Medicare Reimbursement for CPT 19287

CPT 19287 is a physician procedure code reimbursed under the Medicare Physician Fee Schedule (PFS). This page shows the estimated PFS allowed amount nationally and by locality, with separate figures for non-facility (e.g., office) and facility (e.g., hospital) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$599.21	$105.88
ALASKA* (AK)	$670.39	$144.99
ALABAMA (AL)	$532.33	$100.67
ARKANSAS (AR)	$523.81	$100.04
ARIZONA (AZ)	$582.35	$104.31
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$811.12	$115.53
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$828.42	$117.04
OXNARD-THOUSAND OAKS-VENTURA (CA)	$691.17	$108.05
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$693.07	$109.46
NAPA (CA)	$762.33	$112.12
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$811.39	$115.79
VALLEJO (CA)	$761.95	$111.74
BAKERSFIELD (CA)	$646.59	$105.90
CHICO (CA)	$645.86	$105.17
FRESNO (CA)	$645.86	$105.17
HANFORD-CORCORAN (CA)	$645.86	$105.17
MADERA (CA)	$645.86	$105.17
MERCED (CA)	$645.86	$105.17
MODESTO (CA)	$645.86	$105.17
REDDING (CA)	$645.86	$105.17
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$648.38	$107.69
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$681.50	$107.76
SALINAS (CA)	$679.06	$107.28
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$829.49	$118.11
SANTA CRUZ-WATSONVILLE (CA)	$706.69	$107.29
SANTA ROSA-PETALUMA (CA)	$714.05	$108.24
STOCKTON (CA)	$645.86	$105.17
VISALIA (CA)	$645.86	$105.17
YUBA CITY (CA)	$645.86	$105.17
EL CENTRO (CA)	$645.90	$105.21
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$697.83	$107.80
SAN LUIS OBISPO-PASO ROBLES (CA)	$667.72	$105.82
SANTA MARIA-SANTA BARBARA (CA)	$682.36	$107.14
REST OF CALIFORNIA (CA)	$645.86	$105.17
COLORADO (CO)	$631.06	$106.16
CONNECTICUT (CT)	$641.63	$110.31
DC + MD/VA SUBURBS (DC)	$695.06	$113.92
DELAWARE (DE)	$592.75	$105.34
FORT LAUDERDALE (FL)	$612.03	$112.28
MIAMI (FL)	$631.80	$118.24
REST OF FLORIDA (FL)	$580.71	$109.08
ATLANTA (GA)	$609.14	$107.91
REST OF GEORGIA (GA)	$545.78	$105.73
HAWAII, GUAM (HI)	$665.62	$104.71
IOWA (IA)	$551.37	$99.97
IDAHO (ID)	$554.49	$100.63
EAST ST. LOUIS (IL)	$566.33	$112.47
SUBURBAN CHICAGO (IL)	$619.45	$112.80
CHICAGO (IL)	$612.28	$116.49
REST OF ILLINOIS (IL)	$559.31	$108.90
INDIANA (IN)	$558.15	$100.83
KANSAS (KS)	$546.60	$100.63
KENTUCKY (KY)	$542.13	$103.56
NEW ORLEANS (LA)	$570.26	$106.04
REST OF LOUISIANA (LA)	$540.43	$103.83
METROPOLITAN BOSTON (MA)	$700.40	$111.36
REST OF MASSACHUSETTS (MA)	$625.93	$106.45
BALTIMORE/SURR. CNTYS (MD)	$639.47	$110.13
REST OF MARYLAND (MD)	$605.51	$106.26
SOUTHERN MAINE (ME)	$591.80	$102.91
REST OF MAINE (ME)	$555.64	$101.77
DETROIT (MI)	$586.69	$110.62
REST OF MICHIGAN (MI)	$555.98	$105.56
MINNESOTA (MN)	$608.55	$100.91
METROPOLITAN ST. LOUIS (MO)	$574.83	$105.17
METROPOLITAN KANSAS CITY (MO)	$568.03	$104.79
REST OF MISSOURI (MO)	$528.86	$103.61
MISSISSIPPI (MS)	$526.54	$101.79
MONTANA** (MT)	$599.20	$105.87
NORTH CAROLINA (NC)	$562.38	$102.10
NORTH DAKOTA** (ND)	$594.65	$101.32
NEBRASKA (NE)	$555.29	$99.95
NEW HAMPSHIRE (NH)	$619.09	$105.54
NORTHERN NJ (NJ)	$686.31	$114.05
REST OF NEW JERSEY (NJ)	$650.05	$111.34
NEW MEXICO (NM)	$558.56	$106.18
NEVADA** (NV)	$598.44	$104.61
MANHATTAN (NY)	$691.39	$118.14
NYC SUBURBS/LONG ISLAND (NY)	$707.20	$120.63
POUGHKPSIE/N NYC SUBURBS (NY)	$652.86	$112.66
QUEENS (NY)	$700.45	$117.33
REST OF NEW YORK (NY)	$571.51	$102.85
OHIO (OH)	$555.05	$104.63
OKLAHOMA (OK)	$543.10	$102.56
PORTLAND (OR)	$655.00	$106.91
REST OF OREGON (OR)	$594.90	$103.54
METROPOLITAN PHILADELPHIA (PA)	$623.03	$109.48
REST OF PENNSYLVANIA (PA)	$557.10	$104.23
PUERTO RICO (PR)	$604.69	$105.93
RHODE ISLAND (RI)	$616.74	$107.13
SOUTH CAROLINA (SC)	$559.42	$103.59
SOUTH DAKOTA** (SD)	$594.11	$100.78
TENNESSEE (TN)	$549.39	$100.96
BRAZORIA (TX)	$593.61	$104.72
DALLAS (TX)	$596.84	$105.48
GALVESTON (TX)	$595.00	$105.12
HOUSTON (TX)	$599.21	$109.33
BEAUMONT (TX)	$552.91	$103.98
FORT WORTH (TX)	$591.85	$105.43
AUSTIN (TX)	$627.99	$106.04
REST OF TEXAS (TX)	$572.54	$104.37
UTAH (UT)	$567.93	$104.20
VIRGINIA (VA)	$588.31	$103.37
VIRGIN ISLANDS (VI)	$604.69	$105.93
VERMONT (VT)	$590.33	$101.94
SEATTLE (KING CNTY) (WA)	$717.36	$112.05
REST OF WASHINGTON (WA)	$625.40	$105.92
WISCONSIN (WI)	$572.54	$99.93
WEST VIRGINIA (WV)	$535.93	$107.22
WYOMING** (WY)	$597.21	$103.88

