. |
| 19330-CPT | Moderate | Removal Of Ruptured Breast Implnt Incl Implnt Cont, Removal Of Ruptured Breast Implant Incl Implant Contents (Eg Saline Silicone Gel) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19328 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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