19367 Brst rcnstj 1 pdcl tram flap
Also known as: pedicled TRAM flap, TRAM flap reconstruction
Surgical breast reconstruction using a one-pedicle transverse rectus abdominis muscle flap (TRAM) with donor tissue from the abdomen. The flap maintains original blood supply from the superior epigastric vessels.
In Plain Language
using abdominal muscle to rebuild breast
Clinical Context
Used for breast reconstruction providing abundant autologous tissue from the abdomen while maintaining superior blood supply. Also provides abdominal contouring benefit.
RVU Breakdown
| Work RVU | 26.13 |
| Total RVU | 26.13 |
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 26.13, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19367?
CPT 19367 (Brst rcnstj 1 pdcl tram flap) is a Surgery code. Surgical breast reconstruction using a one-pedicle transverse rectus abdominis muscle flap (TRAM) with donor tissue from the abdomen. The flap maintains original blood supply from the superior epigastric vessels.
What is the wRVU value for CPT 19367?
The work RVU for CPT 19367 is 26.13. This code is primarily used by Plastic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 19367 used?
Used for breast reconstruction providing abundant autologous tissue from the abdomen while maintaining superior blood supply. Also provides abdominal contouring benefit.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.