Medicare Reimbursement for CPT Code 19325

This page covers a CPT procedure code (descriptor not shown due to AMA licensing restrictions) and displays its Medicare Physician Fee Schedule (PFS) allowed amount for 2026. Amounts are shown nationally and can vary by locality, as well as by non-facility (e.g., office) versus facility (e.g., hospital) place of service.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$566.15	$566.15
ALASKA* (AK)	$692.61	$692.61
ALABAMA (AL)	$513.17	$513.17
ARKANSAS (AR)	$506.61	$506.61
ARIZONA (AZ)	$551.21	$551.21
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$666.24	$666.24
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$676.90	$676.90
OXNARD-THOUSAND OAKS-VENTURA (CA)	$600.81	$600.81
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$606.53	$606.53
NAPA (CA)	$638.68	$638.68
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$667.93	$667.93
VALLEJO (CA)	$636.26	$636.26
BAKERSFIELD (CA)	$576.05	$576.05
CHICO (CA)	$571.91	$571.91
FRESNO (CA)	$571.91	$571.91
HANFORD-CORCORAN (CA)	$571.91	$571.91
MADERA (CA)	$571.91	$571.91
MERCED (CA)	$571.91	$571.91
MODESTO (CA)	$571.91	$571.91
REDDING (CA)	$571.91	$571.91
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$587.85	$587.85
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$593.84	$593.84
SALINAS (CA)	$591.50	$591.50
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$683.77	$683.77
SANTA CRUZ-WATSONVILLE (CA)	$602.98	$602.98
SANTA ROSA-PETALUMA (CA)	$608.64	$608.64
STOCKTON (CA)	$571.91	$571.91
VISALIA (CA)	$571.91	$571.91
YUBA CITY (CA)	$571.91	$571.91
EL CENTRO (CA)	$572.16	$572.16
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$600.87	$600.87
SAN LUIS OBISPO-PASO ROBLES (CA)	$582.76	$582.76
SANTA MARIA-SANTA BARBARA (CA)	$592.48	$592.48
REST OF CALIFORNIA (CA)	$571.91	$571.91
COLORADO (CO)	$574.63	$574.63
CONNECTICUT (CT)	$601.23	$601.23
DC + MD/VA SUBURBS (DC)	$630.90	$630.90
DELAWARE (DE)	$559.45	$559.45
FORT LAUDERDALE (FL)	$609.37	$609.37
MIAMI (FL)	$652.07	$652.07
REST OF FLORIDA (FL)	$579.91	$579.91
ATLANTA (GA)	$580.91	$580.91
REST OF GEORGIA (GA)	$548.40	$548.40
HAWAII, GUAM (HI)	$579.88	$579.88
IOWA (IA)	$514.90	$514.90
IDAHO (ID)	$519.92	$519.92
EAST ST. LOUIS (IL)	$596.10	$596.10
SUBURBAN CHICAGO (IL)	$612.97	$612.97
CHICAGO (IL)	$633.27	$633.27
REST OF ILLINOIS (IL)	$572.04	$572.04
INDIANA (IN)	$522.33	$522.33
KANSAS (KS)	$517.42	$517.42
KENTUCKY (KY)	$533.95	$533.95
NEW ORLEANS (LA)	$557.99	$557.99
REST OF LOUISIANA (LA)	$535.07	$535.07
METROPOLITAN BOSTON (MA)	$620.48	$620.48
REST OF MASSACHUSETTS (MA)	$573.71	$573.71
BALTIMORE/SURR. CNTYS (MD)	$600.50	$600.50
REST OF MARYLAND (MD)	$567.76	$567.76
SOUTHERN MAINE (ME)	$545.63	$545.63
REST OF MAINE (ME)	$527.29	$527.29
DETROIT (MI)	$591.23	$591.23
REST OF MICHIGAN (MI)	$550.58	$550.58
MINNESOTA (MN)	$538.66	$538.66
METROPOLITAN ST. LOUIS (MO)	$554.14	$554.14
METROPOLITAN KANSAS CITY (MO)	$549.63	$549.63
REST OF MISSOURI (MO)	$530.06	$530.06
MISSISSIPPI (MS)	$518.19	$518.19
MONTANA** (MT)	$566.05	$566.05
NORTH CAROLINA (NC)	$531.40	$531.40
NORTH DAKOTA** (ND)	$536.78	$536.78
NEBRASKA (NE)	$515.98	$515.98
NEW HAMPSHIRE (NH)	$570.31	$570.31
NORTHERN NJ (NJ)	$626.52	$626.52
REST OF NEW JERSEY (NJ)	$604.72	$604.72
NEW MEXICO (NM)	$555.15	$555.15
NEVADA** (NV)	$558.14	$558.14
MANHATTAN (NY)	$652.90	$652.90
NYC SUBURBS/LONG ISLAND (NY)	$673.10	$673.10
POUGHKPSIE/N NYC SUBURBS (NY)	$612.39	$612.39
QUEENS (NY)	$650.82	$650.82
REST OF NEW YORK (NY)	$538.85	$538.85
OHIO (OH)	$544.60	$544.60
OKLAHOMA (OK)	$528.14	$528.14
PORTLAND (OR)	$585.71	$585.71
REST OF OREGON (OR)	$550.45	$550.45
METROPOLITAN PHILADELPHIA (PA)	$590.79	$590.79
REST OF PENNSYLVANIA (PA)	$542.75	$542.75
PUERTO RICO (PR)	$568.18	$568.18
RHODE ISLAND (RI)	$574.15	$574.15
SOUTH CAROLINA (SC)	$539.56	$539.56
SOUTH DAKOTA** (SD)	$533.32	$533.32
TENNESSEE (TN)	$520.31	$520.31
BRAZORIA (TX)	$555.12	$555.12
DALLAS (TX)	$560.50	$560.50
GALVESTON (TX)	$557.99	$557.99
HOUSTON (TX)	$585.08	$585.08
BEAUMONT (TX)	$539.94	$539.94
FORT WORTH (TX)	$558.62	$558.62
AUSTIN (TX)	$575.67	$575.67
REST OF TEXAS (TX)	$548.49	$548.49
UTAH (UT)	$545.97	$545.97
VIRGINIA (VA)	$547.32	$547.32
VIRGIN ISLANDS (VI)	$568.18	$568.18
VERMONT (VT)	$539.20	$539.20
SEATTLE (KING CNTY) (WA)	$627.57	$627.57
REST OF WASHINGTON (WA)	$571.14	$571.14
WISCONSIN (WI)	$521.35	$521.35
WEST VIRGINIA (WV)	$554.42	$554.42
WYOMING** (WY)	$553.29	$553.29

