Medicare Reimbursement for CPT 19303

This page covers a CPT procedure code billed under the Medicare Physician Fee Schedule (PFS). It shows the estimated Medicare-allowed amount nationally and adjusted for your specific locality, broken out by non-facility (office) and facility (hospital/ASC) settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$915.85	$915.85
ALASKA* (AK)	$1123.57	$1123.57
ALABAMA (AL)	$823.75	$823.75
ARKANSAS (AR)	$812.53	$812.53
ARIZONA (AZ)	$888.46	$888.46
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$1014.05	$1014.05
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$1027.54	$1027.54
OXNARD-THOUSAND OAKS-VENTURA (CA)	$937.27	$937.27
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$949.06	$949.06
NAPA (CA)	$981.03	$981.03
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$1018.31	$1018.31
VALLEJO (CA)	$974.89	$974.89
BAKERSFIELD (CA)	$905.15	$905.15
CHICO (CA)	$895.03	$895.03
FRESNO (CA)	$895.03	$895.03
HANFORD-CORCORAN (CA)	$895.03	$895.03
MADERA (CA)	$895.03	$895.03
MERCED (CA)	$895.03	$895.03
MODESTO (CA)	$895.03	$895.03
REDDING (CA)	$895.03	$895.03
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$935.22	$935.22
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$924.54	$924.54
SALINAS (CA)	$920.89	$920.89
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$1044.95	$1044.95
SANTA CRUZ-WATSONVILLE (CA)	$932.91	$932.91
SANTA ROSA-PETALUMA (CA)	$941.24	$941.24
STOCKTON (CA)	$895.03	$895.03
VISALIA (CA)	$895.03	$895.03
YUBA CITY (CA)	$895.03	$895.03
EL CENTRO (CA)	$895.66	$895.66
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$932.33	$932.33
SAN LUIS OBISPO-PASO ROBLES (CA)	$908.01	$908.01
SANTA MARIA-SANTA BARBARA (CA)	$921.54	$921.54
REST OF CALIFORNIA (CA)	$895.03	$895.03
COLORADO (CO)	$913.61	$913.61
CONNECTICUT (CT)	$975.18	$975.18
DC + MD/VA SUBURBS (DC)	$1010.14	$1010.14
DELAWARE (DE)	$902.02	$902.02
FORT LAUDERDALE (FL)	$1020.98	$1020.98
MIAMI (FL)	$1119.74	$1119.74
REST OF FLORIDA (FL)	$965.57	$965.57
ATLANTA (GA)	$947.33	$947.33
REST OF GEORGIA (GA)	$907.29	$907.29
HAWAII, GUAM (HI)	$904.49	$904.49
IOWA (IA)	$814.66	$814.66
IDAHO (ID)	$825.69	$825.69
EAST ST. LOUIS (IL)	$1018.70	$1018.70
SUBURBAN CHICAGO (IL)	$1024.12	$1024.12
CHICAGO (IL)	$1082.99	$1082.99
REST OF ILLINOIS (IL)	$960.10	$960.10
INDIANA (IN)	$829.43	$829.43
KANSAS (KS)	$824.74	$824.74
KENTUCKY (KY)	$871.69	$871.69
NEW ORLEANS (LA)	$915.07	$915.07
REST OF LOUISIANA (LA)	$875.87	$875.87
METROPOLITAN BOSTON (MA)	$980.69	$980.69
REST OF MASSACHUSETTS (MA)	$914.25	$914.25
BALTIMORE/SURR. CNTYS (MD)	$975.40	$975.40
REST OF MARYLAND (MD)	$914.09	$914.09
SOUTHERN MAINE (ME)	$866.92	$866.92
REST OF MAINE (ME)	$844.35	$844.35
DETROIT (MI)	$991.21	$991.21
REST OF MICHIGAN (MI)	$905.74	$905.74
MINNESOTA (MN)	$836.43	$836.43
METROPOLITAN ST. LOUIS (MO)	$901.61	$901.61
METROPOLITAN KANSAS CITY (MO)	$894.55	$894.55
REST OF MISSOURI (MO)	$870.93	$870.93
MISSISSIPPI (MS)	$841.19	$841.19
MONTANA** (MT)	$915.60	$915.60
NORTH CAROLINA (NC)	$850.41	$850.41
NORTH DAKOTA** (ND)	$841.45	$841.45
NEBRASKA (NE)	$814.70	$814.70
NEW HAMPSHIRE (NH)	$912.58	$912.58
NORTHERN NJ (NJ)	$1003.47	$1003.47
REST OF NEW JERSEY (NJ)	$975.33	$975.33
NEW MEXICO (NM)	$915.97	$915.97
NEVADA** (NV)	$895.24	$895.24
MANHATTAN (NY)	$1069.44	$1069.44
NYC SUBURBS/LONG ISLAND (NY)	$1111.54	$1111.54
POUGHKPSIE/N NYC SUBURBS (NY)	$992.83	$992.83
QUEENS (NY)	$1057.44	$1057.44
REST OF NEW YORK (NY)	$863.56	$863.56
OHIO (OH)	$890.59	$890.59
OKLAHOMA (OK)	$855.61	$855.61
PORTLAND (OR)	$925.12	$925.12
REST OF OREGON (OR)	$877.44	$877.44
METROPOLITAN PHILADELPHIA (PA)	$961.20	$961.20
REST OF PENNSYLVANIA (PA)	$884.20	$884.20
PUERTO RICO (PR)	$917.30	$917.30
RHODE ISLAND (RI)	$921.57	$921.57
SOUTH CAROLINA (SC)	$874.12	$874.12
SOUTH DAKOTA** (SD)	$832.68	$832.68
TENNESSEE (TN)	$830.38	$830.38
BRAZORIA (TX)	$889.49	$889.49
DALLAS (TX)	$901.26	$901.26
GALVESTON (TX)	$896.10	$896.10
HOUSTON (TX)	$964.74	$964.74
BEAUMONT (TX)	$879.78	$879.78
FORT WORTH (TX)	$899.87	$899.87
AUSTIN (TX)	$920.06	$920.06
REST OF TEXAS (TX)	$888.30	$888.30
UTAH (UT)	$884.96	$884.96
VIRGINIA (VA)	$873.90	$873.90
VIRGIN ISLANDS (VI)	$917.30	$917.30
VERMONT (VT)	$850.96	$850.96
SEATTLE (KING CNTY) (WA)	$985.91	$985.91
REST OF WASHINGTON (WA)	$908.27	$908.27
WISCONSIN (WI)	$816.50	$816.50
WEST VIRGINIA (WV)	$930.28	$930.28
WYOMING** (WY)	$883.29	$883.29

