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19020 Mastotomy exploration drainage absc dp

Surgery Global 90d

Also known as: breast mastotomy, breast abscess drainage

Mastotomy with exploration and drainage of abscess or deep breast infection, including dissection through breast tissue.

In Plain Language

Surgical drainage of breast infection; Breast abscess treatment

Clinical Context

Performed for treatment of breast abscess, mastitis with loculated infection, or deep breast infection. Requires surgical drainage beyond needle aspiration.

RVU Breakdown

Work RVU3.73
Total RVU3.73

Est. Medicare Payment

$124.58

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 3.73, this code ranks in the 26th percentile among Surgery codes — 2.1x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

General SurgeryBreast Surgery

Frequently Asked Questions

What is CPT code 19020?

CPT 19020 (Mastotomy exploration drainage absc dp) is a Surgery code. Mastotomy with exploration and drainage of abscess or deep breast infection, including dissection through breast tissue.

What is the wRVU value for CPT 19020?

The work RVU for CPT 19020 is 3.73. This code is primarily used by General Surgery, Breast Surgery. It has a 90-day global period.

When is CPT 19020 used?

Performed for treatment of breast abscess, mastitis with loculated infection, or deep breast infection. Requires surgical drainage beyond needle aspiration.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.