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. Author manuscript; available in PMC: 2013 Jul 1.
Published in final edited form as: Plast Reconstr Surg. 2012 Jul;130(1):225–237. doi: 10.1097/PRS.0b013e318254b43b

Table 6.

Surgical Relative Value Units

Procedure CPT code Description Work RVU Work GPCI PE RVU PE GPCI PLI RVU PLI GPCI Total RVU
1. Removal of ruptured implant 19330 Removal of implant material 8.54 1.029 8.35 1.026 1.66 1.855 20.43
2. Removal of ruptured implant and insert new implants in augmentation 19325 Enlarge breast with implant 8.64 1.029 8.71 1.026 1.69 1.855 20.96
3. Removal of ruptured implant and insert new implants in reconstruction 19342 Delayed breast prosthesis 12.63 1.029 12.19 1.026 2.44 1.855 30.02
4. Removal of ruptured implant and Mastopexy 19316 Suspension of breasts 11.09 1.029 9.46 1.026 2.19 1.855 25.24

Total RVU = (Work RVU × Work GPCI) + (PE RVU × PE GPCI) + (PLI RVU × PLI GPCI)

Medicare reimbursement = [Total RVU + (Anesthesia RVU × Anesthesia GPCI)] × fee schedule conversion factor

RVU-Relative Value Unit

GPCI- Geographic Practice Cost Index

PE RVU-Practice expense RVU

PLI RVU - Physician Liability RVU