19364 Brst rcnstj free flap
Also known as: free flap reconstruction, free tissue transfer, DIEP, SIEA, or other free flap
Surgical breast reconstruction using a free tissue transfer from remote body site with microvascular anastomosis. This provides maximum flexibility in tissue selection and positioning.
In Plain Language
using tissue from elsewhere on body to rebuild breast
Clinical Context
Used for comprehensive breast reconstruction when pedicled flaps are unavailable or inadequate. Provides natural contour and volume with excellent long-term results.
RVU Breakdown
| Work RVU | 41.52 |
| Total RVU | 41.52 |
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 41.52, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19364?
CPT 19364 (Brst rcnstj free flap) is a Surgery code. Surgical breast reconstruction using a free tissue transfer from remote body site with microvascular anastomosis. This provides maximum flexibility in tissue selection and positioning.
What is the wRVU value for CPT 19364?
The work RVU for CPT 19364 is 41.52. This code is primarily used by Plastic Surgery, Surgical Oncology, Microsurgery. It has a 90-day global period.
When is CPT 19364 used?
Used for comprehensive breast reconstruction when pedicled flaps are unavailable or inadequate. Provides natural contour and volume with excellent long-term results.
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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.