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Maximum units per day (MUE)

Medicare’s Medically Unlikely Edit caps this code at 1 unit per patient per day — Date of Service Edit: Policy. 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 amounts are built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to this procedure code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is performed, since costs vary by region. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce a dollar amount. Non-facility and facility settings differ mainly in the practice-expense RVU, since overhead costs (staff, supplies, equipment) are typically higher when billed in a non-facility setting versus a hospital or facility setting where the facility bears some of those costs.

RVUs — work 2.49, practice expense 15.22 (non-facility) / 0.45 (facility), malpractice 0.23 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment.
Medicare typically pays 80% of the allowed amount after the patient meets the annual Part B deductible; the patient or secondary insurer is generally responsible for the remainder.
Actual payment can vary based on modifiers, place of service, sequestration, annual budget-neutrality adjustments, and other claim-specific factors.
Figures are based on the national conversion factor and locality GPCIs for the stated year; always verify current rates with your Medicare Administrative Contractor (MAC).
This code's descriptor is licensed by the AMA and is not reproduced here; consult your CPT codebook for the official description.

Frequently asked

Why is the facility amount lower than the non-facility amount for this code?

The facility amount uses a lower practice-expense RVU because overhead costs like staff time, supplies, and equipment are assumed to be covered by the facility (e.g., hospital) rather than the billing physician's practice.

Does this amount reflect what Medicare will actually pay?

No. It's an estimate based on the standard PFS formula. Actual payment depends on the specific locality, any applicable modifiers, sequestration, and other adjustments determined by your MAC.

Why do amounts differ by locality?

Geographic Practice Cost Indices (GPCIs) adjust the RVUs to reflect regional differences in labor, rent, and malpractice insurance costs, so the same code can have different allowed amounts in different areas.

Can I use this figure to bill the patient directly?

No. This page is a reference estimate only. Patient billing should follow your MAC's guidance, the patient's specific coverage, and any applicable coinsurance or deductible amounts.

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.