19350 Nipple/areola reconstruction
Also known as: nipple reconstruction, areolar reconstruction, NAC reconstruction
Surgical reconstruction of the nipple and areolar complex using a variety of tissue transfer techniques. This procedure restores the cosmetic unit of the breast.
In Plain Language
reconstruction of nipple and surrounding area
Clinical Context
Used as final stage of breast reconstruction after mastectomy to restore nipple appearance. Can be performed using local tissue rearrangement, skin grafts, or tattooing.
RVU Breakdown
| Work RVU | 8.88 |
| Total RVU | 8.88 |
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 8.88, this code ranks in the 54th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19350?
CPT 19350 (Nipple/areola reconstruction) is a Surgery code. Surgical reconstruction of the nipple and areolar complex using a variety of tissue transfer techniques. This procedure restores the cosmetic unit of the breast.
What is the wRVU value for CPT 19350?
The work RVU for CPT 19350 is 8.88. This code is primarily used by Plastic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 19350 used?
Used as final stage of breast reconstruction after mastectomy to restore nipple appearance. Can be performed using local tissue rearrangement, skin grafts, or tattooing.
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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.