Medicare Reimbursement for CPT 19082

CPT 19082 is a physician procedure code reported under Medicare Part B; because it is a CPT code, the official descriptor cannot be reproduced here. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code, both at the national level and adjusted for locality, and separately for non-facility and facility settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$363.40	$69.47
ALASKA* (AK)	$407.50	$94.46
ALABAMA (AL)	$322.94	$65.76
ARKANSAS (AR)	$317.79	$65.31
ARIZONA (AZ)	$353.16	$68.35
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$489.86	$75.43
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$500.24	$76.39
OXNARD-THOUSAND OAKS-VENTURA (CA)	$418.09	$70.66
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$419.32	$71.60
NAPA (CA)	$460.65	$73.25
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$490.06	$75.62
VALLEJO (CA)	$460.37	$72.98
BAKERSFIELD (CA)	$391.38	$69.24
CHICO (CA)	$390.86	$68.72
FRESNO (CA)	$390.86	$68.72
HANFORD-CORCORAN (CA)	$390.86	$68.72
MADERA (CA)	$390.86	$68.72
MERCED (CA)	$390.86	$68.72
MODESTO (CA)	$390.86	$68.72
REDDING (CA)	$390.86	$68.72
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$392.71	$70.57
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$412.25	$70.41
SALINAS (CA)	$410.76	$70.10
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$501.03	$77.18
SANTA CRUZ-WATSONVILLE (CA)	$427.25	$70.12
SANTA ROSA-PETALUMA (CA)	$431.68	$70.74
STOCKTON (CA)	$390.86	$68.72
VISALIA (CA)	$390.86	$68.72
YUBA CITY (CA)	$390.86	$68.72
EL CENTRO (CA)	$390.89	$68.74
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$421.99	$70.45
SAN LUIS OBISPO-PASO ROBLES (CA)	$403.93	$69.15
SANTA MARIA-SANTA BARBARA (CA)	$412.73	$70.01
REST OF CALIFORNIA (CA)	$390.86	$68.72
COLORADO (CO)	$382.26	$69.52
CONNECTICUT (CT)	$389.07	$72.51
DC + MD/VA SUBURBS (DC)	$421.05	$74.80
DELAWARE (DE)	$359.45	$69.05
FORT LAUDERDALE (FL)	$371.94	$74.19
MIAMI (FL)	$384.55	$78.57
REST OF FLORIDA (FL)	$352.88	$71.89
ATLANTA (GA)	$369.57	$70.94
REST OF GEORGIA (GA)	$331.67	$69.48
HAWAII, GUAM (HI)	$402.65	$68.46
IOWA (IA)	$334.14	$65.20
IDAHO (ID)	$336.09	$65.68
EAST ST. LOUIS (IL)	$344.84	$74.43
SUBURBAN CHICAGO (IL)	$376.37	$74.50
CHICAGO (IL)	$372.65	$77.25
REST OF ILLINOIS (IL)	$340.16	$71.80
INDIANA (IN)	$338.30	$65.82
KANSAS (KS)	$331.41	$65.70
KENTUCKY (KY)	$329.18	$67.88
NEW ORLEANS (LA)	$346.24	$69.65
REST OF LOUISIANA (LA)	$328.21	$68.08
METROPOLITAN BOSTON (MA)	$423.95	$73.00
REST OF MASSACHUSETTS (MA)	$379.22	$69.71
BALTIMORE/SURR. CNTYS (MD)	$387.80	$72.41
REST OF MARYLAND (MD)	$367.12	$69.67
SOUTHERN MAINE (ME)	$358.57	$67.29
REST OF MAINE (ME)	$336.94	$66.53
DETROIT (MI)	$356.66	$73.02
REST OF MICHIGAN (MI)	$337.69	$69.33
MINNESOTA (MN)	$368.22	$65.77
METROPOLITAN ST. LOUIS (MO)	$348.82	$69.00
METROPOLITAN KANSAS CITY (MO)	$344.73	$68.73
REST OF MISSOURI (MO)	$321.31	$67.94
MISSISSIPPI (MS)	$319.67	$66.60
MONTANA** (MT)	$363.39	$69.46
NORTH CAROLINA (NC)	$340.99	$66.75
NORTH DAKOTA** (ND)	$360.03	$66.10
NEBRASKA (NE)	$336.47	$65.17
NEW HAMPSHIRE (NH)	$375.15	$69.17
NORTHERN NJ (NJ)	$415.81	$74.85
REST OF NEW JERSEY (NJ)	$394.07	$73.10
NEW MEXICO (NM)	$339.32	$69.78
NEVADA** (NV)	$362.76	$68.54
MANHATTAN (NY)	$419.41	$77.87
NYC SUBURBS/LONG ISLAND (NY)	$429.16	$79.68
POUGHKPSIE/N NYC SUBURBS (NY)	$395.89	$74.04
QUEENS (NY)	$424.67	$77.25
REST OF NEW YORK (NY)	$346.52	$67.29
OHIO (OH)	$337.00	$68.65
OKLAHOMA (OK)	$329.61	$67.14
PORTLAND (OR)	$396.55	$69.99
REST OF OREGON (OR)	$360.50	$67.75
METROPOLITAN PHILADELPHIA (PA)	$377.93	$71.95
REST OF PENNSYLVANIA (PA)	$338.17	$68.34
PUERTO RICO (PR)	$366.66	$69.50
RHODE ISLAND (RI)	$373.84	$70.21
SOUTH CAROLINA (SC)	$339.45	$67.86
SOUTH DAKOTA** (SD)	$359.63	$65.70
TENNESSEE (TN)	$333.11	$65.93
BRAZORIA (TX)	$359.85	$68.56
DALLAS (TX)	$361.86	$69.11
GALVESTON (TX)	$360.73	$68.86
HOUSTON (TX)	$363.84	$71.97
BEAUMONT (TX)	$335.64	$68.17
FORT WORTH (TX)	$358.90	$69.09
AUSTIN (TX)	$380.49	$69.52
REST OF TEXAS (TX)	$347.35	$68.41
UTAH (UT)	$344.59	$68.29
VIRGINIA (VA)	$356.57	$67.63
VIRGIN ISLANDS (VI)	$366.66	$69.50
VERMONT (VT)	$357.56	$66.57
SEATTLE (KING CNTY) (WA)	$434.05	$73.40
REST OF WASHINGTON (WA)	$378.85	$69.35
WISCONSIN (WI)	$346.71	$65.12
WEST VIRGINIA (WV)	$326.03	$70.61
WYOMING** (WY)	$361.93	$68.00

