Both use a single-pedicle TRAM flap. Choose 19368 when the flap is transferred with microvascular anastomosis; 19367 is the pedicled approach without that anastomosis.
On this page
CMS RVU26D · Effective 2026-10-01
19367 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1549.17
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Breast reconstruction
About 19367: Breast reconstruction with single-pedicle TRAM flap
Reports breast reconstruction using an abdominal single-pedicle TRAM flap, typically after mastectomy, when the flap remains attached to its vascular supply.
The surgeon uses skin, fat, and a portion of rectus abdominis muscle from the abdomen to form a breast mound. The flap is tunneled to the chest while remaining connected to its original blood supply; this distinguishes the service from a free flap requiring microvascular reconnection. Plastic surgeons commonly perform this reconstruction after mastectomy in a hospital or other facility setting. The abdominal donor site is also closed as part of the reconstructive operation.
Select this code for the single-pedicle TRAM approach without microvascular anastomosis; a single-pedicle flap with microvascular anastomosis and a two-pedicle flap have separate codes. Document the flap technique, laterality, and reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, 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 allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 19367
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU26.13 · 56%
- Practice expense (office) RVU15.70 · 34%
- Malpractice RVU4.85 · 10%
24
Medicare services in 2024 · #5802 by national volume
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.
19367 compared with similar codes
Office rates for Redding, from the same CMS release.
19369 describes a two-pedicle TRAM flap. For 19367, the reconstruction uses one pedicle.
19364 is reconstruction with a free flap, which requires microvascular reconnection. In 19367, the TRAM flap remains attached to its original blood supply.
19361 uses tissue from the latissimus dorsi in the back; 19367 uses abdominal tissue and rectus muscle.
The same code, a different location
How does Redding compare?
19367 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Merced
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Modesto
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Napa
California · 19367
Office
Unavailable
Facility
$1701.19
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 19367
Office
Unavailable
Facility
$1617.96
No comparable office rate is available.
Rest Of California
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 19367
Office
Unavailable
Facility
$1601.39
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 19367
Office
Unavailable
Facility
$1600.88
No comparable office rate is available.
Salinas
California · 19367
Office
Unavailable
Facility
$1594.42
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 19367
Office
Unavailable
Facility
$1613.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 19367
Office
Unavailable
Facility
$1769.43
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 19367
Office
Unavailable
Facility
$1763.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 19367
Office
Unavailable
Facility
$1811.78
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 19367
Office
Unavailable
Facility
$1789.26
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 19367
Office
Unavailable
Facility
$1571.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 19367
Office
Unavailable
Facility
$1615.06
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 19367
Office
Unavailable
Facility
$1595.48
No comparable office rate is available.
Santa Rosa-Petaluma
California · 19367
Office
Unavailable
Facility
$1629.73
No comparable office rate is available.
Stockton
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Vallejo
California · 19367
Office
Unavailable
Facility
$1693.26
No comparable office rate is available.
Visalia
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Yuba City
California · 19367
Office
Unavailable
Facility
$1549.17
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 19367
Office
Unavailable
Facility
$1717.93
No comparable office rate is available.
Miami
Florida · 19367
Office
Unavailable
Facility
$1828.34
No comparable office rate is available.
Chicago
Illinois · 19367
Office
Unavailable
Facility
$1777.67
No comparable office rate is available.
Manhattan
New York · 19367
Office
Unavailable
Facility
$1794.89
No comparable office rate is available.
Alaska*
Alaska · 19367
Office
Unavailable
Facility
$1956.89
No comparable office rate is available.
Alabama
Alabama · 19367
Office
Unavailable
Facility
$1423.30
No comparable office rate is available.
Arkansas
Arkansas · 19367
Office
Unavailable
Facility
$1406.65
No comparable office rate is available.
Arizona
Arizona · 19367
Office
Unavailable
Facility
$1519.57
No comparable office rate is available.
Colorado
Colorado · 19367
Office
Unavailable
Facility
$1567.71
No comparable office rate is available.
Connecticut
Connecticut · 19367
Office
Unavailable
Facility
$1651.01
No comparable office rate is available.
Delaware
Delaware · 19367
Office
Unavailable
Facility
$1540.86
No comparable office rate is available.
Fort Lauderdale
Florida · 19367
Office
Unavailable
Facility
$1696.86
No comparable office rate is available.
