# CPT 19380: Revision of Reconstructed Breast

Medicare CPT 19380 pays $735.82 in a non-facility setting and $735.82 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $659.80 in Arkansas to $906.68 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/19380-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Plastic Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $735.82 |
| National facility | $735.82 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $906.68 | $906.68 |
| District of Columbia | $817.24 | $817.24 |
| New York | $812.78 | $812.78 |
| Florida | $801.65 | $801.65 |
| New Jersey | $798.46 | $798.46 |
| Illinois | $789.23 | $789.23 |
| Connecticut | $780.85 | $780.85 |
| Washington | $775.34 | $775.34 |
| California | $773.16 | $773.16 |
| Massachusetts | $772.97 | $772.97 |
| Maryland | $758.76 | $758.76 |
| Hawaii | $748.59 | $748.59 |
| Rhode Island | $745.36 | $745.36 |
| Michigan | $745.21 | $745.21 |
| Colorado | $744.62 | $744.62 |
| New Hampshire | $739.71 | $739.71 |
| Puerto Rico | $738.13 | $738.13 |
| Virgin Islands | $738.13 | $738.13 |
| Pennsylvania | $737.60 | $737.60 |
| Oregon | $736.04 | $736.04 |
| Georgia | $735.86 | $735.86 |
| Montana | $735.68 | $735.68 |
| Texas | $728.25 | $728.25 |
| Delaware | $727.08 | $727.08 |
| West Virginia | $725.56 | $725.56 |
| Nevada | $724.69 | $724.69 |
| New Mexico | $724.38 | $724.38 |
| Wyoming | $718.02 | $718.02 |
| Arizona | $716.55 | $716.55 |
| Louisiana | $712.63 | $712.63 |
| Utah | $710.62 | $710.62 |
| Virginia | $710.53 | $710.53 |
| Ohio | $709.96 | $709.96 |
| Missouri | $709.75 | $709.75 |
| South Carolina | $702.48 | $702.48 |
| Vermont | $698.96 | $698.96 |
| Maine | $696.74 | $696.74 |
| Minnesota | $696.42 | $696.42 |
| Kentucky | $696.30 | $696.30 |
| North Dakota | $695.15 | $695.15 |
| North Carolina | $690.76 | $690.76 |
| South Dakota | $690.36 | $690.36 |
| Oklahoma | $688.07 | $688.07 |
| Indiana | $678.46 | $678.46 |
| Tennessee | $676.49 | $676.49 |
| Mississippi | $675.75 | $675.75 |
| Wisconsin | $675.69 | $675.69 |
| Idaho | $675.45 | $675.45 |
| Kansas | $672.71 | $672.71 |
| Nebraska | $669.85 | $669.85 |
| Iowa | $668.73 | $668.73 |
| Alabama | $668.15 | $668.15 |
| Arkansas | $659.80 | $659.80 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 19380 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