CPT code 19361: Breast reconstruction, latissimus dorsi flap2026 Medicare rate & RVUs in Mississippi

Reports breast reconstruction using a latissimus dorsi flap moved from the back to the chest, commonly after mastectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality558 Medicare services in 2024

In Mississippi, Medicare pays $1,278.29 for 19361 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,278.29Hospital or facility

Check a contract rate as a % of Medicare · 19361 nationwide

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

We’ll open 19361 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 19361 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 19361 covers

A surgeon, commonly a plastic surgeon, reconstructs the breast by moving latissimus dorsi tissue from the back to the chest while maintaining its blood supply. The flap may include overlying skin, depending on the reconstructive plan. This approach is used for breast reconstruction, often after mastectomy, and is generally performed in a hospital or other facility setting.

Report 19361 when the operative work reconstructs the breast with a latissimus dorsi flap; document the indication, recipient site, flap source, and operative technique. CMS assigns major-surgery status, so the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires 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.

How Mississippi compares for 19361

Across 109 of 109 payment localities, the facility rate for 19361 runs from $1,245.24 in Arkansas to $1,729.30 in Alaska. Mississippi pays $1,278.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

19361 in Mississippi vs other payment areas
  1. Mississippi · this page$1,278.29
  2. Los Angeles, CA · California$1,452.65+$174.36
  3. Washington, DC area · District of Columbia$1,524.49+$246.20
  4. Miami, FL · Florida$1,620.82+$342.53
  5. Chicago, IL · Illinois$1,575.41+$297.12
  6. Manhattan, NY · New York$1,592.22+$313.93
  7. Alaska · Alaska$1,729.30+$451.01

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

19361 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,260.20
ArkansasArkansas—$1,245.24
ArizonaArizona—$1,346.68
Bakersfield, CACalifornia—$1,386.44
Chico, CACalifornia—$1,374.46
El Centro, CACalifornia—$1,375.18
Fresno, CACalifornia—$1,374.46
Hanford, CACalifornia—$1,374.46

19361 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
19361 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

See 19361 in every payment locality

How the 19361 rate is calculated

Each of 19361’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 · 19361

RVUs × geographic indexes × conversion factor

Office or facility?

Work22.78

22.78 RVUs× 1.000 GPCI

Practice expense14.31

14.31 RVUs× 1.000 GPCI

Malpractice4.29

4.29 RVUs× 1.000 GPCI

Adjusted RVUs

41.3800

Conversion factor

$33.4009

Medicare rate

$1,382.13

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,702

Code
19361
Physician work
22.78
Practice expense
14.31
Malpractice
4.29

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 19361 in Mississippi
ComponentRVULocality factorAdjusted
Physician work22.78× 1.00022.7800
Practice expense14.31× 0.86112.3209
Malpractice4.29× 0.7393.1703
Total RVUs38.2712
Conversion factor× 33.4009

Facility rate, Mississippi$1278.29

Facility: (22.78 × 1 + 14.31 × 0.861 + 4.29 × 0.739) × $33.4009 = $1278.29

Open 19361 in the RVU calculator

Payment rules and modifiers for 19361

19361 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 19361

Breast reconstruction, latissimus dorsi flap

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)2Paid.
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 · 19361

Breast reconstruction, latissimus dorsi flap

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

19361 without 50 · national facility

$1,382.13

Breast reconstruction, latissimus dorsi flap

19361-50 · Bilateral: 150%

$2,073.20

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

How 19361 has changed in Mississippi

19361 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,278.29RVU26D
2026-07-01Not available in this setting$1,278.29RVU26C
2026-04-01Not available in this setting$1,278.29RVU26B
2026-01-01Not available in this setting$1,278.29RVU26A
2025-10-01Not available in this setting$1,398.33RVU25D
2025-07-01Not available in this setting$1,398.33RVU25C
2025-04-01Not available in this setting$1,398.33RVU25B
2025-01-01Not available in this setting$1,398.33RVU25A
2024-10-01Not available in this setting$1,426.78RVU24D
2024-07-01Not available in this setting$1,426.78RVU24C
2024-04-01Not available in this setting$1,426.78RVU24B
2024-03-09Not available in this setting$1,426.78RVU24AR
2024-01-01Not available in this setting$1,403.49RVU24A
2023-10-01Not available in this setting$1,438.64RVU23D
2023-07-01Not available in this setting$1,438.64RVU23C
2023-04-01Not available in this setting$1,438.64RVU23B
2023-01-01Not available in this setting$1,438.64RVU23A
2022-10-01Not available in this setting$1,444.34RVU22D
2022-07-01Not available in this setting$1,444.34RVU22C
2022-04-01Not available in this setting$1,444.34RVU22B
2022-01-01Not available in this setting$1,444.34RVU22A
2021-10-01Not available in this setting$1,450.98RVU21D
2021-07-01Not available in this setting$1,450.98RVU21C
2021-04-01Not available in this setting$1,450.98RVU21B
2021-01-01Not available in this setting$1,450.98RVU21A
2020-10-01Not available in this setting$1,475.49RVU20D
2020-07-01Not available in this setting$1,475.49RVU20C
2020-04-01Not available in this setting$1,475.49RVU20B
2020-01-01Not available in this setting$1,475.49RVU20A
2019-10-01Not available in this setting$1,455.55RVU19D
2019-07-01Not available in this setting$1,455.55RVU19C
2019-04-01Not available in this setting$1,455.55RVU19B
2019-01-01Not available in this setting$1,455.55RVU19A
2018-10-01Not available in this setting$1,457.81RVU18D
2018-07-01Not available in this setting$1,457.81RVU18C
2018-04-01Not available in this setting$1,457.81RVU18B
2018-01-01Not available in this setting$1,457.81RVU18AR1
2017-10-01Not available in this setting$1,470.54RVU17D
2017-07-01Not available in this setting$1,470.54RVU17C
2017-04-01Not available in this setting$1,470.54RVU17B
2017-01-01Not available in this setting$1,470.54RVU17A
2016-10-01Not available in this setting$1,477.30RVU16D
2016-07-01Not available in this setting$1,477.30RVU16C
2016-04-01Not available in this setting$1,477.30RVU16B
2016-01-01Not available in this setting$1,477.30RVU16A
2015-10-01Not available in this setting$1,480.69RVU15D
2015-07-01Not available in this setting$1,480.69RVU15C
2015-04-01Not available in this setting$1,473.32RVU15B
2015-01-01Not available in this setting$1,473.32RVU15A
2014-10-01Not available in this setting$1,497.60RVU14D
2014-07-01Not available in this setting$1,497.60RVU14C
2014-04-01Not available in this setting$1,497.60RVU14B
2014-01-01Not available in this setting$1,497.60RVU14A
2013-10-01Not available in this setting$1,484.59RVU13D
2013-07-01Not available in this setting$1,484.59RVU13C
2013-04-01Not available in this setting$1,484.59RVU13B
2013-01-01Not available in this setting$1,484.59RVU13AR

Price 19361 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

19361 billing questions

How is 19361 different from a free-flap reconstruction?

19361 describes a latissimus dorsi flap moved to the chest with its blood supply maintained. A free flap is detached and transferred using microsurgical reconnection of its blood vessels.

Can 19361 be reported for both breasts?

For bilateral work, CMS identifies modifier 50 and pays the procedure at 150%. The operative report should establish that reconstruction was performed on both sides.

Does the 90-day global include postoperative visits?

Yes. The major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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 19361PPRRVU2026_Oct_nonQPP.csv, line 1,702 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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