# CPT 19361: Breast reconstruction with latissimus dorsi flap

Medicare CPT 19361 pays $1,382.13 in a non-facility setting and $1,382.13 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,245.24 in Arkansas to $1,729.30 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/19361-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,382.13 |
| National facility | $1,382.13 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,729.30 | $1,729.30 |
| New York | $1,524.97 | $1,524.97 |
| District of Columbia | $1,524.49 | $1,524.49 |
| Florida | $1,519.37 | $1,519.37 |
| Illinois | $1,499.20 | $1,499.20 |
| New Jersey | $1,493.36 | $1,493.36 |
| Connecticut | $1,464.24 | $1,464.24 |
| Washington | $1,442.78 | $1,442.78 |
| Massachusetts | $1,440.42 | $1,440.42 |
| California | $1,431.41 | $1,431.41 |
| Maryland | $1,423.44 | $1,423.44 |
| Michigan | $1,411.37 | $1,411.37 |
| Rhode Island | $1,396.88 | $1,396.88 |
| Colorado | $1,390.47 | $1,390.47 |
| Georgia | $1,389.44 | $1,389.44 |
| Pennsylvania | $1,389.07 | $1,389.07 |
| Hawaii | $1,387.29 | $1,387.29 |
| Puerto Rico | $1,385.24 | $1,385.24 |
| Virgin Islands | $1,385.24 | $1,385.24 |
| New Hampshire | $1,383.81 | $1,383.81 |
| Montana | $1,381.84 | $1,381.84 |
| West Virginia | $1,381.27 | $1,381.27 |
| Oregon | $1,374.17 | $1,374.17 |
| New Mexico | $1,371.26 | $1,371.26 |
| Texas | $1,368.71 | $1,368.71 |
| Delaware | $1,365.73 | $1,365.73 |
| Nevada | $1,358.68 | $1,358.68 |
| Louisiana | $1,347.28 | $1,347.28 |
| Arizona | $1,346.68 | $1,346.68 |
| Wyoming | $1,344.87 | $1,344.87 |
| Ohio | $1,341.69 | $1,341.69 |
| Missouri | $1,340.53 | $1,340.53 |
| Utah | $1,338.84 | $1,338.84 |
| Virginia | $1,331.88 | $1,331.88 |
| South Carolina | $1,324.31 | $1,324.31 |
| Kentucky | $1,316.90 | $1,316.90 |
| Maine | $1,307.34 | $1,307.34 |
| Vermont | $1,306.56 | $1,306.56 |
| Oklahoma | $1,299.03 | $1,299.03 |
| North Carolina | $1,298.38 | $1,298.38 |
| North Dakota | $1,297.02 | $1,297.02 |
| Minnesota | $1,295.11 | $1,295.11 |
| South Dakota | $1,286.98 | $1,286.98 |
| Mississippi | $1,278.29 | $1,278.29 |
| Indiana | $1,273.59 | $1,273.59 |
| Tennessee | $1,272.29 | $1,272.29 |
| Idaho | $1,268.38 | $1,268.38 |
| Kansas | $1,265.17 | $1,265.17 |
| Wisconsin | $1,262.90 | $1,262.90 |
| Alabama | $1,260.20 | $1,260.20 |
| Nebraska | $1,256.20 | $1,256.20 |
| Iowa | $1,255.10 | $1,255.10 |
| Arkansas | $1,245.24 | $1,245.24 |

## Related codes

- 19000: Puncture aspiration of cyst of breast — https://www.med-reveal.com/rates/19000-cpt-fee-schedule
- 19020: Mastotomy with exploration or drainage of abscess — https://www.med-reveal.com/rates/19020-cpt-fee-schedule
- 19081: Biopsy, breast, with placement of localization device, stereotactic guidance, first lesion — https://www.med-reveal.com/rates/19081-cpt-fee-schedule
- 19083: Biopsy, breast, with placement of localization device, ultrasound guidance, first lesion — https://www.med-reveal.com/rates/19083-cpt-fee-schedule
- 19100: Biopsy of breast, percutaneous, needle core — https://www.med-reveal.com/rates/19100-cpt-fee-schedule
- 19120: Excision of cyst/fibroadenoma/lesion of breast — https://www.med-reveal.com/rates/19120-cpt-fee-schedule
- 19301: Mastectomy, partial (lumpectomy) — https://www.med-reveal.com/rates/19301-cpt-fee-schedule
- 19303: Mastectomy, simple, complete — https://www.med-reveal.com/rates/19303-cpt-fee-schedule

Commercial negotiated rates for 19361 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules