CPT 19307
Global 090 ActiveMast mod rad
CPT 19307 Billing & Documentation Guide
CPT code 19307 (Mast mod rad) is classified under Anesthesia with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 17.54, a non-facility practice expense RVU of 11.66, and a malpractice RVU of 4.53, a total non-facility RVU of 33.73 and facility RVU of 33.73. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1133.78, though rates vary from $998.32 to $1376.92 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 19307, 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 19307 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 19307 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 19307
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 17.54 | 17.54 |
| Practice Expense RVU | 11.66 | 11.66 |
| Malpractice RVU | 4.53 | 4.53 |
| Total RVU | 33.73 | 33.73 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 19307
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 | $1149.73 | $1149.73 | $1103.75 - $1292.99 | 29 |
| Florida | $1271.15 | $1271.15 | $1185.58 - $1373.93 | 3 |
| Georgia | $1139.3 | $1139.3 | $1113.6 - $1165.01 | 2 |
| Illinois | $1253.36 | $1253.36 | $1177.92 - $1328.6 | 4 |
| Michigan | $1164.51 | $1164.51 | $1112.25 - $1216.78 | 2 |
| North Carolina | $1045.9 | $1045.9 | $1045.9 - $1045.9 | 1 |
| New York | $1253.81 | $1253.81 | $1062.2 - $1367.38 | 5 |
| Ohio | $1093.94 | $1093.94 | $1093.94 - $1093.94 | 1 |
| Pennsylvania | $1134.34 | $1134.34 | $1086.36 - $1182.33 | 2 |
| Texas | $1113.03 | $1113.03 | $1080.82 - $1185.46 | 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 19307
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 19307 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 |
| 0061T | Column 1 (primary), can be billed with modifier | Yes | More extensive 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 | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 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 |
Frequently Asked Questions, CPT 19307
What does CPT code 19307 mean? +
CPT code 19307 represents: Mast mod rad. It's in the Anesthesia category with a global period of 090.
What is the Medicare reimbursement for CPT 19307? +
The 2026 Medicare national average non-facility payment for CPT 19307 is $1133.78. Rates range from $998.32 to $1376.92 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 19307? +
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 19307? +
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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