CPT code 19350 covers surgical reconstruction of the nipple and areola using techniques such as nipple sharing, skate flap, C–v flap, or other local flaps. This procedure is an element of post-mastectomy and breast reconstruction care that addresses cosmetic and psychosocial outcomes for patients. Nationally, the code is relevant to surgical practices, hospital outpatient departments, and ambulatory surgical centers that provide reconstructive breast services.

Key payers included in coverage discussions are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for nipple-areolar reconstruction, typical sites of service, and the procedural techniques referenced by the code. The publication outlines common billing considerations, benchmarking approaches, and policy or coverage considerations relevant to payers and providers. It also summarizes typical modifiers used with surgical CPT coding and flags where input data was not available for specific items such as associated taxonomies or ICD-10 diagnoses.

This summary equips payers, surgical practices, coding professionals, and policy analysts with the clinical framing and billing context for CPT code 19350, supporting consistent documentation and coding workflows.