Some of the detail on where this is a mess -
The relevant security update is only offered for the latest (-1) Cumulative Update for Exchange. So you can open Windows Update and it will say "fully updated and secured", but you're not. Complicating matters, Cumulative Updates for Exchange 2019 have to be done from the licensing portal, with a valid logon.
So maybe you have a perfectly capable 24x7 tech team, but the guy who manages license acquisition is on leave today. This is how you may basically find yourself resorting to piracy to get this patched.