19369 Brst rcnstj 2 pdcl tram flap
Also known as: bilateral pedicle TRAM, double-pedicle TRAM
Surgical breast reconstruction using a two-pedicle transverse rectus abdominis flap where both superior and inferior blood supplies are preserved. This maximizes tissue viability.
In Plain Language
using both abdominal muscle blood supplies for breast
Clinical Context
Used for bilateral breast reconstruction or when maximum abdominal tissue volume is needed. Provides superior flap perfusion and reduces ischemic complications.
RVU Breakdown
| Work RVU | 30.53 |
| Total RVU | 30.53 |
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 30.53, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19369?
CPT 19369 (Brst rcnstj 2 pdcl tram flap) is a Surgery code. Surgical breast reconstruction using a two-pedicle transverse rectus abdominis flap where both superior and inferior blood supplies are preserved. This maximizes tissue viability.
What is the wRVU value for CPT 19369?
The work RVU for CPT 19369 is 30.53. This code is primarily used by Plastic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 19369 used?
Used for bilateral breast reconstruction or when maximum abdominal tissue volume is needed. Provides superior flap perfusion and reduces ischemic complications.
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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.