CPT 19364 – Free Flap Breast Reconstruction
The short descriptor for CPT 19364 now
formally includes DIEPs and other flaps such
as TRAM, SIEA and GAP. CPT and CMS
had previous established years ago that all
breast free flaps should be reported with this
code but required it to now be formally listed.
As before, this code includes the flap harvest;
microsurgical anastomosis of one artery and
two veins with use of an operating microscope
(not separately reportable); flap inset as a
breast mound; and donor site closure.
CPT 19367, 19368, 19369 – Pedicled
TRAM techniques
Note that these codes include harvesting of
the flap, closure of the donor site, and insetting
and shaping of the flap