CPT 19105
Global 000 ActiveCryosurg ablate fa each
CPT 19105 Billing & Documentation Guide
CPT code 19105 (Cryosurg ablate fa each) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.6, a non-facility practice expense RVU of 71.34, and a malpractice RVU of 0.98, a total non-facility RVU of 75.92 and facility RVU of 5.8. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2637.51, though rates vary from $2183.94 to $3587.04 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 19105, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 19105 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 19105 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 19105
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.6 | 3.6 |
| Practice Expense RVU | 71.34 | 1.22 |
| Malpractice RVU | 0.98 | 0.98 |
| Total RVU | 75.92 | 5.8 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 19105
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $2961.84 | $190.52 | $2751.4 - $3587.04 | 29 |
| Florida | $2574.73 | $224.85 | $2447.42 - $2683.54 | 3 |
| Georgia | $2432.8 | $198.47 | $2284.74 - $2580.86 | 2 |
| Illinois | $2485.62 | $222.59 | $2346.92 - $2626.24 | 4 |
| Michigan | $2403.78 | $204.58 | $2332.71 - $2474.85 | 2 |
| North Carolina | $2364.33 | $179.18 | $2364.33 - $2364.33 | 1 |
| New York | $2828.72 | $215.91 | $2406.93 - $3021.9 | 5 |
| Ohio | $2328.75 | $190.44 | $2328.75 - $2328.75 | 1 |
| Pennsylvania | $2490.29 | $196.23 | $2338.6 - $2641.97 | 2 |
| Texas | $2497.2 | $191.43 | $2319.02 - $2670.51 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 19105
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 19105 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0581T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 19105
What does CPT code 19105 mean? +
CPT code 19105 represents: Cryosurg ablate fa each. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 19105? +
The 2026 Medicare national average non-facility payment for CPT 19105 is $2637.51. Rates range from $2183.94 to $3587.04 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 19105? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 19105? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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