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CPT 19328 Fee Schedule

Last Verified: December 2025

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 Intact Breast Implant (Desc Rvsd 1/1/21)
Key FactDetail
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 LevelModerate

National average reimbursement for CPT 19328 by major payers:

bcbs

$676.02

uhc

$642.56

aetna

$708.72

cigna

$875.91

Preview provider-level rates for...
For billing codeCPT 19328
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 19328

United
19328$905.001083124366 - KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER, KPS AMBULATORY SURGERY CENTER823254465 - (KY) KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTERKYAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$624.001134183056 - TOPEKA SURGERY CENTER364500418KSAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$4339.001124498357 - ENDOSCOPY CENTER OF INLAND EMPIRE LLC474733900CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$671.001285664300 - PHYSICIANS OUTPATIENT SURGERY CENTER, LLC311649113 - (OH) PHYSICIANS OUTPATIENT SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$850.001780664185 - HILLMONT ASC LP, SPRINGFIELD AMBULATORY SURGERY CENTER621641866PAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$859.001730614330 - GYPSY LANE ENDOSCOPY SUITES, INC.475672535 - (OH) GYPSY LANE ENDOSCOPY SUITES INCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$1300.001740230523 - SARASOTA AMBULATORY SURGERY CENTER LTD, SARASOTA AMBULATORY SURGERY CENTER203686491 - (FL) SARASOTA AMBULATORY SURGERY CENTER LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$4600.001811995913 - DALLAS SURGICAL PARTNERS, LLC, BAYLOR SCOTT & WHITE SURGICARE752813815 - (TX) DALLAS SURGICAL PARTNERS LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$2946.001346270329 - MARY IMMACULATE AMBULATORY SURGERY CENTER LLC200485202 - (VA) MARY IMMACULATE AMBULATORY SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$3500.001285815522 - TLC ASC, LLC, KZMSS AGAIN, LLLP201952603 - (FL) TLC ASC LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$765.001588962831 - ASC DEVELOPMENT COMPANY, LLC203405773 - (MD) ASC DEVELOPMENT COMPANY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$3008.001083715148 - ASC SURGICAL VENTURES, LLC, OSMC OUTPATIENT SURGERY CENTER351995261INAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$4140.001811995913 - DALLAS SURGICAL PARTNERS, LLC, BAYLOR SCOTT & WHITE SURGICARE752813815 - (TX) DALLAS SURGICAL PARTNERS LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$4633.001750913109 - CAREOS SURGICENTER, LLC, CAREOS844484446TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19328$3570.001265534556 - SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC651093026 - (FL) SOUTH FLORIDA AMBULATORY SURGIFLAmbulatory Surgical Clinic/Center (261QA1903X)
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 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.

CodeComplexityDescription
19301-CPTModerateMastectomy, Partial (E.G. Lumpectomy, Tylectomy, Quandrantectomy, Segmentectomy)
19318-CPTHighBreast Reduction (Desc Rvsd 1/1/21)
19325-CPTModerateBreast Augmentation With Implant (Desc Rvsd 1/1/21)
19328-CPTModerateRemoval Of Intact Breast Implant (Desc Rvsd 1/1/21)

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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