Look up another code or locality →

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

The Medicare PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — each adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is billed. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility (e.g., office) and facility (e.g., hospital, ASC) settings often use different practice-expense RVUs because the resources used to perform the service differ, which can make the two allowed amounts differ even though the work and malpractice components stay the same. All figures update annually when CMS publishes new RVUs, GPCIs, and the conversion factor.

RVUs — work 14.63, practice expense 9.04 (non-facility) / 9.04 (facility), malpractice 3.75 — × 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 Part B deductible is met; the patient or secondary payer is responsible for the rest.
Modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments can change the actual paid amount.
Always confirm final pricing and coverage policy with your Medicare Administrative Contractor (MAC).

Frequently asked

Why do the non-facility and facility amounts differ for this code?

They can differ because the practice-expense RVU component reflects different overhead and resource costs depending on whether the service is performed in a physician office versus a hospital or ambulatory surgical center.

Why does the Medicare amount change by locality?

Each locality has its own Geographic Practice Cost Indices (GPCIs) for work, practice expense, and malpractice, which adjust the national RVUs to reflect local cost-of-living and practice cost differences before the conversion factor is applied.

Does this amount include what the patient owes?

No. The figures shown represent the total Medicare-allowed amount; patient responsibility (coinsurance, deductible) and any secondary insurance payments are calculated separately.

Will this amount change next year?

Yes. CMS updates RVUs, GPCIs, and the conversion factor annually, and budget-neutrality adjustments or policy changes can shift the allowed amount from year to year.

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.