19342 Insj/replacement brst implant sep d
Also known as: reconstruction with implant delayed, secondary implant placement
Surgical insertion or replacement of a breast implant in a separate surgical stage after previous mastectomy, or during a secondary reconstruction procedure. This represents staged reconstruction.
In Plain Language
placing implant in separate surgery after breast removal
Clinical Context
Used for staged breast reconstruction weeks to months after mastectomy, or replacement of failed reconstruction. Allows adequate tissue healing before implant insertion.
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 19342?
CPT 19342 (Insj/replacement brst implant sep d) is a Surgery code. Surgical insertion or replacement of a breast implant in a separate surgical stage after previous mastectomy, or during a secondary reconstruction procedure. This represents staged reconstruction.
What is the wRVU value for CPT 19342?
The work RVU for CPT 19342 is 10.22. This code is primarily used by Plastic Surgery, Surgical Oncology, Breast Surgery. It has a 90-day global period.
When is CPT 19342 used?
Used for staged breast reconstruction weeks to months after mastectomy, or replacement of failed reconstruction. Allows adequate tissue healing before implant insertion.
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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.