Rest Of Florida
Florida · 19367
Office
Unavailable
Facility
$1617.56
No comparable office rate is available.
Atlanta
Georgia · 19367
Office
Unavailable
Facility
$1602.72
No comparable office rate is available.
Rest Of Georgia
Georgia · 19367
Office
Unavailable
Facility
$1533.62
No comparable office rate is available.
Hawaii, Guam
Hawaii · 19367
Office
Unavailable
Facility
$1562.80
No comparable office rate is available.
Iowa
Iowa · 19367
Office
Unavailable
Facility
$1416.90
No comparable office rate is available.
Idaho
Idaho · 19367
Office
Unavailable
Facility
$1431.83
No comparable office rate is available.
East St. Louis
Illinois · 19367
Office
Unavailable
Facility
$1681.46
No comparable office rate is available.
Rest Of Illinois
Illinois · 19367
Office
Unavailable
Facility
$1604.73
No comparable office rate is available.
Suburban Chicago
Illinois · 19367
Office
Unavailable
Facility
$1704.48
No comparable office rate is available.
Indiana
Indiana · 19367
Office
Unavailable
Facility
$1437.61
No comparable office rate is available.
Kansas
Kansas · 19367
Office
Unavailable
Facility
$1428.46
No comparable office rate is available.
Kentucky
Kentucky · 19367
Office
Unavailable
Facility
$1487.18
No comparable office rate is available.
New Orleans
Louisiana · 19367
Office
Unavailable
Facility
$1550.25
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 19367
Office
Unavailable
Facility
$1492.04
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 19367
Office
Unavailable
Facility
$1678.85
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 19367
Office
Unavailable
Facility
$1568.03
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 19367
Office
Unavailable
Facility
$1649.79
No comparable office rate is available.
Rest Of Maryland
Maryland · 19367
Office
Unavailable
Facility
$1560.89
No comparable office rate is available.
Rest Of Maine
Maine · 19367
Office
Unavailable
Facility
$1455.97
No comparable office rate is available.
Southern Maine
Maine · 19367
Office
Unavailable
Facility
$1494.66
No comparable office rate is available.
Detroit
Michigan · 19367
Office
Unavailable
Facility
$1651.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 19367
Office
Unavailable
Facility
$1534.43
No comparable office rate is available.
Minnesota
Minnesota · 19367
Office
Unavailable
Facility
$1460.32
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 19367
Office
Unavailable
Facility
$1523.44
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 19367
Office
Unavailable
Facility
$1534.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 19367
Office
Unavailable
Facility
$1482.58
No comparable office rate is available.
Mississippi
Mississippi · 19367
Office
Unavailable
Facility
$1443.98
No comparable office rate is available.
Montana**
Montana · 19367
Office
Unavailable
Facility
$1558.83
No comparable office rate is available.
North Carolina
North Carolina · 19367
Office
Unavailable
Facility
$1465.54
No comparable office rate is available.
North Dakota**
North Dakota · 19367
Office
Unavailable
Facility
$1462.93
No comparable office rate is available.
Nebraska
Nebraska · 19367
Office
Unavailable
Facility
$1418.02
No comparable office rate is available.
New Hampshire
New Hampshire · 19367
Office
Unavailable
Facility
$1560.40
No comparable office rate is available.
Northern Nj
New Jersey · 19367
Office
Unavailable
Facility
$1709.06
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 19367
Office
Unavailable
Facility
$1658.02
No comparable office rate is available.
New Mexico
New Mexico · 19367
Office
Unavailable
Facility
$1548.19
No comparable office rate is available.
Nevada**
Nevada · 19367
Office
Unavailable
Facility
$1532.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 19367
Office
Unavailable
Facility
$1852.95
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 19367
Office
Unavailable
Facility
$1682.26
No comparable office rate is available.
Queens
New York · 19367
Office
Unavailable
Facility
$1782.05
No comparable office rate is available.
Rest Of New York
New York · 19367
Office
Unavailable
Facility
$1484.82
No comparable office rate is available.
Ohio
Ohio · 19367
Office
Unavailable
Facility
$1514.83
No comparable office rate is available.
Oklahoma
Oklahoma · 19367
Office
Unavailable
Facility
$1466.92
No comparable office rate is available.
Portland
Oregon · 19367
Office
Unavailable
Facility
$1589.86
No comparable office rate is available.
