CPT code 19364: Free-flap reconstruction, autologous free tissue2026 Medicare rate & RVUs in Utah

In Utah, Medicare pays $2,299.38 for 19364 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 19364 nationwide

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

What 19364 covers

Code 19364 represents autologous breast reconstruction using tissue detached from a donor site and transferred to the chest, with its blood vessels connected microsurgically. Plastic and reconstructive surgeons commonly use abdominal perforator tissue, such as a DIEP flap; selected cases use tissue from the thigh or buttock. Reconstruction may be performed during mastectomy or later, typically in a hospital operating room.

Report the service for the free-flap reconstruction, not for a pedicled flap that remains attached to its original blood supply. The operative report should identify the flap and donor site, document the transfer and vascular connections, and specify the reconstructed side. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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.

How Utah compares for 19364

Across 109 of 109 payment localities, the facility rate for 19364 runs from $2,139.79 in Arkansas to $2,990.59 in Alaska. Utah pays $2,299.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19364 rates by state

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

See 19364 in every payment locality

How the 19364 rate is calculated

Each of 19364’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.

Payment rules and modifiers for 19364

19364 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 19364

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

How 19364 has changed in Utah

Price 19364 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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

Open CMS sourceHow we calculate rates