19112 Excise breast duct fistula
Also known as: duct fistula excision, fistula removal
Excision of breast duct fistula tract, including complete removal of fistula channel and diseased tissue.
In Plain Language
Surgical removal of abnormal breast duct passage
Clinical Context
Performed for fistula tract usually originating from infected cyst. Complete excision of tract and surrounding diseased tissue required.
RVU Breakdown
| Work RVU | 3.71 |
| Total RVU | 3.71 |
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 3.71, this code ranks in the 26th percentile among Surgery codes — 2.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19112?
CPT 19112 (Excise breast duct fistula) is a Surgery code. Excision of breast duct fistula tract, including complete removal of fistula channel and diseased tissue.
What is the wRVU value for CPT 19112?
The work RVU for CPT 19112 is 3.71. This code is primarily used by Breast Surgery, General Surgery. It has a 90-day global period.
When is CPT 19112 used?
Performed for fistula tract usually originating from infected cyst. Complete excision of tract and surrounding diseased tissue required.
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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.