Rest Of Oregon
Oregon · 19367
Office
Unavailable
Facility
$1508.94
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 19367
Office
Unavailable
Facility
$1627.63
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 19367
Office
Unavailable
Facility
$1507.24
No comparable office rate is available.
Puerto Rico
Puerto Rico · 19367
Office
Unavailable
Facility
$1562.49
No comparable office rate is available.
Rhode Island
Rhode Island · 19367
Office
Unavailable
Facility
$1575.55
No comparable office rate is available.
South Carolina
South Carolina · 19367
Office
Unavailable
Facility
$1495.00
No comparable office rate is available.
South Dakota**
South Dakota · 19367
Office
Unavailable
Facility
$1451.59
No comparable office rate is available.
Tennessee
Tennessee · 19367
Office
Unavailable
Facility
$1436.43
No comparable office rate is available.
Austin
Texas · 19367
Office
Unavailable
Facility
$1572.85
No comparable office rate is available.
Beaumont
Texas · 19367
Office
Unavailable
Facility
$1500.46
No comparable office rate is available.
Brazoria
Texas · 19367
Office
Unavailable
Facility
$1525.78
No comparable office rate is available.
Dallas
Texas · 19367
Office
Unavailable
Facility
$1541.91
No comparable office rate is available.
Fort Worth
Texas · 19367
Office
Unavailable
Facility
$1538.77
No comparable office rate is available.
Galveston
Texas · 19367
Office
Unavailable
Facility
$1534.60
No comparable office rate is available.
Houston
Texas · 19367
Office
Unavailable
Facility
$1623.38
No comparable office rate is available.
Rest Of Texas
Texas · 19367
Office
Unavailable
Facility
$1516.70
No comparable office rate is available.
Utah
Utah · 19367
Office
Unavailable
Facility
$1511.17
No comparable office rate is available.
Virginia
Virginia · 19367
Office
Unavailable
Facility
$1502.61
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 19367
Office
Unavailable
Facility
$1562.49
No comparable office rate is available.
Vermont
Vermont · 19367
Office
Unavailable
Facility
$1473.88
No comparable office rate is available.
Rest Of Washington
Washington · 19367
Office
Unavailable
Facility
$1559.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 19367
Office
Unavailable
Facility
$1692.18
No comparable office rate is available.
Wisconsin
Wisconsin · 19367
Office
Unavailable
Facility
$1425.03
No comparable office rate is available.
West Virginia
West Virginia · 19367
Office
Unavailable
Facility
$1560.28
No comparable office rate is available.
Wyoming**
Wyoming · 19367
Office
Unavailable
Facility
$1517.04
No comparable office rate is available.
See how rates vary across the country
19367 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 19367 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1704.09
$1549.17 × 110% = $1704.09
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 19367 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,704
- Code
- 19367
- Physician work
- 26.13
- Practice expense
- 15.70
- Malpractice
- 4.85
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.13 | × 1.017 | 26.5742 |
| Practice expense | 15.70 | × 1.096 | 17.2072 |
| Malpractice | 4.85 | × 0.536 | 2.5996 |
| Total RVUs | 46.3810 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1549.17
Open 19367 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.13 | 1.017 |
| Practice expense | 15.7 | 1.096 |
| Malpractice | 4.85 | 0.536 |
(26.13 × 1.017 + 15.7 × 1.096 + 4.85 × 0.536) × $33.4009 = $1549.17
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
19367 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1549.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $1549.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $1549.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $1549.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $1737.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $1737.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $1737.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $1737.63 | RVU25A |
19367 billing questions
How is 19367 distinguished from 19368?
19367 describes a single-pedicle TRAM flap that remains connected to its blood supply. Use 19368 when the single-pedicle flap involves microvascular anastomosis.
When is 19369 used instead?
19369 is for breast reconstruction using a two-pedicle TRAM flap. The number of pedicles used, rather than the size of the reconstruction, distinguishes it from 19367.
Can the mastectomy be reported in the same session?
The mastectomy and the TRAM-flap reconstruction are distinct services and may be reported for the same session when both are performed. For same-session procedures, CMS applies the standard multiple procedure reduction.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. The operative record should identify the flap method and laterality.
How is bilateral reconstruction handled?
CMS identifies this as a bilateral procedure; reporting modifier 50 results in payment at 150%. Document the reconstruction performed on each side.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
