CPT code 117192026 Medicare rate & RVUs in Alaska

CPT 11719 pays $17.59 in the office and $9.41 in a facility in Alaska under the 2026 Medicare fee schedule, 22% above the national rate. Locality math, rate history and payer benchmarks.

CMS RVU26DEffective Oct 1, 20261 payment locality521.8K Medicare services in 2024

Medicare pays $17.59 for 11719 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$17.59Office (non-facility)
$9.41Hospital or facility

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

We’ll open 11719 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Alaska
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

11719 in Alaska*

11719 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$17.59$9.41

How the 11719 rate is calculated

Each of 11719’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 · 11719

RVUs × geographic indexes × conversion factor

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.25

0.25 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.4300

Conversion factor

$33.4009

Medicare rate

$14.36

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

Payment rules and modifiers for 11719

The CMS indicators that decide how 11719 is paid alongside other services.

CMS payment indicators · 11719

Code 11719

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11719 without 51 · national office

$14.36

11719-51 · Second procedure: 50%

$7.18

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

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 11719PPRRVU2026_Oct_nonQPP.csv, line 1,360 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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