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CPT 19350 Fee Schedule

Last Verified: February 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.

Reconstruct Nipple/Areolar Unil
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

50 - Bilateral Procedure

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 19350

National average reimbursement for CPT 19350 by major payers:

bcbs

$1,072.96

uhc

$1,082.80

aetna

$1,141.62

cigna

$1,373.62

Preview provider-level rates for...
For billing codeCPT 19350
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 19350

United
19350$1733.001730783523 - ORTHOARIZONA SCOTTSDALE ASC, LLC843527783 - (AZ) ORTHOARIZONA SCOTTSDALE ASC LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$2564.001477516961 - CENTRUM SURGERY CENTER LTD752546712 - (CO) CENTRUM SURGERY CENTER LTDCOAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$800.001730614330 - GYPSY LANE ENDOSCOPY SUITES, INC.475672535 - (OH) GYPSY LANE ENDOSCOPY SUITES INCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$1647.001952771230 - GEORGIA UROLOGY, PA, GA UROLOGY ASC ROSWELL550846177GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$1439.671336128339 - RAJESH PATEL350593390 - DEACONESS HOSPITAL INCINAnesthesiology Physician (207L00000X)
United
19350$800.001851491013 - NEW ENGLAND AMBULATORY SURGICENTER, LLC205110715 - (MA) NEW ENGLAND AMBULATORY SURGICENTER LLCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$2859.001801983556 - TRESANTI SURGICAL CENTER LLC, TRESANTI MEDICAL CORPORATION710905694 - (CA) TRESANTI SURGICAL CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$3348.221508213810 - ALEGENT CREIGHTON HEALTH, CHI HEALTH AMBULATORY SURGERY CENTER AT MIDLANDS470757164 - ALEGENT CREIGHTON HEALTHNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$2353.001104974310 - NORTHWEST SURGERY CENTER, LLP, NORTHWEST SURGERY CENTER205537270 - (TX) NORTHWEST SURGERY CENTER LLPTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$505.001306956818 - WASHBURN SURGERY CENTER, LLC752748654 - (KS) WASHBURN SURGERY CENTER LLCKSAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$1016.001306005343 - DIGESTIVE HEALTH SPECIALISTS, PA561242980 - (NC) DIGESTIVE HEALTH SPECIALISTS, P.A.NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$2101.001548784556 - NORTH ATLANTIC SURGICAL SUITES, LLC821540859 - (NH) NORTH ATLANTIC SURGICAL SUITES, LLCNHAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$1490.001104457274 - TEXAS MIDWEST ENDOSCOPY CENTER, LLC842574842 - (TX) TEXAS MIDWEST ENDOSCOPY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$4141.001346868890 - UPNT SURGERY LLC371939831 - (TX) UPNT SURGERY LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
19350$1329.001124197165 - MCALLEN SURGICAL SPECIALTY CENTER LTD742952544 - (TX) MCALLEN SURGICAL SPECIALTY CENTERTXAmbulatory 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 19350 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 19350 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 19350 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
19316-CPTHighMastopexy
19318-CPTHighBreast Reduction (Desc Rvsd 1/1/21)
19340-CPTModerateInsertion Of Breast Implant On Same Day Of Mastectomy (Ie Immediate) (Desc Rvsd 1/1/21)
19350-CPTHighReconstruct Nipple/Areolar Unil

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 19350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 19350 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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