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

In Delaware, Medicare pays $507.17 for 19328 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 19328 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 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.

How Delaware compares for 19328

Across 109 of 109 payment localities, the facility rate for 19328 runs from $459.04 in Arkansas to $628.04 in Alaska. Delaware pays $507.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19328 rates by state

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

See 19328 in every payment locality

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.

Payment rules and modifiers for 19328

19328 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 19328

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

How 19328 has changed in Delaware

Price 19328 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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