19371 Peri-implant capslc brst complicated
Also known as: total capsulectomy, complete capsule removal
Surgical removal of the complete fibrous capsule surrounding a breast implant, often performed for capsular contracture or implant complications. This total capsulectomy removes all contracted tissue.
In Plain Language
complete removal of scar tissue around breast implant
Clinical Context
Used for severe capsular contracture unresponsive to revision, implant removal, or management of implant-related complications. Allows complete assessment of implant pocket.
RVU Breakdown
| Work RVU | 9.73 |
| Total RVU | 9.73 |
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 9.73, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19371?
CPT 19371 (Peri-implant capslc brst complicated) is a Surgery code. Surgical removal of the complete fibrous capsule surrounding a breast implant, often performed for capsular contracture or implant complications. This total capsulectomy removes all contracted tissue.
What is the wRVU value for CPT 19371?
The work RVU for CPT 19371 is 9.73. This code is primarily used by Plastic Surgery. It has a 90-day global period.
When is CPT 19371 used?
Used for severe capsular contracture unresponsive to revision, implant removal, or management of implant-related complications. Allows complete assessment of implant pocket.
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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.