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Billing code 19330: Implant removalMedicare rate & RVUs

Reports surgical removal of a ruptured breast implant, such as an implant found to have failed before or during an explantation procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.5K Medicare services in 2024

Medicare pays $592.53 for 19330 nationally in a facility.

Medicare rate · 19330

Implant removal

Swap in your local Medicare rate.

Work RVUs
8.78
Total RVUs
17.74
Global days
090

National rate · 2026

$592.53

Facility setting, before claim adjustments.

See every locality for 19330 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 19330 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 19330 covers

This code describes surgical explantation when a breast implant is ruptured. Plastic surgeons and breast surgeons commonly perform the procedure in an operating room for a patient with a known or suspected implant failure, including rupture confirmed during surgery. The operative record should identify the affected side, the implant’s ruptured status, and the removal performed; documenting whether one or both implants were removed helps support the claim.

Report this code for the ruptured implant, rather than the intact-implant removal code. If a new implant is placed or capsule surgery is also performed, document those services separately and select the applicable code for the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 19330 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

19330 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$537.68
Alaska*Unavailable$729.60
ArizonaUnavailable$576.88
ArkansasUnavailable$530.92
AtlantaUnavailable$608.64
AustinUnavailable$600.77
BakersfieldUnavailable$599.34
Baltimore/Surr. CntysUnavailable$628.33
BeaumontUnavailable$566.67
BrazoriaUnavailable$580.27

19330 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
19330 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 19330 rate is calculated

Each of 19330’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 · 19330

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.78Practice expense 7.27Malpractice 1.69

17.7400 adjusted RVUs×$33.4009 conversion factor=$592.53

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 19330

19330 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 19330

Implant removal

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 · 19330

Implant removal

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

19330 without 50 · national facility

$592.53

Implant removal

19330-50 · Bilateral: 150%

$888.80

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

19330 compared with similar codes

Compare codes

19330 vs 19328 vs 19371 vs 19342: national Medicare rates

Swap in your local Medicare rate.

  • 19330
    Implant removal · 8.78 wRVU
    —
  • 19328
    Implant removal · 7.25 wRVU
    —
  • 19371
    Capsulectomy · 9.73 wRVU
    —
  • 19342
    Breast implant · 10.22 wRVU
    —

How to choose

19328Implant removal
Choose 19330 for removal of a ruptured implant and 19328 for removal of an intact implant.
19371Capsulectomy
19330 describes removal of the ruptured implant; 19371 describes complete removal of the surrounding periprosthetic capsule.
19342Breast implant
19342 describes insertion or replacement of an implant. It does not identify removal of a ruptured implant.

Codes related to 19330

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

Codes related to 19330
CodeHow it relatesNational office range
Used instead
19328Implant removalRemoval of an intact implant is reported instead when the implant is not ruptured.No office rate
Often billed with
19342Breast implantMay describe insertion or replacement when a new implant is placed during the operative episode.No office rate
19371CapsulectomyDescribes complete periprosthetic capsulectomy when that separate capsule procedure is performed.No office rate

19330 billing questions

How does this differ from removal of an intact implant?

Use this code when the implant being removed is ruptured. The intact-implant removal code is the alternative when the implant is not ruptured.

Does this code include removal of the surrounding capsule?

This code identifies removal of the ruptured implant. If a separate capsule procedure is performed, document the extent and nature of that work for code selection.

Can a replacement implant be reported at the same operation?

If a new implant is placed, document that work separately and evaluate the applicable insertion or replacement code, such as 19342, based on the circumstances.

How should bilateral ruptured implant removal be reported?

When both sides are treated, report bilateral surgery with modifier 50; CMS pays this procedure at 150% under the stated rule.

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 19330PPRRVU2026_Oct_nonQPP.csv, line 1,696 (RVU26D)

Open CMS sourceHow we calculate rates

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