19368 Brst rcnstj 1pdcl tram anast
Also known as: TRAM flap with anastomosis, super-charged TRAM
Surgical breast reconstruction using a one-pedicle transverse rectus abdominis flap with microvascular anastomosis to enhance blood supply. This improves flap viability and volume retention.
In Plain Language
using abdominal muscle with extra blood vessels for breast
Clinical Context
Used for TRAM flap reconstruction when additional vascular supply is needed to enhance flap perfusion and viability. Reduces flap complications and improves outcomes.
RVU Breakdown
| Work RVU | 33.05 |
| Total RVU | 33.05 |
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 33.05, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19368?
CPT 19368 (Brst rcnstj 1pdcl tram anast) is a Surgery code. Surgical breast reconstruction using a one-pedicle transverse rectus abdominis flap with microvascular anastomosis to enhance blood supply. This improves flap viability and volume retention.
What is the wRVU value for CPT 19368?
The work RVU for CPT 19368 is 33.05. This code is primarily used by Plastic Surgery, Surgical Oncology, Microsurgery. It has a 90-day global period.
When is CPT 19368 used?
Used for TRAM flap reconstruction when additional vascular supply is needed to enhance flap perfusion and viability. Reduces flap complications and improves outcomes.
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.