CPT code 19301: Partial mastectomy, breast-conserving excision2026 Medicare rate & RVUs in Mississippi

Report 19301 for breast-conserving surgery that removes a breast lesion with surrounding tissue, commonly for cancer or ductal carcinoma in situ.

CMS RVU26DEffective Oct 1, 2026One payment locality69.3K Medicare services in 2024

In Mississippi, Medicare pays $580.20 for 19301 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$580.20Hospital or facility

Check a contract rate as a % of Medicare · 19301 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 19301 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 19301 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 19301 covers

A breast surgeon removes a lesion and a surrounding portion of breast tissue while preserving the remainder of the breast. This is commonly performed for breast cancer or ductal carcinoma in situ, in a hospital or ambulatory surgical setting. The operative report should identify the breast and site, the lesion being treated, and the extent of tissue removed. Axillary node surgery is a separate part of the operation when performed and may be reported with an appropriate node procedure code.

Select 19301 when the operation is a partial mastectomy, rather than a simple complete mastectomy or an excision reported as a breast lesion excision. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Mississippi compares for 19301

Across 109 of 109 payment localities, the facility rate for 19301 runs from $560.76 in Arkansas to $773.68 in Alaska. Mississippi pays $580.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

19301 in Mississippi vs other payment areas
  1. Mississippi · this page$580.20
  2. Los Angeles, CA · California$657.49+$77.29
  3. Washington, DC area · District of Columbia$698.78+$118.58
  4. Miami, FL · Florida$771.26+$191.06
  5. Chicago, IL · Illinois$745.88+$165.68
  6. Manhattan, NY · New York$738.73+$158.53
  7. Alaska · Alaska$773.68+$193.48

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

Every other payment area

19301 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$568.57
ArkansasArkansas—$560.76
ArizonaArizona—$613.65
Bakersfield, CACalifornia—$626.62
Chico, CACalifornia—$619.76
El Centro, CACalifornia—$620.19
Fresno, CACalifornia—$619.76
Hanford, CACalifornia—$619.76

19301 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
19301 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 19301 in every payment locality

How the 19301 rate is calculated

Each of 19301’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 · 19301

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.88

9.88 RVUs× 1.000 GPCI

Practice expense6.52

6.52 RVUs× 1.000 GPCI

Malpractice2.54

2.54 RVUs× 1.000 GPCI

Adjusted RVUs

18.9400

Conversion factor

$33.4009

Medicare rate

$632.61

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,686

Code
19301
Physician work
9.88
Practice expense
6.52
Malpractice
2.54

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 19301 in Mississippi
ComponentRVULocality factorAdjusted
Physician work9.88× 1.0009.8800
Practice expense6.52× 0.8615.6137
Malpractice2.54× 0.7391.8771
Total RVUs17.3708
Conversion factor× 33.4009

Facility rate, Mississippi$580.20

Facility: (9.88 × 1 + 6.52 × 0.861 + 2.54 × 0.739) × $33.4009 = $580.20

Open 19301 in the RVU calculator

Payment rules and modifiers for 19301

19301 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 19301

Partial mastectomy, breast-conserving excision

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)0Not paid without supporting documentation.
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 · 19301

Partial mastectomy, breast-conserving excision

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

19301 without 50 · national facility

$632.61

Partial mastectomy, breast-conserving excision

19301-50 · Bilateral: 150%

$948.92

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

How 19301 has changed in Mississippi

19301 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$580.20RVU26D
2026-07-01Not available in this setting$580.20RVU26C
2026-04-01Not available in this setting$580.20RVU26B
2026-01-01Not available in this setting$580.20RVU26A
2025-10-01Not available in this setting$593.14RVU25D
2025-07-01Not available in this setting$593.14RVU25C
2025-04-01Not available in this setting$593.14RVU25B
2025-01-01Not available in this setting$593.14RVU25A
2024-10-01Not available in this setting$607.98RVU24D
2024-07-01Not available in this setting$607.98RVU24C
2024-04-01Not available in this setting$607.98RVU24B
2024-03-09Not available in this setting$607.98RVU24AR
2024-01-01Not available in this setting$598.06RVU24A
2023-10-01Not available in this setting$609.87RVU23D
2023-07-01Not available in this setting$609.87RVU23C
2023-04-01Not available in this setting$609.87RVU23B
2023-01-01Not available in this setting$609.87RVU23A
2022-10-01Not available in this setting$615.79RVU22D
2022-07-01Not available in this setting$615.79RVU22C
2022-04-01Not available in this setting$615.79RVU22B
2022-01-01Not available in this setting$615.79RVU22A
2021-10-01Not available in this setting$614.02RVU21D
2021-07-01Not available in this setting$614.02RVU21C
2021-04-01Not available in this setting$614.02RVU21B
2021-01-01Not available in this setting$614.02RVU21A
2020-10-01Not available in this setting$612.20RVU20D
2020-07-01Not available in this setting$612.20RVU20C
2020-04-01Not available in this setting$612.20RVU20B
2020-01-01Not available in this setting$612.20RVU20A
2019-10-01Not available in this setting$595.73RVU19D
2019-07-01Not available in this setting$595.73RVU19C
2019-04-01Not available in this setting$595.73RVU19B
2019-01-01Not available in this setting$595.73RVU19A
2018-10-01Not available in this setting$592.80RVU18D
2018-07-01Not available in this setting$592.80RVU18C
2018-04-01Not available in this setting$592.80RVU18B
2018-01-01Not available in this setting$592.80RVU18AR1
2017-10-01Not available in this setting$600.36RVU17D
2017-07-01Not available in this setting$600.36RVU17C
2017-04-01Not available in this setting$600.36RVU17B
2017-01-01Not available in this setting$600.36RVU17A
2016-10-01Not available in this setting$609.55RVU16D
2016-07-01Not available in this setting$609.55RVU16C
2016-04-01Not available in this setting$609.55RVU16B
2016-01-01Not available in this setting$609.55RVU16A
2015-10-01Not available in this setting$610.03RVU15D
2015-07-01Not available in this setting$610.03RVU15C
2015-04-01Not available in this setting$607.00RVU15B
2015-01-01Not available in this setting$607.00RVU15A
2014-10-01Not available in this setting$607.87RVU14D
2014-07-01Not available in this setting$607.87RVU14C
2014-04-01Not available in this setting$607.87RVU14B
2014-01-01Not available in this setting$607.87RVU14A
2013-10-01Not available in this setting$605.98RVU13D
2013-07-01Not available in this setting$605.98RVU13C
2013-04-01Not available in this setting$605.98RVU13B
2013-01-01Not available in this setting$605.98RVU13AR

Price 19301 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

19301 billing questions

How does 19301 differ from 19302?

19301 describes breast-conserving partial mastectomy. Use 19302 when the operation also includes axillary lymphadenectomy.

Can sentinel node surgery be reported with 19301?

Yes, when a distinct sentinel lymph node procedure is performed during the encounter. The operative documentation should support the node procedure as well as the breast resection.

When is 19303 a better choice?

Use 19303 for a simple complete mastectomy, rather than an operation that preserves part of the breast.

How is bilateral 19301 reported?

CMS lists bilateral reporting with modifier 50 and payment at 150%. The operative record should support surgery on both breasts.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.

What supports assistant-at-surgery payment?

Documentation must establish the medical necessity of the assistant at surgery.

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 19301PPRRVU2026_Oct_nonQPP.csv, line 1,686 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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