19110 Nipple exploration
Also known as: nipple exploration, nipple discharge exploration
Surgical exploration of nipple for evaluation of nipple discharge, including probing of ducts and assessment of duct system.
In Plain Language
Surgical examination of nipple discharge
Clinical Context
Performed when evaluation of spontaneous nipple discharge is needed. May lead to duct excision if pathology identified. Diagnostic and therapeutic.
RVU Breakdown
| Work RVU | 4.33 |
| Total RVU | 4.33 |
Est. Medicare Payment
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 4.33, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19110?
CPT 19110 (Nipple exploration) is a Surgery code. Surgical exploration of nipple for evaluation of nipple discharge, including probing of ducts and assessment of duct system.
What is the wRVU value for CPT 19110?
The work RVU for CPT 19110 is 4.33. This code is primarily used by Breast Surgery, General Surgery. It has a 90-day global period.
When is CPT 19110 used?
Performed when evaluation of spontaneous nipple discharge is needed. May lead to duct excision if pathology identified. Diagnostic and therapeutic.
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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.