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Overview of CPT Code 19083: Breast Biopsy, Stereotactic, Needle

Overview of CPT Code 19083: Breast Biopsy, Stereotactic, Needle

CPT Code 19083 refers to a stereotactic needle biopsy of the breast, a minimally invasive procedure used to obtain tissue samples from suspicious breast lesions identified through imaging techniques.

When CPT Code 19083 is Used?

This procedure is indicated in various clinical scenarios.

  • Presence of a suspicious mass or lesion detected on a mammogram.
  • Abnormal findings on breast ultrasound.
  • Follow-up of previously identified breast abnormalities.
  • Assessment of breast tissue for cancer diagnosis.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant a biopsy.

  • Palpable lump or mass in the breast.
  • Changes in breast shape or size.
  • Nipple discharge that is bloody or clear.
  • Skin changes over the breast, such as dimpling or puckering.

Causes and Risk Factors

Several factors may increase the likelihood of breast abnormalities.

  • Family history of breast cancer.
  • Genetic mutations such as BRCA1 or BRCA2.
  • Age, particularly women over 50.
  • Previous breast biopsies or radiation therapy to the chest.

Diagnostic Tests Before Procedure

Prior to the biopsy, certain tests are typically performed.

  • Mammography to identify suspicious areas.
  • Breast ultrasound for further evaluation.
  • MRI of the breast in complex cases.
  • Fine needle aspiration cytology if indicated.

Procedure Description

The procedure involves several key steps.

  • Patient is positioned comfortably, usually lying face down.
  • Imaging guidance is used to locate the lesion.
  • Local anesthesia is administered to numb the area.
  • A small incision is made, and a needle is inserted to obtain tissue samples.
  • Multiple samples may be taken to ensure adequate tissue for diagnosis.
  • The incision is closed with a small bandage.

Preparation for the Procedure

Patients should follow specific guidelines before the biopsy.

  • Avoid blood thinners for several days prior to the procedure.
  • Inform the doctor of any allergies or medications being taken.
  • Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
  • Arrange for transportation home if sedation is used.

Recovery and Aftercare

Post-procedure care is essential for recovery.

  • Rest for the remainder of the day after the procedure.
  • Apply ice packs to reduce swelling and discomfort.
  • Keep the biopsy site clean and dry; follow specific wound care instructions.
  • Over-the-counter pain relievers may be used as needed.

Possible Complications

While generally safe, there are potential risks.

  • Bleeding or hematoma at the biopsy site.
  • Infection at the incision site.
  • Discomfort or pain in the breast.
  • Allergic reaction to anesthesia.
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Post-Procedure Follow-Up

Follow-up care is important for monitoring.

  • Schedule a follow-up appointment within a week to discuss results.
  • Monitor the biopsy site for signs of infection or complications.
  • Additional imaging or treatment may be required based on biopsy results.

Alternative Treatments

There are non-surgical options for managing breast abnormalities.

  • Regular monitoring with imaging for benign lesions.
  • Medications for hormonal therapy in certain cases.
  • Lifestyle changes, including diet and exercise, to reduce risk.

Home Care Tips

Patients can take steps to aid recovery at home.

  • Avoid strenuous activities for a few days post-procedure.
  • Keep the biopsy site clean and dry.
  • Monitor for any unusual symptoms and contact a healthcare provider if they occur.
  • Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education is key to prevention and early detection.

  • Regular breast self-exams and clinical exams.
  • Annual mammograms as recommended by healthcare providers.
  • Understanding personal risk factors and discussing them with a doctor.
  • Healthy lifestyle choices to reduce breast cancer risk.

Billing and Coding Information

CPT Code: 19083

Category: Surgical Procedures

Common Modifiers:

  • 50 - Bilateral procedure
  • LT - Left side
  • RT - Right side

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

  • Average cost ranges from $1,000 to $3,000.
  • Most insurance plans cover the procedure if deemed medically necessary.
  • Out-of-pocket costs depend on the patient's insurance plan.

References and Sources

Frequently Asked Questions (FAQs)

What should I expect during the biopsy?

You will feel a small pinch when the anesthesia is administered, but the procedure itself is usually not painful.

How long does it take to get results?

Results typically take about 3 to 5 business days.

Will I need to take time off work?

Most patients can return to normal activities within a day or two, but it depends on individual recovery.

Is the procedure safe?

Yes, stereotactic needle biopsies are generally safe with minimal risks.

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