Overview of CPT Code 19110:biopsy-of-breast-percutaneous
CPT Code 19110 refers to a percutaneous biopsy of the breast, a minimally invasive procedure used to obtain tissue samples from breast lesions for diagnostic purposes.
When CPT Code 19110 is Used?
This procedure is indicated in various clinical scenarios.
- Suspicious breast mass detected on imaging studies.
- Abnormal findings on clinical breast examination.
- Follow-up of previously identified breast lesions.
- Assessment of breast tissue in patients with a family history of breast cancer.
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 redness.
Causes and Risk Factors
Several factors may increase the likelihood of breast abnormalities.
- Family history of breast cancer.
- Genetic mutations such as BRCA1 and BRCA2.
- Age, particularly women over 40.
- Previous breast biopsies or radiation therapy to the chest.
Diagnostic Tests Before Procedure
Prior to the biopsy, several diagnostic tests may be performed.
- Mammography to identify suspicious areas.
- Ultrasound to evaluate breast masses.
- MRI for detailed imaging of breast tissue.
- Fine needle aspiration cytology for preliminary assessment.
Procedure Description
The biopsy procedure involves several key steps.
- Patient is positioned comfortably, usually lying on their back.
- Local anesthesia is administered to numb the area.
- A small incision is made, and a biopsy needle is inserted into the breast tissue.
- Tissue samples are collected using a vacuum-assisted device or core needle.
- The incision is closed with adhesive strips or sutures.
Preparation for the Procedure
Patients should follow specific guidelines before the biopsy.
- Inform the doctor about any medications, especially blood thinners.
- Avoid aspirin or anti-inflammatory medications for a few days prior.
- Wear comfortable clothing and avoid wearing deodorant on the day of the procedure.
- Arrange for transportation 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 associated with the procedure.
- Bleeding or hematoma formation at the biopsy site.
- Infection at the incision site.
- Pain or discomfort in the breast.
- Scarring or changes in breast appearance.
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Post-Procedure Follow-Up
Follow-up care is crucial for monitoring recovery.
- Schedule a follow-up appointment within a week to assess healing.
- Discuss biopsy results with the healthcare provider.
- Monitor for any signs of infection or complications.
- Regular breast examinations as recommended by the physician.
Alternative Treatments
There are non-surgical options for managing breast abnormalities.
- Regular monitoring with imaging studies.
- Medications for hormonal therapy in certain cases.
- Lifestyle changes, including diet and exercise, to reduce risk.
Home Care Tips
Patients can take simple 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, such as increased pain or swelling.
- Follow all post-procedure instructions provided by the healthcare team.
Patient Education & Prevention
Education is key to preventing breast issues.
- Regular breast self-exams to detect changes early.
- Routine mammograms as recommended based on age and risk factors.
- Healthy lifestyle choices, including a balanced diet and regular exercise.
- Genetic counseling for those with a family history of breast cancer.
Billing and Coding Information
CPT Code: 19110
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
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19120 - Excision of Breast Lesion
- 19281 - Breast Biopsy, Needle, Percutaneous
- 19290 - Placement of Breast Tissue Expander
References and Sources
Frequently Asked Questions (FAQs)
What is a percutaneous breast biopsy?
It is a minimally invasive procedure to obtain tissue samples from the breast.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the biopsy.
How long does it take to recover?
Most patients can resume normal activities within a few days.
When will I get my results?
Results are typically available within a week after the procedure.
