19380 Revision reconstructed breast
Also known as: reconstruction revision, secondary reconstruction, breast reconstruction revision
Surgical revision of previously reconstructed breast tissue to improve contour, symmetry, or address complications. This secondary procedure optimizes reconstruction results.
In Plain Language
fixing or improving reconstructed breast appearance
Clinical Context
Used to address volume loss, contour irregularities, asymmetry, or scarring following initial breast reconstruction. Can involve lipoinjection, flap adjustment, or implant exchange.
RVU Breakdown
| Work RVU | 10.89 |
| Total RVU | 10.89 |
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 10.89, this code ranks in the 62nd percentile among Surgery codes — 1.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19380?
CPT 19380 (Revision reconstructed breast) is a Surgery code. Surgical revision of previously reconstructed breast tissue to improve contour, symmetry, or address complications. This secondary procedure optimizes reconstruction results.
What is the wRVU value for CPT 19380?
The work RVU for CPT 19380 is 10.89. This code is primarily used by Plastic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 19380 used?
Used to address volume loss, contour irregularities, asymmetry, or scarring following initial breast reconstruction. Can involve lipoinjection, flap adjustment, or implant exchange.
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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.