19340 Insj breast implant sm d mast
Also known as: reconstruction at time of mastectomy, delayed-immediate reconstruction, breast implant insertion
Surgical insertion of a breast implant in conjunction with small (minor) primary mastectomy, such as subcutaneous or skin-sparing mastectomy. Reconstruction occurs at time of mastectomy.
In Plain Language
placing implant during breast removal surgery
Clinical Context
Used for immediate or delayed-immediate reconstruction following mastectomy for cancer or risk reduction. Improves cosmetic outcome and patient satisfaction.
RVU Breakdown
| Work RVU | 10.22 |
| Total RVU | 10.22 |
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 10.22, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19340?
CPT 19340 (Insj breast implant sm d mast) is a Surgery code. Surgical insertion of a breast implant in conjunction with small (minor) primary mastectomy, such as subcutaneous or skin-sparing mastectomy. Reconstruction occurs at time of mastectomy.
What is the wRVU value for CPT 19340?
The work RVU for CPT 19340 is 10.22. This code is primarily used by Surgical Oncology, Plastic Surgery, Breast Surgery. It has a 90-day global period.
When is CPT 19340 used?
Used for immediate or delayed-immediate reconstruction following mastectomy for cancer or risk reduction. Improves cosmetic outcome and patient satisfaction.
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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.