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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's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to this procedure code. Each RVU component is adjusted by the Geographic Practice Cost Index (GPCI) for the specific locality where the service is performed, reflecting regional cost differences. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Practice-expense RVUs often differ between non-facility and facility settings because overhead costs differ depending on where the service is rendered.

RVUs — work 7.92, practice expense 7.55 (non-facility) / 7.55 (facility), malpractice 1.48 — × 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 their annual deductible; the patient or secondary payer is generally responsible for the remainder.
Modifiers, sequestration, and annual budget-neutrality adjustments can change the final paid amount.
Locality-specific GPCI values can cause the actual allowed amount to differ from the national figure shown here.
Always verify current rates and coverage rules with your Medicare Administrative Contractor (MAC).

Frequently asked

Why does the allowed amount differ by locality?

Each locality has its own GPCI values for work, practice expense, and malpractice costs, which adjust the RVUs before the conversion factor is applied, resulting in different allowed amounts across regions.

Why are non-facility and facility amounts the same here?

For this code, the practice-expense RVU is identical in both settings, so the non-facility and facility allowed amounts are the same; this isn't the case for all codes.

Does this amount represent what the provider will actually be paid?

No. This is the Medicare-approved amount before adjustments like deductible, coinsurance, modifiers, or sequestration, so actual payment may be lower.

Where can I find the official CPT descriptor for this code?

CPT code descriptors are copyrighted by the American Medical Association; consult your AMA CPT codebook or licensed coding software for 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.