Overview of CPT Code 19084: Breast Biopsy, Stereotactic, Needle
CPT Code 19084 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 19084 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 this 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 area.
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 treatments.
Diagnostic Tests Before Procedure
Prior to the biopsy, several diagnostic tests may be performed.
- Mammography to identify suspicious areas.
- Breast ultrasound for further evaluation.
- MRI of the breast if indicated.
- Fine needle aspiration cytology if necessary.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, usually lying face down.
- Stereotactic imaging is used to locate the lesion precisely.
- Local anesthesia is administered to numb the area.
- A small incision is made, and a hollow 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 post-procedure 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 up with the healthcare provider for results and further instructions.
Possible Complications
While generally safe, some risks are associated with the procedure.
- Bleeding at the biopsy site.
- Infection at the incision site.
- Hematoma formation.
- Discomfort or pain in the breast area.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Monitoring after the procedure is crucial.
- Schedule a follow-up appointment within a week to discuss results.
- Monitor for any signs of infection or complications.
- Regular breast examinations as recommended by the healthcare provider.
Alternative Treatments
Other management options may be considered.
- Watchful waiting for benign lesions.
- Medication for pain management.
- Surgical excision if indicated based on biopsy results.
Home Care Tips
Patients can take steps to aid recovery at home.
- Avoid strenuous activities for a few days.
- Take prescribed pain medications as directed.
- Monitor the biopsy site for any unusual changes.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular breast self-exams to detect changes early.
- Annual mammograms as recommended based on age and risk factors.
- Healthy lifestyle choices to reduce breast cancer risk.
- Genetic counseling for those with a family history of breast cancer.
Billing and Coding Information
CPT Code: 19084
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left 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 may apply depending on the insurance plan.
Related CPT Codes
- 19083 - Breast Biopsy, Stereotactic, Needle
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19102 - Excision of Breast Lesion
- 19103 - Excision of breast lesion, malignant
References and Sources
Frequently Asked Questions (FAQs)
What is a stereotactic breast biopsy?
It is a procedure that uses imaging to guide a needle to take tissue samples from the breast.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
How long does the procedure take?
The biopsy typically takes about 30 to 60 minutes.
When will I get the results?
Results are usually available within a few days to a week.
What should I do if I experience complications?
Contact your healthcare provider immediately if you notice excessive bleeding or signs of infection.
