CPT 19283
Global 000 ActivePerq dev breast 1st strtctc
CPT 19283 Billing & Documentation Guide
CPT code 19283 (Perq dev breast 1st strtctc) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.95, a non-facility practice expense RVU of 5.33, and a malpractice RVU of 0.21, a total non-facility RVU of 7.49 and facility RVU of 2.52. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $258.26, though rates vary from $221.67 to $332.77 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 19283, 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 19283 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 1 units of 19283 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 19283
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.95 | 1.95 |
| Practice Expense RVU | 5.33 | 0.36 |
| Malpractice RVU | 0.21 | 0.21 |
| Total RVU | 7.49 | 2.52 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 19283
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 | $281.93 | $85.5 | $265.12 - $332.77 | 29 |
| Florida | $257.41 | $90.85 | $245.87 - $268.2 | 3 |
| Georgia | $243.46 | $85.1 | $232.29 - $254.63 | 2 |
| Illinois | $250.78 | $90.38 | $238.63 - $260.85 | 4 |
| Michigan | $242.17 | $86.3 | $235.59 - $248.75 | 2 |
| North Carolina | $235.71 | $80.83 | $235.71 - $235.71 | 1 |
| New York | $276.36 | $91.17 | $239.19 - $294 | 5 |
| Ohio | $234.74 | $83.18 | $234.74 - $234.74 | 1 |
| Pennsylvania | $247.6 | $85 | $235.19 - $260 | 2 |
| Texas | $247.27 | $83.84 | $233.65 - $259.83 | 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 19283
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 19283 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00400 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 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 19283
What does CPT code 19283 mean? +
CPT code 19283 represents: Perq dev breast 1st strtctc. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 19283? +
The 2026 Medicare national average non-facility payment for CPT 19283 is $258.26. Rates range from $221.67 to $332.77 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 19283? +
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 19283? +
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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