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Excluded from ASC Pay (Add. EE) · CPT/HCPCS (Add. EE)

CPT 19364

Brst rcnstj free flap

CPT 19364 at a glance

Code
19364
Code type
CPT/HCPCS (Add. EE)
Short descriptor
Brst rcnstj free flap
Category
Excluded from ASC Pay (Add. EE)
ASC payment status
Excluded from ASC payment
CMS addendum
EE (Excluded)
Typical setting
Hospital outpatient department (POS 22) or office (POS 11). Not separately payable in an ASC.

What is CPT code 19364?

CPT 19364 is a CPT/HCPCS (Add. EE) procedure code. Its official CMS short descriptor is "Brst rcnstj free flap". In the ASC context it is grouped under Excluded from ASC Pay (Add. EE).

Is CPT 19364 payable in an ambulatory surgery center (ASC)?

CPT 19364 is on CMS Addendum EE, the list of procedures excluded from ASC payment. Medicare does not pay for it in the ASC setting; it is typically performed in a hospital outpatient department (HOPD) or office instead.

Where is CPT 19364 typically performed?

Hospital outpatient department (POS 22) or office (POS 11). Not separately payable in an ASC.

Which specialties use CPT 19364?

CPT 19364 is most associated with General Surgery, Plastic Surgery, Surgery – Plastic & Reconstructive.

Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.

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