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See a sample rate comparisonCPT 19330 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 Ruptured Breast Implnt Incl Implnt Cont, Removal Of Ruptured Breast Implant Incl Implant Contents (Eg Saline Silicone Gel)
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 19330 |
| Medicaid Fee Schedule | View Medicaid rates for 19330 |
National average reimbursement for CPT 19330 by major payers:
$832.96
$812.68
$840.73
$1,031.57
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CPT 19330
5 of 25 sample ratesHigher to lower in this preview
Texas Precision Surgery Center
Texas Precision Surgery Center L
$4,339.00Published rateLong Island Digestive Endoscopy Center, LLC
$2,252.00Published rateSsm St. Joseph Surgery Center, LLC, The Surgery Center At St. Joseph Medical Park
Ssm St Joseph Surgery Center LLC
$1,917.00Published rateBay Surgery Centers, Clearway Surgery Center Of Glen Burnie
Bay Surgery Centers
$1,334.00Published ratePatrick A Conarro Md, D.B.A. Summit Surgical Asc
Patrick A Conarro Md
$613.00Published rate
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See a sample payer proposalCPT 19330 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 19330 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 19330 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 |
|---|---|---|
| 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) |
| 19340-CPT | Moderate | Immediate Insertion Of Breast, Immediate Insertion Of Breast Prosthesis Followingmastopexy Mastectomy Or In Reconstruction Immediate Insertion Of Breast Prosthesis Following |
| 19342-CPT | High | Delayed Insertion Of Breast Pr, Delayed Insertion Of Breast Prosthesis Following Mastopexy Mastectomy Or In Reconstruction Delayedinsertion Of Breast Prosthesis Following Mastopex Y |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19330. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 19330 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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