Medicare Reimbursement for CPT Code 19330

CPT code 19330 is a surgical procedure code defined by the American Medical Association; the specific clinical description is not reproduced here due to licensing restrictions. This page shows the Medicare Physician Fee Schedule (PFS) allowed amount for this code at the national level and, where available, by locality, comparing non-facility and facility payment settings.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$592.53	$592.53
ALASKA* (AK)	$729.60	$729.60
ALABAMA (AL)	$537.68	$537.68
ARKANSAS (AR)	$530.92	$530.92
ARIZONA (AZ)	$576.88	$576.88
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$687.49	$687.49
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$698.08	$698.08
OXNARD-THOUSAND OAKS-VENTURA (CA)	$623.66	$623.66
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$630.03	$630.03
NAPA (CA)	$660.45	$660.45
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$689.41	$689.41
VALLEJO (CA)	$657.69	$657.69
BAKERSFIELD (CA)	$599.34	$599.34
CHICO (CA)	$594.64	$594.64
FRESNO (CA)	$594.64	$594.64
HANFORD-CORCORAN (CA)	$594.64	$594.64
MADERA (CA)	$594.64	$594.64
MERCED (CA)	$594.64	$594.64
MODESTO (CA)	$594.64	$594.64
REDDING (CA)	$594.64	$594.64
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$612.82	$612.82
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$616.48	$616.48
SALINAS (CA)	$614.04	$614.04
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$705.93	$705.93
SANTA CRUZ-WATSONVILLE (CA)	$624.71	$624.71
SANTA ROSA-PETALUMA (CA)	$630.50	$630.50
STOCKTON (CA)	$594.64	$594.64
VISALIA (CA)	$594.64	$594.64
YUBA CITY (CA)	$594.64	$594.64
EL CENTRO (CA)	$594.92	$594.92
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$623.07	$623.07
SAN LUIS OBISPO-PASO ROBLES (CA)	$605.08	$605.08
SANTA MARIA-SANTA BARBARA (CA)	$614.86	$614.86
REST OF CALIFORNIA (CA)	$594.64	$594.64
COLORADO (CO)	$599.23	$599.23
CONNECTICUT (CT)	$628.95	$628.95
DC + MD/VA SUBURBS (DC)	$657.97	$657.97
DELAWARE (DE)	$585.38	$585.38
FORT LAUDERDALE (FL)	$641.30	$641.30
MIAMI (FL)	$688.80	$688.80
REST OF FLORIDA (FL)	$610.24	$610.24
ATLANTA (GA)	$608.64	$608.64
REST OF GEORGIA (GA)	$577.14	$577.14
HAWAII, GUAM (HI)	$602.03	$602.03
IOWA (IA)	$537.85	$537.85
IDAHO (ID)	$543.36	$543.36
EAST ST. LOUIS (IL)	$630.34	$630.34
SUBURBAN CHICAGO (IL)	$644.72	$644.72
CHICAGO (IL)	$668.90	$668.90
REST OF ILLINOIS (IL)	$603.19	$603.19
INDIANA (IN)	$545.79	$545.79
KANSAS (KS)	$541.22	$541.22
KENTUCKY (KY)	$560.78	$560.78
NEW ORLEANS (LA)	$585.88	$585.88
REST OF LOUISIANA (LA)	$562.24	$562.24
METROPOLITAN BOSTON (MA)	$645.45	$645.45
REST OF MASSACHUSETTS (MA)	$598.63	$598.63
BALTIMORE/SURR. CNTYS (MD)	$628.33	$628.33
REST OF MARYLAND (MD)	$593.75	$593.75
SOUTHERN MAINE (ME)	$569.52	$569.52
REST OF MAINE (ME)	$551.77	$551.77
DETROIT (MI)	$622.76	$622.76
REST OF MICHIGAN (MI)	$578.69	$578.69
MINNESOTA (MN)	$559.83	$559.83
METROPOLITAN ST. LOUIS (MO)	$580.99	$580.99
METROPOLITAN KANSAS CITY (MO)	$576.42	$576.42
REST OF MISSOURI (MO)	$557.55	$557.55
MISSISSIPPI (MS)	$544.05	$544.05
MONTANA** (MT)	$592.42	$592.42
NORTH CAROLINA (NC)	$555.89	$555.89
NORTH DAKOTA** (ND)	$559.00	$559.00
NEBRASKA (NE)	$538.72	$538.72
NEW HAMPSHIRE (NH)	$595.43	$595.43
NORTHERN NJ (NJ)	$653.70	$653.70
REST OF NEW JERSEY (NJ)	$632.08	$632.08
NEW MEXICO (NM)	$583.72	$583.72
NEVADA** (NV)	$583.35	$583.35
MANHATTAN (NY)	$683.72	$683.72
NYC SUBURBS/LONG ISLAND (NY)	$705.57	$705.57
POUGHKPSIE/N NYC SUBURBS (NY)	$640.65	$640.65
QUEENS (NY)	$680.44	$680.44
REST OF NEW YORK (NY)	$563.63	$563.63
OHIO (OH)	$571.86	$571.86
OKLAHOMA (OK)	$553.96	$553.96
PORTLAND (OR)	$609.73	$609.73
REST OF OREGON (OR)	$574.80	$574.80
METROPOLITAN PHILADELPHIA (PA)	$618.66	$618.66
REST OF PENNSYLVANIA (PA)	$569.52	$569.52
PUERTO RICO (PR)	$594.36	$594.36
RHODE ISLAND (RI)	$600.02	$600.02
SOUTH CAROLINA (SC)	$565.61	$565.61
SOUTH DAKOTA** (SD)	$555.05	$555.05
TENNESSEE (TN)	$544.30	$544.30
BRAZORIA (TX)	$580.27	$580.27
DALLAS (TX)	$586.18	$586.18
GALVESTON (TX)	$583.47	$583.47
HOUSTON (TX)	$614.40	$614.40
BEAUMONT (TX)	$566.67	$566.67
FORT WORTH (TX)	$584.49	$584.49
AUSTIN (TX)	$600.77	$600.77
REST OF TEXAS (TX)	$574.67	$574.67
UTAH (UT)	$572.20	$572.20
VIRGINIA (VA)	$571.81	$571.81
VIRGIN ISLANDS (VI)	$594.36	$594.36
VERMONT (VT)	$562.22	$562.22
SEATTLE (KING CNTY) (WA)	$651.99	$651.99
REST OF WASHINGTON (WA)	$595.72	$595.72
WISCONSIN (WI)	$543.27	$543.27
WEST VIRGINIA (WV)	$585.05	$585.05
WYOMING** (WY)	$577.86	$577.86

