19305 Mast radical
Also known as: radical mastectomy, Halsted mastectomy, modified radical mastectomy
Surgical removal of the breast and underlying chest wall muscles (pectoralis major and minor) along with ipsilateral axillary, internal mammary, and supraclavicular lymph nodes. This is an extensive procedure.
In Plain Language
extensive breast removal including chest muscles and lymph nodes
Clinical Context
Historically used for advanced breast cancer; less commonly performed today due to availability of less morbid alternatives. May still be used for locally advanced disease or specific patient circumstances.
RVU Breakdown
| Work RVU | 17.02 |
| Total RVU | 17.02 |
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 17.02, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19305?
CPT 19305 (Mast radical) is a Surgery code. Surgical removal of the breast and underlying chest wall muscles (pectoralis major and minor) along with ipsilateral axillary, internal mammary, and supraclavicular lymph nodes. This is an extensive procedure.
What is the wRVU value for CPT 19305?
The work RVU for CPT 19305 is 17.02. This code is primarily used by Surgical Oncology, Breast Surgery. It has a 90-day global period.
When is CPT 19305 used?
Historically used for advanced breast cancer; less commonly performed today due to availability of less morbid alternatives. May still be used for locally advanced disease or specific patient circumstances.
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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.