FeeBase
Log inGet started
Menu

CPT code 19300: Gynecomastia surgery, male breast tissue removal2026 Medicare rate & RVUs in Houston, TX

Surgical removal of breast tissue for gynecomastia, typically performed to reduce glandular enlargement and improve chest contour.

CMS RVU26DEffective Oct 1, 2026One payment locality273 Medicare services in 2024

In Houston, TX, Medicare pays $650.90 for 19300 in the office and $440.95 when it’s performed in a hospital or facility.

$650.90Office (non-facility)
$440.95Hospital or facility
+2.1%vs the national office rate ($637.29)

Check a contract rate as a % of Medicare · 19300 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 19300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 19300 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 19300 covers

This operation removes breast tissue to treat gynecomastia, or enlargement of male breast tissue. A general or plastic surgeon may perform it in a hospital outpatient department or ambulatory surgery center, with the operative approach guided by the tissue and contour findings. The service is distinct from breast surgery for a tumor and from reduction surgery for generalized breast hypertrophy.

Report 19300 when the operation addresses gynecomastia; the operative report should support the diagnosis and describe the tissue removal performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral surgery reported with modifier 50, CMS pays at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Houston, TX compares for 19300

Across 109 of 109 payment localities, the office rate for 19300 runs from $557.92 in Arkansas to $824.91 in San Benito County, CA. Houston, TX pays $650.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

19300 in Houston, TX vs other payment areas
  1. Houston, TX · this page$650.90
  2. Austin, TX · Texas$657.61+$6.71
  3. Beaumont, TX · Texas$596.27−$54.63
  4. Brazoria, TX · Texas$625.97−$24.93
  5. Dallas, TX · Texas$631.41−$19.49
  6. Fort Worth, TX · Texas$627.70−$23.20
  7. Galveston, TX · Texas$628.75−$22.15

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

19300 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$611.75$411.11
Los Angeles, CACalifornia$708.37$458.25
Washington, DC areaDistrict of Columbia$726.65$477.58
Miami, FLFlorida$716.46$496.37
Chicago, ILIllinois$692.96$480.47
Manhattan, NYNew York$740.71$495.03
AlaskaAlaska$733.20$508.03
AlabamaAlabama$566.77$381.77

19300 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$557.92

$743.54

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
19300 office rate range by state
State / territoryOffice rate rangeLocalities
AK$733.201
AL$566.771
AR$557.921
AZ$618.331
CA$662.17–$824.9129
CO$657.641
CT$681.871
DC$726.651
DE$628.991
FL$638.97–$716.463
GA$599.27–$652.712
GU$678.341
HI$678.341
IA$576.891
ID$582.081
IL$623.17–$692.964
IN$585.571
KS$576.551
KY$586.811
LA$586.85–$617.782
MA$654.32–$722.172
MD$640.79–$726.653
ME$588.10–$618.562
MI$605.63–$650.182
MN$621.131
MO$577.75–$617.023
MS$567.821
MT$637.211
NC$594.301
ND$613.281
NE$579.511
NH$649.621
NJ$687.12–$718.752
NM$610.231
NV$630.961
NY$604.09–$763.115
OH$600.741
OK$582.921
OR$623.59–$676.762
PA$600.31–$665.582
PR$641.351
RI$650.201
SC$599.011
SD$610.451
TN$580.011
TX$596.27–$657.618
UT$607.741
VA$618.20–$726.652
VI$641.351
VT$613.091
WA$652.34–$734.762
WI$591.521
WV$599.181
WY$626.781

See 19300 in every payment locality

How the 19300 rate is calculated

Each of 19300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 19300

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.18

5.18 RVUs× 1.000 GPCI

Practice expense12.69

12.69 RVUs× 1.000 GPCI

Malpractice1.21

1.21 RVUs× 1.000 GPCI

Adjusted RVUs

19.0800

Conversion factor

$33.4009

Medicare rate

$637.29

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,685

Code
19300
Physician work
5.18
Practice expense
12.69
Malpractice
1.21

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 19300 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work5.18× 1.0085.2214
Practice expense12.69× 0.99312.6012
Malpractice1.21× 1.3761.6650
Total RVUs19.4876
Conversion factor× 33.4009

Office rate, Houston, TX$650.90

Office: (5.18 × 1.008 + 12.69 × 0.993 + 1.21 × 1.376) × $33.4009 = $650.90

Facility: (5.18 × 1.008 + 6.36 × 0.993 + 1.21 × 1.376) × $33.4009 = $440.95

Open 19300 in the RVU calculator

Payment rules and modifiers for 19300

19300 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 19300

Gynecomastia surgery, male breast tissue removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 19300

Gynecomastia surgery, male breast tissue removal

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

19300 without 50 · national office

$637.29

Gynecomastia surgery, male breast tissue removal

19300-50 · Bilateral: 150%

$955.94

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 19300

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 19300
CodeHow it relatesOffice range, Houston, TX
Used instead
19318Breast reduction, tissue removal and reshapingBreast reduction surgery for hypertrophy rather than an operation addressing gynecomastia.No office rate
19316Breast lift, ptosis correctionMastopexy addresses breast ptosis and contour rather than gynecomastia tissue removal.No office rate
Same family
19303Mastectomy, complete, without axillary dissectionA complete mastectomy code in the breast surgery family, used for a different operative indication.No office rate

