19301
Partial mastectomy
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary19301Partial mastectomy
1
$632.61
$632.61
Whole procedure · 9.88 wRVU credited
$632.61
$632.61
How these numbers were computed
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
9.88
9.88
Practice expense
6.52
6.52
Malpractice
2.54
2.54
Total RVU
18.94
18.94
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $948.92 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split