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

In Montana, Medicare pays $632.44 for 19301 in a facility. There’s no office rate.

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.

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 Montana 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. Montana pays $632.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19301 rates by state

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

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.

Payment rules and modifiers for 19301

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

What modifiers do to the payment

When to use modifier 50

Codes related to 19301

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

How 19301 has changed in Montana

Price 19301 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates