No office rate
Use 19302 when breast-conserving surgery is performed with axillary node dissection. Use 19307 when the breast is removed with the nodal dissection.
On this page
CMS RVU26D · Effective 2026-10-01
19307 Mastectomy Medicare reimbursement rates
Reports breast removal for cancer with axillary lymph node dissection, typically when the operation includes both breast tissue and regional nodal surgery. Compare 19307 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 19307?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 19307 pays more and less
Breast surgery
About 19307: Modified radical breast mastectomy
Reports breast removal for cancer with axillary lymph node dissection, typically when the operation includes both breast tissue and regional nodal surgery.
A surgeon removes breast tissue and performs an axillary lymph node dissection, usually as treatment for breast cancer. The procedure is generally performed in a hospital operating room. The modified radical approach removes the breast and axillary nodes while preserving the pectoral muscles; the nodal dissection is part of this operation, not a separate service for the same work.
Report the code when the operative record supports both breast removal and axillary node dissection, rather than a simple mastectomy or partial breast removal. Document the side and the extent of the operation. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 19307
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.54 · 52%
- Practice expense (office) RVU11.66 · 35%
- Malpractice RVU4.53 · 13%
3.4K
Medicare services in 2024 · #2092 by national volume
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.
19307 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
19303 describes breast removal without the axillary node dissection included in 19307. The operative report should establish whether nodal dissection was performed.
No office rate
19305 is for a radical operation that includes removal of pectoral muscles. 19307 describes the modified radical approach, which preserves them.
No office rate
19306 identifies the Urban-type radical operation, a distinct, more extensive radical approach. Use 19307 for the modified radical operation with axillary dissection.
See how rates vary across the country
19307 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 19307 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1012.26 |
| Alaska* | Office Unavailable | Facility $1376.92 |
| Arizona | Office Unavailable | Facility $1092.75 |
| Arkansas | Office Unavailable | Facility $998.32 |
| Atlanta | Office Unavailable | Facility $1165.01 |
| Austin | Office Unavailable | Facility $1133.12 |
| Bakersfield | Office Unavailable | Facility $1115.97 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1200.28 |
| Beaumont | Office Unavailable | Facility $1080.82 |
| Brazoria | Office Unavailable | Facility $1094.51 |
| Chicago | Office Unavailable | Facility $1328.60 |
| Chico | Office Unavailable | Facility $1103.75 |
| Colorado | Office Unavailable | Facility $1125.43 |
| Connecticut | Office Unavailable | Facility $1200.09 |
| Dallas | Office Unavailable | Facility $1108.84 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1244.67 |
| Delaware | Office Unavailable | Facility $1109.59 |
| Detroit | Office Unavailable | Facility $1216.78 |
| East St. Louis | Office Unavailable | Facility $1248.88 |
| El Centro | Office Unavailable | Facility $1104.51 |
| Fort Lauderdale | Office Unavailable | Facility $1253.93 |
| Fort Worth | Office Unavailable | Facility $1106.91 |
| Fresno | Office Unavailable | Facility $1103.75 |
| Galveston | Office Unavailable | Facility $1102.55 |
| Hanford-Corcoran | Office Unavailable | Facility $1103.75 |
| Hawaii, Guam | Office Unavailable | Facility $1116.27 |
| Houston | Office Unavailable | Facility $1185.46 |
| Idaho | Office Unavailable | Facility $1015.72 |
| Indiana | Office Unavailable | Facility $1020.41 |
| Iowa | Office Unavailable | Facility $1002.27 |
| Kansas | Office Unavailable | Facility $1014.18 |
| Kentucky | Office Unavailable | Facility $1070.52 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1171.06 |
| Madera | Office Unavailable | Facility $1103.75 |
| Manhattan | Office Unavailable | Facility $1315.86 |
| Merced | Office Unavailable | Facility $1103.75 |
| Metropolitan Boston | Office Unavailable | Facility $1209.54 |
| Metropolitan Kansas City | Office Unavailable | Facility $1099.38 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1182.33 |
| Metropolitan St. Louis | Office Unavailable | Facility $1108.22 |
| Miami | Office Unavailable | Facility $1373.93 |
| Minnesota | Office Unavailable | Facility $1031.39 |
| Mississippi | Office Unavailable | Facility $1032.99 |
| Modesto | Office Unavailable | Facility $1103.75 |
| Montana** | Office Unavailable | Facility $1126.31 |
| Napa | Office Unavailable | Facility $1212.92 |
| Nebraska | Office Unavailable | Facility $1002.51 |
| Nevada** | Office Unavailable | Facility $1101.73 |
| New Hampshire | Office Unavailable | Facility $1123.67 |
| New Mexico | Office Unavailable | Facility $1124.70 |
| New Orleans | Office Unavailable | Facility $1124.21 |
| North Carolina | Office Unavailable | Facility $1045.90 |
| North Dakota** | Office Unavailable | Facility $1036.74 |
| Northern Nj | Office Unavailable | Facility $1236.12 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1367.38 |
| Ohio | Office Unavailable | Facility $1093.94 |
| Oklahoma | Office Unavailable | Facility $1051.20 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1156.85 |
| Portland | Office Unavailable | Facility $1140.48 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1221.75 |
| Puerto Rico | Office Unavailable | Facility $1128.63 |
| Queens | Office Unavailable | Facility $1301.86 |
| Redding | Office Unavailable | Facility $1103.75 |
| Rest Of California | Office Unavailable | Facility $1103.75 |
| Rest Of Florida | Office Unavailable | Facility $1185.58 |
| Rest Of Georgia | Office Unavailable | Facility $1113.60 |
| Rest Of Illinois | Office Unavailable | Facility $1177.92 |
| Rest Of Louisiana | Office Unavailable | Facility $1075.47 |
| Rest Of Maine | Office Unavailable | Facility $1038.26 |
| Rest Of Maryland | Office Unavailable | Facility $1124.74 |
| Rest Of Massachusetts | Office Unavailable | Facility $1125.91 |
| Rest Of Michigan | Office Unavailable | Facility $1112.25 |
| Rest Of Missouri | Office Unavailable | Facility $1068.93 |
| Rest Of New Jersey | Office Unavailable | Facility $1200.55 |
| Rest Of New York | Office Unavailable | Facility $1062.20 |
| Rest Of Oregon | Office Unavailable | Facility $1080.12 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1086.36 |
| Rest Of Texas | Office Unavailable | Facility $1092.07 |
| Rest Of Washington | Office Unavailable | Facility $1118.71 |
| Rhode Island | Office Unavailable | Facility $1134.25 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1152.30 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1140.98 |
| Salinas | Office Unavailable | Facility $1136.49 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1151.22 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1260.09 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1254.94 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1292.99 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1271.96 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1120.50 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1152.44 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1137.46 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1162.78 |
| Seattle (King Cnty) | Office Unavailable | Facility $1216.62 |
| South Carolina | Office Unavailable | Facility $1074.32 |
| South Dakota** | Office Unavailable | Facility $1026.15 |
| Southern Maine | Office Unavailable | Facility $1067.28 |
| Stockton | Office Unavailable | Facility $1103.75 |
| Suburban Chicago | Office Unavailable | Facility $1258.04 |
| Tennessee | Office Unavailable | Facility $1021.12 |
| Utah | Office Unavailable | Facility $1087.81 |
| Vallejo | Office Unavailable | Facility $1205.51 |
| Vermont | Office Unavailable | Facility $1047.97 |
| Virgin Islands | Office Unavailable | Facility $1128.63 |
| Virginia | Office Unavailable | Facility $1075.51 |
| Visalia | Office Unavailable | Facility $1103.75 |
| West Virginia | Office Unavailable | Facility $1140.81 |
| Wisconsin | Office Unavailable | Facility $1005.55 |
| Wyoming** | Office Unavailable | Facility $1087.27 |
| Yuba City | Office Unavailable | Facility $1103.75 |
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19307 billing questions
How does this differ from a simple mastectomy?
This code includes axillary lymph node dissection along with breast removal. A simple mastectomy does not include that nodal operation.
Can the axillary dissection be reported separately?
The axillary lymph node dissection is included in this operation. Do not separately report the same nodal work as though it were a separate procedure.
What supports reporting this code instead of partial mastectomy with node removal?
The operative report should show removal of the breast, not breast-conserving excision, together with axillary lymph node dissection.
How is bilateral surgery reported?
Use modifier 50 for bilateral surgery. CMS pays bilateral procedures at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,68819303,,Mast simple complete,A,,14.63,9.04,NA,9.04,,3.75,27.42,27.42,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,68919305,,Mast radical,A,,17.02,11.42,NA,11.42,,4.39,32.83,32.83,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69019306,,Mast rad urban type,A,,17.68,12.83,NA,12.83,,4.73,35.24,35.24,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69119307,,Mast mod rad,A,,17.54,11.66,NA,11.66,,4.53,33.73,33.73,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69219316,,Mastopexy,A,,10.81,8.89,NA,8.89,,2.13,21.83,21.83,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69319318,,Breast reduction,A,,15.63,10.76,NA,10.76,,2.96,29.35,29.35,0,090,0.10,0.71,0.19,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,69419325,,Breast augmentation w/implt,A,,7.92,7.55,NA,7.55,,1.48,16.95,16.95,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00