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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) assigned to the code: physician work, practice expense, and malpractice. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the 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. Non-facility (e.g., office) and facility (e.g., hospital) settings can have different practice-expense RVUs, which is why the same code may show two different allowed amounts depending on place of service. For this code, the non-facility and facility practice-expense RVUs are equal, so the national allowed amounts shown are the same in both settings.

RVUs — work 8.78, practice expense 7.27 (non-facility) / 7.27 (facility), malpractice 1.69 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, based on national averages and published RVUs/GPCIs — actual payment may differ.
Medicare typically pays 80% of the allowed amount after the annual deductible is met; the patient or secondary payer is responsible for the remainder.
Final payment can be affected by modifiers, multiple-procedure reductions, sequestration, and annual budget-neutrality adjustments.
Locality-specific GPCIs change the allowed amount from the national figure shown here — always confirm with your Medicare Administrative Contractor (MAC).
This code's descriptor is licensed by the AMA and is not reproduced on this page.

Frequently asked

Why does the allowed amount differ by locality?

Each locality has its own GPCI values for work, practice expense, and malpractice, reflecting local cost-of-living and practice cost differences, which change the final calculated amount.

Why are the non-facility and facility amounts the same for this code?

Because the practice-expense RVU is identical in both non-facility and facility settings for this code, the calculated allowed amounts are equal in this case.

Does this amount include the patient's coinsurance?

No. The figure shown is the Medicare-allowed amount before the standard 80/20 split; the patient or secondary insurer is typically responsible for the remaining 20% after the deductible.

Will this amount change next year?

Yes. RVUs, GPCIs, and the conversion factor are updated annually (and sometimes mid-year), so the allowed amount can change from year to year.

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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.