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CPT code 19340: Breast implant, immediate postmastectomy placement2026 Medicare rate & RVUs

Reports direct placement of a breast implant during the mastectomy operation for immediate reconstruction, rather than staged reconstruction with a tissue expander.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4K Medicare services in 2024

Medicare pays $701.08 for 19340 nationally in a facility.

Medicare rate · 19340

Breast implant, immediate postmastectomy placement

Office or facility?

Work RVUs
10.22
Total RVUs
20.99
Global days
090

National rate · 2026

$701.08

Facility setting, before claim adjustments.

See every locality for 19340 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 19340 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 19340 covers

A surgeon places a breast implant during the same operative session as a mastectomy to create an immediate breast reconstruction. This approach may follow mastectomy for breast cancer or risk reduction. Plastic surgeons commonly perform the reconstruction, sometimes with a breast surgeon performing the mastectomy, in a hospital or ambulatory surgical setting. The implant is placed directly; a tissue expander is not used as the initial reconstructive device.

Report 19340 for immediate implant placement, with the mastectomy coded separately when performed. The operative report should identify the mastectomy session, laterality, reconstructive purpose, and implant placement. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 identifies bilateral surgery, paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 19340 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

19340 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$635.37
AlaskaUnavailable$860.64
ArizonaUnavailable$682.35
ArkansasUnavailable$627.27
Atlanta, GAUnavailable$720.28
Austin, TXUnavailable$711.08
Bakersfield, CAUnavailable$709.41
Baltimore area, MDUnavailable$743.82
Beaumont, TXUnavailable$669.98
Brazoria, TXUnavailable$686.41

19340 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
19340 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 19340 rate is calculated

Each of 19340’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 19340

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.22

10.22 RVUs× 1.000 GPCI

Practice expense8.76

8.76 RVUs× 1.000 GPCI

Malpractice2.01

2.01 RVUs× 1.000 GPCI

Adjusted RVUs

20.9900

Conversion factor

$33.4009

Medicare rate

$701.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 19340

19340 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 19340

Breast implant, immediate postmastectomy placement

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 19340

Breast implant, immediate postmastectomy placement

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

19340 without 50 · national facility

$701.08

Breast implant, immediate postmastectomy placement

19340-50 · Bilateral: 150%

$1,051.62

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

19340 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 19340

    Breast implant, immediate postmastectomy placement10.22 wRVU

    Not priced

  • 19342

    Breast implant, separate day from mastectomy10.22 wRVU

    Not priced

  • 19357

    Breast reconstruction, tissue expander placement14.47 wRVU

    Not priced

  • 19325

    Breast augmentation, prosthetic implant placement7.92 wRVU

    Not priced

How to choose

19342Breast implantSeparate day from mastectomy
Choose 19340 when the implant is placed during the mastectomy operation. Choose 19342 for implant insertion or replacement in a separate session.
19357Breast reconstructionTissue expander placement
19357 is for placement of a tissue expander as a staged reconstructive step; 19340 is for direct implant placement during mastectomy.
19325Breast augmentationProsthetic implant placement
19325 describes breast augmentation with an implant, rather than implant reconstruction performed in the mastectomy session.

Codes related to 19340

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 19340
CodeHow it relatesNational office range
Often billed with
19303Mastectomy, complete, without axillary dissectionSimple complete mastectomy may be performed in the same session as immediate implant reconstruction.No office rate
19301Partial mastectomy, breast-conserving excisionPartial mastectomy may accompany immediate implant reconstruction when both services are performed.No office rate
19302Partial mastectomy, with axillary lymphadenectomyPartial mastectomy with lymph node removal may accompany immediate implant reconstruction.No office rate
Used instead
19342Breast implant, separate day from mastectomyUsed for implant insertion or replacement in a separate reconstruction session.No office rate
19357Breast reconstruction, tissue expander placementDescribes staged reconstruction beginning with placement of a tissue expander.No office rate

19340 billing questions

How is 19340 different from 19342?

19340 describes implant placement in the same operative session as mastectomy. 19342 is used for implant insertion or replacement in a separate, later reconstruction session.

When is 19357 reported instead?

Use 19357 when the surgeon places a tissue expander as a staged step in breast reconstruction. Code 19340 describes direct implant placement during the mastectomy operation.

Is the mastectomy reported separately?

Yes. Report the applicable mastectomy procedure separately from the immediate implant reconstruction when both services are performed.

How should bilateral placement be reported?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. The operative documentation should support implant placement on both sides.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care. Related follow-up during that period is part of the global service.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is statutorily restricted. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 19340PPRRVU2026_Oct_nonQPP.csv, line 1,697 (RVU26D)

Open CMS sourceHow we calculate rates

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