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19303 Mast simple complete

Surgery Global 90d

Also known as: simple mastectomy, total mastectomy, simple complete mastectomy

Surgical removal of all breast tissue while preserving the chest wall muscles and axillary contents. This is a standard total mastectomy without extensive tissue removal.

In Plain Language

removal of entire breast; whole breast removal

Clinical Context

Used for treatment of breast cancer, risk reduction in high-risk patients, or removal of breast tissue in specific clinical scenarios. Allows examination and removal of all breast parenchyma.

RVU Breakdown

Work RVU14.63
Total RVU14.63

Est. Medicare Payment

$488.64

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 14.63, this code ranks in the 72nd percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Surgical OncologyBreast SurgeryGeneral Surgery

Frequently Asked Questions

What is CPT code 19303?

CPT 19303 (Mast simple complete) is a Surgery code. Surgical removal of all breast tissue while preserving the chest wall muscles and axillary contents. This is a standard total mastectomy without extensive tissue removal.

What is the wRVU value for CPT 19303?

The work RVU for CPT 19303 is 14.63. This code is primarily used by Surgical Oncology, Breast Surgery, General Surgery. It has a 90-day global period.

When is CPT 19303 used?

Used for treatment of breast cancer, risk reduction in high-risk patients, or removal of breast tissue in specific clinical scenarios. Allows examination and removal of all breast parenchyma.

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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.