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 2 units per patient per day — Date of Service Edit: Clinical. Units above the MUE are denied; some MUEs can be exceeded only with appropriate documentation and modifiers where policy allows.

How the amount is calculated

Medicare PFS payments are built from three Relative Value Units (RVUs) assigned to a code: physician work, practice expense, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) that reflect local cost differences, then the adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Practice-expense RVUs differ depending on whether the service is furnished in a non-facility setting (e.g., physician office) versus a facility setting (e.g., hospital outpatient), which is why the two allowed amounts differ. The conversion factor and RVU values are updated annually and can change due to legislative or regulatory adjustments.

RVUs — work 1.61, practice expense 9.1 (non-facility) / 0.3 (facility), malpractice 0.17 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This amount is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets the Part B deductible; the patient or secondary payer is generally responsible for the remainder.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Locality-adjusted amounts vary by Medicare Administrative Contractor (MAC) jurisdiction; always verify current rates with your MAC before billing.

Frequently asked

Why is the facility amount lower than the non-facility amount?

In a facility setting, the facility itself (e.g., hospital) bears more of the practice expense costs, so the practice-expense RVU assigned to the physician's payment is lower than when the same service is performed in a non-facility setting like a physician's office.

Will I actually be paid the national amount shown?

No. The national amount is a baseline; your actual Medicare payment is adjusted by your locality's GPCIs and may be further affected by modifiers, sequestration, and annual fee schedule updates.

Does this amount include the patient's share?

No. The figures represent the full Medicare-allowed amount. Medicare generally pays 80% of this amount after the deductible, with the patient or supplemental insurance covering the balance.

Why can't you show the CPT code description?

CPT descriptors are copyrighted and licensed by the American Medical Association, so this page refers to the code generically rather than reproducing the official language.

More free billing tools: all Medicare fees · fee calculator · denial code decoder

Estimated Medicare Physician Fee Schedule amount. Medicare generally pays 80% after the deductible; actual amounts vary by locality, modifiers, sequestration, and annual updates. Verify with your MAC.