CPT code 19369: TRAM flap reconstruction, two-pedicle technique2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,748.66 for 19369 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 19369 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 19369 covers

A surgeon transfers lower abdominal skin, fat, and associated rectus muscle to create a breast mound, maintaining blood supply through two pedicles. Plastic surgeons commonly perform this reconstruction after mastectomy, either during the mastectomy operation or as a later procedure. The operative report should identify the abdominal tissue transferred and document the two-pedicle technique; this is distinct from a free flap transferred with microvascular reconnection.

Select this code for the two-pedicle TRAM approach, rather than a one-pedicle TRAM or another flap method. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral procedures reported with modifier 50, CMS pays at 150%. An assistant at surgery may be paid; 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 New Mexico compares for 19369

Across 109 of 109 payment localities, the facility rate for 19369 runs from $1,586.82 in Arkansas to $2,216.09 in Alaska. New Mexico pays $1,748.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

19369 rates by state

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

See 19369 in every payment locality

How the 19369 rate is calculated

Each of 19369’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 19369

19369 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 19369

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

How 19369 has changed in New Mexico

Price 19369 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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