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CPT code 19328: Implant removal, intact implant2026 Medicare rate & RVUs

Reports surgical removal of an intact breast implant, such as explantation without rupture or removal during a change in a reconstruction plan.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.8K Medicare services in 2024

Medicare pays $513.37 for 19328 nationally in a facility.

Medicare rate · 19328

Implant removal, intact implant

Office or facility?

Work RVUs
7.25
Total RVUs
15.37
Global days
090

National rate · 2026

$513.37

Facility setting, before claim adjustments.

See every locality for 19328 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 19328 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 19328 covers

This service is surgical removal of a breast implant that is intact when removed. Plastic surgeons and breast surgeons commonly perform it for explantation or as part of a change in a breast reconstruction plan, in an operating room or another appropriately equipped setting. The operative report should identify the implant and side, confirm its condition, and describe the removal and any capsule work performed.

Choose this code when the implant is intact; use the ruptured-implant code when it is ruptured. Complete periprosthetic capsulectomy has a separate code that includes implant removal, so review the documented capsule work before reporting removal separately. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral reporting 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 others at 50%. Assistant-at-surgery payment is statutorily restricted; 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.

Where 19328 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

19328 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$465.02
AlaskaUnavailable$628.04
ArizonaUnavailable$499.68
ArkansasUnavailable$459.04
Atlanta, GAUnavailable$527.09
Austin, TXUnavailable$521.54
Bakersfield, CAUnavailable$521.24
Baltimore area, MDUnavailable$544.71
Beaumont, TXUnavailable$489.85
Brazoria, TXUnavailable$503.00

19328 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
19328 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

How the 19328 rate is calculated

Each of 19328’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 · 19328

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.25

7.25 RVUs× 1.000 GPCI

Practice expense6.72

6.72 RVUs× 1.000 GPCI

Malpractice1.40

1.40 RVUs× 1.000 GPCI

Adjusted RVUs

15.3700

Conversion factor

$33.4009

Medicare rate

$513.37

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

Payment rules and modifiers for 19328

19328 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 19328

Implant removal, intact implant

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 · 19328

Implant removal, intact implant

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

19328 without 50 · national facility

$513.37

Implant removal, intact implant

19328-50 · Bilateral: 150%

$770.06

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

19328 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 19328

    Implant removal, intact implant7.25 wRVU

    Not priced

  • 19330

    Implant removal, ruptured implant8.78 wRVU

    Not priced

  • 19371

    Capsulectomy, complete peri-implant capsule9.73 wRVU

    Not priced

  • 19342

    Breast implant, separate day from mastectomy10.22 wRVU

    Not priced

  • 19325

    Breast augmentation, prosthetic implant placement7.92 wRVU

    Not priced

How to choose

19330Implant removalRuptured implant
19328 is for an intact implant; 19330 is for removal of a ruptured implant.
19371CapsulectomyComplete peri-implant capsule
19371 describes complete periprosthetic capsulectomy and includes implant removal. Use 19328 for intact implant removal without that complete capsulectomy service.
19342Breast implantSeparate day from mastectomy
19328 reports removal; 19342 describes replacement implant placement in a setting separate from mastectomy.
19325Breast augmentationProsthetic implant placement
19325 describes implant placement for breast augmentation, rather than removal of an existing intact implant.

Codes related to 19328

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

Codes related to 19328
CodeHow it relatesNational office range
Same family
19330Implant removal, ruptured implantRelated implant-removal code for a ruptured implant.No office rate
Used instead
19371Capsulectomy, complete peri-implant capsuleUse when complete periprosthetic capsulectomy is performed; implant removal is included.No office rate
Often billed with
19342Breast implant, separate day from mastectomyMay describe replacement implant placement during the same operative session.No office rate

19328 billing questions

How does this differ from removal of a ruptured implant?

Use this code when the implant is intact at removal. The related ruptured-implant code, 19330, describes removal when the implant is ruptured.

Can this be reported with complete capsulectomy?

Code 19371 describes complete periprosthetic capsulectomy and includes implant removal. Review the operative report before separately reporting 19328 for the same removal.

What if a new implant is placed during the same operation?

Code 19342 may describe replacement implant placement when performed separately from mastectomy. Document both the removal and replacement work, and apply the same-session multiple-procedure payment rule.

How is bilateral removal reported?

For bilateral procedures reported with modifier 50, CMS pays at 150%. Document removal on both sides.

What postoperative care is included?

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

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 19328PPRRVU2026_Oct_nonQPP.csv, line 1,695 (RVU26D)

Open CMS sourceHow we calculate rates

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