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19370 Revision peri-implant capsule brst

Surgery Global 90d

Also known as: capsulotomy, capsular revision

Surgical revision or removal of the fibrous capsule that forms around a breast implant without complete capsulectomy. This preserves portions of healthy capsule.

In Plain Language

reshaping the scar tissue around breast implant

Clinical Context

Used to treat capsular contracture or improve implant position without removing all capsular tissue. May include scoring or partial removal of contracted capsule.

RVU Breakdown

Work RVU8.94
Total RVU8.94

Est. Medicare Payment

$298.60

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 8.94, this code ranks in the 54th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Plastic Surgery

Frequently Asked Questions

What is CPT code 19370?

CPT 19370 (Revision peri-implant capsule brst) is a Surgery code. Surgical revision or removal of the fibrous capsule that forms around a breast implant without complete capsulectomy. This preserves portions of healthy capsule.

What is the wRVU value for CPT 19370?

The work RVU for CPT 19370 is 8.94. This code is primarily used by Plastic Surgery. It has a 90-day global period.

When is CPT 19370 used?

Used to treat capsular contracture or improve implant position without removing all capsular tissue. May include scoring or partial removal of contracted capsule.

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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.