19361 Brst rcnstj latsms drsi flap
Also known as: latissimus dorsi flap reconstruction, lat flap, LD flap
Surgical breast reconstruction using a latissimus dorsi musculocutaneous flap transferred from the back. This autologous tissue provides natural breast volume and contour.
In Plain Language
using back muscle to rebuild breast
Clinical Context
Used for breast reconstruction after mastectomy, especially when adequate abdominal tissue is unavailable. Provides well-vascularized autologous tissue with minimal donor site morbidity.
RVU Breakdown
| Work RVU | 22.78 |
| Total RVU | 22.78 |
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 22.78, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19361?
CPT 19361 (Brst rcnstj latsms drsi flap) is a Surgery code. Surgical breast reconstruction using a latissimus dorsi musculocutaneous flap transferred from the back. This autologous tissue provides natural breast volume and contour.
What is the wRVU value for CPT 19361?
The work RVU for CPT 19361 is 22.78. This code is primarily used by Plastic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 19361 used?
Used for breast reconstruction after mastectomy, especially when adequate abdominal tissue is unavailable. Provides well-vascularized autologous tissue with minimal donor site morbidity.
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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.