Billing code 19330: Implant removalMedicare rate & RVUs in Washington
Reports surgical removal of a ruptured breast implant, such as an implant found to have failed before or during an explantation procedure.
CMS doesn’t publish an office rate for 19330 in Washington.
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 9 sections
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 in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $595.72 |
| Seattle (King Cnty) | Unavailable | $651.99 |
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
Work8.78
8.78 RVUs× 1.000 GPCI
Practice expense7.27
7.27 RVUs× 1.000 GPCI
Malpractice1.69
1.69 RVUs× 1.000 GPCI
Adjusted RVUs
17.7400
Conversion factor
$33.4009
Medicare rate
$592.53
Every GPCI starts 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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share 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.
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).
19330 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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