How 19300 has changed in Houston, TX

19300 · Office / nonfacility

$650.90

Effective 2026-10-01

The base rate is $67.04 higher than on 2025-10-01, moving from $583.86 to $650.90 (11.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $583.86changed to$650.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.31 changed to 5.18
    • Practice expense RVU 10.90 changed to 12.69
    • Malpractice RVU 1.23 changed to 1.21
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $599.98changed to$583.86

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.86 changed to 10.90
    • Malpractice RVU 1.24 changed to 1.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $590.18changed to$599.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $611.64changed to$590.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.01 changed to 10.86
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $620.68changed to$611.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.02 changed to 11.01
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $611.33changed to$620.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.66 changed to 11.02
    • Malpractice RVU 1.19 changed to 1.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $579.53changed to$611.33

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.34 changed to 10.66
    • Malpractice RVU 1.18 changed to 1.19
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $558.14changed to$579.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.86 changed to 9.34
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $546.57changed to$558.14

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.55 changed to 8.86
    • Malpractice RVU 1.19 changed to 1.18

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $539.66changed to$546.57

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.41 changed to 8.55
    • Malpractice RVU 1.20 changed to 1.19
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $537.29changed to$539.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.38 changed to 8.41
    • Malpractice RVU 1.22 changed to 1.20
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $540.01changed to$537.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.43 changed to 8.38
    • Malpractice RVU 1.19 changed to 1.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $537.32changed to$540.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $527.37changed to$537.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.29 changed to 8.43
    • Malpractice RVU 1.08 changed to 1.19
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $532.78changed to$527.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.24 changed to 8.29
    • Malpractice RVU 1.13 changed to 1.08
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $532.78

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$650.90$440.95RVU26D
2026-07-01$650.90$440.95RVU26C
2026-04-01$650.90$440.95RVU26B
2026-01-01$650.90$440.95RVU26A
2025-10-01$583.86$446.95RVU25D
2025-07-01$583.86$446.95RVU25C
2025-04-01$583.86$446.95RVU25B
2025-01-01$583.86$446.95RVU25A
2024-10-01$599.98$455.08RVU24D
2024-07-01$599.98$455.08RVU24C
2024-04-01$599.98$455.08RVU24B
2024-03-09$599.98$455.08RVU24AR
2024-01-01$590.18$447.65RVU24A
2023-10-01$611.64$456.02RVU23D
2023-07-01$611.64$456.02RVU23C
2023-04-01$611.64$456.02RVU23B
2023-01-01$611.64$456.02RVU23A
2022-10-01$620.68$454.74RVU22D
2022-07-01$620.68$454.74RVU22C
2022-04-01$620.68$454.74RVU22B
2022-01-01$620.68$454.74RVU22A
2021-10-01$611.33$448.32RVU21D
2021-07-01$611.33$448.32RVU21C
2021-04-01$611.33$448.32RVU21B
2021-01-01$611.33$448.32RVU21A
2020-10-01$579.53$444.06RVU20D
2020-07-01$579.53$444.06RVU20C
2020-04-01$579.53$444.06RVU20B
2020-01-01$579.53$444.06RVU20A
2019-10-01$558.14$434.86RVU19D
2019-07-01$558.14$434.86RVU19C
2019-04-01$558.14$434.86RVU19B
2019-01-01$558.14$434.86RVU19A
2018-10-01$546.57$432.54RVU18D
2018-07-01$546.57$432.54RVU18C
2018-04-01$546.57$432.54RVU18B
2018-01-01$546.57$432.54RVU18AR1
2017-10-01$539.66$428.49RVU17D
2017-07-01$539.66$428.49RVU17C
2017-04-01$539.66$428.49RVU17B
2017-01-01$539.66$428.49RVU17A
2016-10-01$537.29$427.07RVU16D
2016-07-01$537.29$427.07RVU16C
2016-04-01$537.29$427.07RVU16B
2016-01-01$537.29$427.07RVU16A
2015-10-01$540.01$427.94RVU15D
2015-07-01$540.01$427.94RVU15C
2015-04-01$537.32$425.81RVU15B
2015-01-01$537.32$425.81RVU15A
2014-10-01$527.37$418.03RVU14D
2014-07-01$527.37$418.03RVU14C
2014-04-01$527.37$418.03RVU14B
2014-01-01$527.37$418.03RVU14A
2013-10-01$532.78$416.18RVU13D
2013-07-01$532.78$416.18RVU13C
2013-04-01$532.78$416.18RVU13B
2013-01-01$532.78$416.18RVU13AR

Price 19300 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

19300 billing questions

How is 19300 different from breast reduction code 19318?

19300 is for surgery addressing gynecomastia. Code 19318 describes reduction surgery for breast hypertrophy, so the documented condition and operation guide the choice.

How should bilateral gynecomastia surgery be reported?

Report modifier 50 for bilateral surgery. CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant surgeon or co-surgeon be paid?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and pays other procedures at 50%.

What documentation supports reporting 19300?

Document gynecomastia as the condition treated and describe the breast tissue removal performed. The operative report should make clear that the surgery addressed gynecomastia rather than a tumor or generalized breast hypertrophy.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 19300PPRRVU2026_Oct_nonQPP.csv, line 1,685 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 19300 pays in Houston, TX?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 19300 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist