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Code deleted, see 15771, 15772

Official Description

Mammaplasty, augmentation; without prosthetic implant

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Augmentation mammaplasty, as described by CPT® Code 19324, is a surgical procedure aimed at enhancing the size and/or shape of the breast without the use of prosthetic implants. This procedure is particularly relevant for individuals seeking to improve breast volume or contour through the manipulation of existing breast tissue. During the operation, a surgeon makes incisions around the areola and along the underside of the breast, allowing access to the underlying tissue. The surgeon then rearranges the existing breast tissue and may incorporate other body tissues to achieve the desired aesthetic outcome. Additionally, any excess skin is excised to ensure a smooth and contoured appearance. After the adjustments are made, the nipple and areola are repositioned and sutured into place, followed by a layered closure of the incision site. This technique provides an alternative to augmentation procedures that utilize prosthetic implants, focusing instead on the natural enhancement of breast tissue.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 19324 is indicated for patients seeking breast enhancement without the use of prosthetic implants. Specific indications may include:

  • Desire for Increased Breast Size Patients may wish to enhance the volume of their breasts for aesthetic reasons.
  • Improvement of Breast Shape Individuals may seek to correct asymmetry or improve the overall contour of the breasts.
  • Post-Pregnancy Changes Women who have experienced changes in breast size or shape following pregnancy and breastfeeding may opt for this procedure.
  • Weight Loss Effects Patients who have undergone significant weight loss may desire to restore breast volume and shape.

2. Procedure

The procedure for augmentation mammaplasty without prosthetic implants involves several key steps, which are detailed as follows:

  • Step 1: Anesthesia Administration The patient is typically placed under general anesthesia to ensure comfort throughout the procedure.
  • Step 2: Incision Creation The surgeon makes incisions around the areola and on the underside of the breast. These incisions are strategically placed to minimize visible scarring.
  • Step 3: Tissue Rearrangement The existing breast tissue is carefully rearranged to enhance the size and shape of the breast. The surgeon may also utilize other body tissues to achieve the desired results.
  • Step 4: Skin Excision Any redundant skin is excised to create a smoother contour and to facilitate the repositioning of the breast tissue.
  • Step 5: Nipple and Areola Repositioning The nipple and areola are sutured into their new position, ensuring a natural appearance post-surgery.
  • Step 6: Closure of Incisions The incision sites are closed using layered suturing techniques to promote optimal healing and minimize scarring.

3. Post-Procedure

After the augmentation mammaplasty procedure, patients can expect a recovery period that may involve some swelling and discomfort. Post-operative care typically includes wearing a supportive bra to aid in healing and minimize movement of the breast tissue. Patients are advised to follow their surgeon's instructions regarding activity restrictions and follow-up appointments to monitor healing progress. It is important for patients to be aware of signs of complications, such as excessive swelling, unusual pain, or signs of infection, and to contact their healthcare provider if these occur. Full recovery may take several weeks, during which patients should gradually resume normal activities as advised by their surgeon.

Short Descr ENLARGE BREAST
Medium Descr MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT
Long Descr Mammaplasty, augmentation; without prosthetic implant
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Hospital Part B services paid through a comprehensive APC
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P1A - Major procedure - breast
MUE Not applicable/unspecified.
CCS Clinical Classification 175 - Other OR therapeutic procedures on skin and breast
Date
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Notes
2020-12-31 Deleted Code deleted, see 15771, 15772
Pre-1990 Added Code added.
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