19396 Design custom breast implant
Also known as: custom implant design, patient-specific implant
Custom design and manufacturing of a patient-specific breast implant or prosthesis based on imaging and measurements. This creates a unique implant tailored to individual anatomy.
In Plain Language
designing a custom-made breast implant
Clinical Context
Used for patients with unusual anatomy, asymmetry, or specific aesthetic goals requiring implant customization. Improves surgical planning and cosmetic outcomes.
RVU Breakdown
| Work RVU | 2.12 |
| Total RVU | 2.12 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.12, this code ranks in the 15th percentile among Surgery codes — 3.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19396?
CPT 19396 (Design custom breast implant) is a Surgery code. Custom design and manufacturing of a patient-specific breast implant or prosthesis based on imaging and measurements. This creates a unique implant tailored to individual anatomy.
What is the wRVU value for CPT 19396?
The work RVU for CPT 19396 is 2.12. This code is primarily used by Plastic Surgery.
When is CPT 19396 used?
Used for patients with unusual anatomy, asymmetry, or specific aesthetic goals requiring implant customization. Improves surgical planning and cosmetic outcomes.
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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.