CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 19300 RVU and Medicare Payment (2026)
Mastectomy for gynecomastia — 5.18 work RVU, about $637.29 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.18
- PE RVU (non-facility)
- 12.69
- PE RVU (facility)
- 6.36
- MP RVU
- 1.21
- Office payment
- $637.29
- Facility payment
- $425.86
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 19300 in a non-facility setting with national GPCI: (5.18 + 12.69 + 1.21) × $33.4009 ≈ $637.29. The same code in a facility setting pays about $425.86 because facility PE RVU (6.36) replaces office PE RVU.
What changes by locality
GPCI moves 19300 non-facility payment from $557.92 to $824.91 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 19300?
5.18. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 19300 in 2026?
About $637.29 non-facility ($425.86 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (5.18) and malpractice RVU stay fixed; only practice expense changes (12.69 office vs 6.36 facility). That is the entire office-vs-facility payment gap.