CPT code 19302: Partial mastectomy, with axillary lymphadenectomy2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $868.90 for 19302 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 19302 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 19302 covers

The surgeon removes a portion of the breast, such as a tumor-bearing segment, and performs an axillary lymphadenectomy during the same operation. This breast-conserving cancer surgery is typically performed by a breast or general surgeon in a hospital or ambulatory surgical setting. It represents a more extensive service than breast excision alone because the axillary node dissection is part of the operation.

Select this code when the operative report supports both partial breast removal and axillary lymphadenectomy; a partial mastectomy with sentinel node evaluation alone is not the same service. Document the breast tissue removed and the axillary dissection performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is 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 Puerto Rico compares for 19302

Across 109 of 109 payment localities, the facility rate for 19302 runs from $769.02 in Arkansas to $1,061.72 in Alaska. Puerto Rico pays $868.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19302 rates by state

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

See 19302 in every payment locality

How the 19302 rate is calculated

Each of 19302’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 19302

19302 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 19302

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

How 19302 has changed in Puerto Rico

Price 19302 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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