Medicare Reimbursement for CPT 19371

This page shows the Medicare Physician Fee Schedule (PFS) estimated allowed amount for this procedure code, both at the national level and adjusted for local cost differences. Because CPT descriptors are AMA-licensed content, this code is referenced generically rather than by its specific definition. Amounts are shown for non-facility and facility settings, which can differ based on where the service is performed.

Medicare allowed amount (2026)

Locality	Non-facility	Facility
National (unadjusted)	$649.31	$649.31
ALASKA* (AK)	$801.30	$801.30
ALABAMA (AL)	$589.78	$589.78
ARKANSAS (AR)	$582.44	$582.44
ARIZONA (AZ)	$632.31	$632.31
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) (CA)	$752.62	$752.62
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) (CA)	$764.19	$764.19
OXNARD-THOUSAND OAKS-VENTURA (CA)	$683.09	$683.09
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) (CA)	$690.09	$690.09
NAPA (CA)	$723.14	$723.14
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) (CA)	$754.71	$754.71
VALLEJO (CA)	$720.13	$720.13
BAKERSFIELD (CA)	$656.69	$656.69
CHICO (CA)	$651.56	$651.56
FRESNO (CA)	$651.56	$651.56
HANFORD-CORCORAN (CA)	$651.56	$651.56
MADERA (CA)	$651.56	$651.56
MERCED (CA)	$651.56	$651.56
MODESTO (CA)	$651.56	$651.56
REDDING (CA)	$651.56	$651.56
RIVERSIDE-SAN BERNARDINO-ONTARIO (CA)	$671.36	$671.36
SACRAMENTO-ROSEVILLE-FOLSOM (CA)	$675.34	$675.34
SALINAS (CA)	$672.67	$672.67
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) (CA)	$772.73	$772.73
SANTA CRUZ-WATSONVILLE (CA)	$684.14	$684.14
SANTA ROSA-PETALUMA (CA)	$690.48	$690.48
STOCKTON (CA)	$651.56	$651.56
VISALIA (CA)	$651.56	$651.56
YUBA CITY (CA)	$651.56	$651.56
EL CENTRO (CA)	$651.86	$651.86
SAN DIEGO-CHULA VISTA-CARLSBAD (CA)	$682.44	$682.44
SAN LUIS OBISPO-PASO ROBLES (CA)	$662.86	$662.86
SANTA MARIA-SANTA BARBARA (CA)	$673.53	$673.53
REST OF CALIFORNIA (CA)	$651.56	$651.56
COLORADO (CO)	$656.58	$656.58
CONNECTICUT (CT)	$688.96	$688.96
DC + MD/VA SUBURBS (DC)	$720.60	$720.60
DELAWARE (DE)	$641.58	$641.58
FORT LAUDERDALE (FL)	$702.39	$702.39
MIAMI (FL)	$754.06	$754.06
REST OF FLORIDA (FL)	$668.66	$668.66
ATLANTA (GA)	$666.85	$666.85
REST OF GEORGIA (GA)	$632.72	$632.72
HAWAII, GUAM (HI)	$659.45	$659.45
IOWA (IA)	$589.91	$589.91
IDAHO (ID)	$595.90	$595.90
EAST ST. LOUIS (IL)	$690.60	$690.60
SUBURBAN CHICAGO (IL)	$706.13	$706.13
CHICAGO (IL)	$732.49	$732.49
REST OF ILLINOIS (IL)	$661.04	$661.04
INDIANA (IN)	$598.54	$598.54
KANSAS (KS)	$593.60	$593.60
KENTUCKY (KY)	$614.91	$614.91
NEW ORLEANS (LA)	$642.16	$642.16
REST OF LOUISIANA (LA)	$616.50	$616.50
METROPOLITAN BOSTON (MA)	$706.87	$706.87
REST OF MASSACHUSETTS (MA)	$655.97	$655.97
BALTIMORE/SURR. CNTYS (MD)	$688.27	$688.27
REST OF MARYLAND (MD)	$650.68	$650.68
SOUTHERN MAINE (ME)	$624.27	$624.27
REST OF MAINE (ME)	$605.05	$605.05
DETROIT (MI)	$682.27	$682.27
REST OF MICHIGAN (MI)	$634.37	$634.37
MINNESOTA (MN)	$613.67	$613.67
METROPOLITAN ST. LOUIS (MO)	$636.82	$636.82
METROPOLITAN KANSAS CITY (MO)	$631.87	$631.87
REST OF MISSOURI (MO)	$611.44	$611.44
MISSISSIPPI (MS)	$596.73	$596.73
MONTANA** (MT)	$649.19	$649.19
NORTH CAROLINA (NC)	$609.52	$609.52
NORTH DAKOTA** (ND)	$612.81	$612.81
NEBRASKA (NE)	$590.85	$590.85
NEW HAMPSHIRE (NH)	$652.41	$652.41
NORTHERN NJ (NJ)	$716.03	$716.03
REST OF NEW JERSEY (NJ)	$692.46	$692.46
NEW MEXICO (NM)	$639.85	$639.85
NEVADA** (NV)	$639.31	$639.31
MANHATTAN (NY)	$748.71	$748.71
NYC SUBURBS/LONG ISLAND (NY)	$772.46	$772.46
POUGHKPSIE/N NYC SUBURBS (NY)	$701.82	$701.82
QUEENS (NY)	$745.12	$745.12
REST OF NEW YORK (NY)	$617.92	$617.92
OHIO (OH)	$626.94	$626.94
OKLAHOMA (OK)	$607.48	$607.48
PORTLAND (OR)	$667.96	$667.96
REST OF OREGON (OR)	$630.01	$630.01
METROPOLITAN PHILADELPHIA (PA)	$677.80	$677.80
REST OF PENNSYLVANIA (PA)	$624.38	$624.38
PUERTO RICO (PR)	$651.28	$651.28
RHODE ISLAND (RI)	$657.53	$657.53
SOUTH CAROLINA (SC)	$620.12	$620.12
SOUTH DAKOTA** (SD)	$608.51	$608.51
TENNESSEE (TN)	$596.94	$596.94
BRAZORIA (TX)	$636.03	$636.03
DALLAS (TX)	$642.46	$642.46
GALVESTON (TX)	$639.50	$639.50
HOUSTON (TX)	$673.18	$673.18
BEAUMONT (TX)	$621.29	$621.29
FORT WORTH (TX)	$640.63	$640.63
AUSTIN (TX)	$658.20	$658.20
REST OF TEXAS (TX)	$629.95	$629.95
UTAH (UT)	$627.27	$627.27
VIRGINIA (VA)	$626.78	$626.78
VIRGIN ISLANDS (VI)	$651.28	$651.28
VERMONT (VT)	$616.32	$616.32
SEATTLE (KING CNTY) (WA)	$713.99	$713.99
REST OF WASHINGTON (WA)	$652.78	$652.78
WISCONSIN (WI)	$595.74	$595.74
WEST VIRGINIA (WV)	$641.37	$641.37
WYOMING** (WY)	$633.33	$633.33

