Version 4.22 of the Engine includes initial support for Visual Studio 2019. However, an updated version of UnrealVS for VS2019 is not included in the Engine.
There is no VS2019 version of UnrealVS available.
There is a VS2019 version of UnrealVS available.
There's no existing public thread on this issue, so head over toAnswerHub just mention UE-73010 in the post.