19126 Excision additional breast lesion
Also known as: additional lesion removal, multiple lesion excision
Surgical excision of each additional breast lesion beyond the first, performed during the same operative session. This represents add-on work for multiple breast lesion removals.
In Plain Language
removal of extra breast lumps
Clinical Context
Used when a patient has multiple lesions requiring removal or biopsy during a single surgical session. Commonly performed for multifocal fibrocystic disease or multiple benign masses.
RVU Breakdown
| Work RVU | 2.86 |
| Total RVU | 2.86 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.86, this code ranks in the 20th percentile among Surgery codes — 2.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19126?
CPT 19126 (Excision additional breast lesion) is a Surgery code. Surgical excision of each additional breast lesion beyond the first, performed during the same operative session. This represents add-on work for multiple breast lesion removals.
What is the wRVU value for CPT 19126?
The work RVU for CPT 19126 is 2.86. This code is primarily used by General Surgery, Breast Surgery.
When is CPT 19126 used?
Used when a patient has multiple lesions requiring removal or biopsy during a single surgical session. Commonly performed for multifocal fibrocystic disease or multiple benign masses.
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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.