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

Medicare's PFS amount is built from three Relative Value Units (RVUs) — physician work, practice expense, and malpractice — assigned to the code. Each RVU component is adjusted by Geographic Practice Cost Indices (GPCIs) specific to the locality where the service is billed, reflecting local wage and cost variation. The adjusted RVUs are summed and multiplied by the annual Medicare conversion factor to produce the allowed amount. Non-facility and facility amounts can differ because practice-expense RVUs are typically higher in non-facility settings, where the billing provider bears more of the overhead cost.

RVUs — work 9.73, practice expense 7.87 (non-facility) / 7.87 (facility), malpractice 1.84 — × the locality GPCIs × the 2026 conversion factor of $33.40.

Good to know

This is an estimate only, not a guarantee of payment or coverage.
Medicare typically pays 80% of the allowed amount after the annual Part B deductible is met; the patient or secondary payer is responsible for the remainder.
Actual payment can vary by locality, applicable modifiers, claim-specific circumstances, sequestration reductions, and annual budget-neutrality adjustments.
Always verify current rates and local adjustments with your Medicare Administrative Contractor (MAC) before billing or appealing a denial.

Frequently asked

Why does the amount differ between non-facility and facility settings?

The practice-expense RVU component is generally higher in non-facility settings because the billing provider covers overhead costs like staff, equipment, and supplies that a facility would otherwise absorb.

Why might my locality's payment differ from the national amount shown?

Medicare applies Geographic Practice Cost Indices (GPCIs) to adjust for regional differences in wages, rent, and malpractice costs, so the same code can pay differently depending on where the service is billed.

Does this amount reflect what Medicare will actually pay?

No. This is an estimated allowed amount before the Part B deductible and the standard 80/20 coinsurance split are applied, and it does not account for modifiers or claim-specific adjustments.

Why wasn't the CPT code description shown on this page?

CPT code descriptors are copyrighted and licensed by the American Medical Association, so they cannot be reproduced here; the code is referenced generically instead.

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.