Overview of CPT Code 19140: Excision of Breast Lesion
CPT Code 19140 refers to the surgical excision of a breast lesion, which may include tumors or abnormal growths. This procedure is performed to remove suspicious or problematic tissue for further evaluation and treatment.
When CPT Code 19140 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable breast mass that requires evaluation.
- Suspicious findings on imaging studies such as mammograms.
- Biopsy results indicating atypical or malignant cells.
- Patient history of breast cancer with new lesions.
- Lesions causing pain or discomfort.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the need for this procedure.
- A 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.
- Persistent breast pain or discomfort.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early detection.
- Family history of breast cancer.
- Genetic mutations such as BRCA1 or BRCA2.
- Previous history of breast lesions or cancer.
- Age, with increased risk as one gets older.
- Hormonal factors, including prolonged estrogen exposure.
Diagnostic Tests Before Procedure
Several tests may be conducted to assess the need for excision.
- Mammography to identify abnormal areas.
- Ultrasound to evaluate the characteristics of the lesion.
- MRI for detailed imaging of breast tissue.
- Fine needle aspiration or core needle biopsy for histological analysis.
Procedure Description
The excision procedure follows a systematic approach.
- Patient is positioned comfortably and anesthesia is administered.
- An incision is made over the lesion to access the tissue.
- The lesion is carefully excised along with a margin of healthy tissue.
- The area is inspected for bleeding and cleaned.
- The incision is closed with sutures or adhesive strips.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Avoid blood thinners and certain medications as advised by the physician.
- Do not eat or drink for several hours before the procedure if sedation is planned.
- Arrange for transportation home post-procedure.
- Wear comfortable clothing and avoid jewelry on the day of the procedure.
Recovery and Aftercare
Post-procedure care is crucial for healing.
- Rest for the first 24 hours after the procedure.
- Keep the surgical site clean and dry.
- Follow up with prescribed pain medications as needed.
- Attend follow-up appointments for suture removal and evaluation.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Excessive bleeding or hematoma formation.
- Scarring or changes in breast appearance.
- Nerve damage leading to altered sensation.
- Recurrence of the lesion.
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Post-Procedure Follow-Up
Regular follow-up is important for monitoring recovery.
- Initial follow-up within 1-2 weeks for suture removal.
- Further evaluation of pathology results after excision.
- Regular breast examinations as recommended by the physician.
- Imaging studies as needed based on findings.
Alternative Treatments
There are non-surgical options available for some patients.
- Monitoring with regular imaging for benign lesions.
- Medication for pain management.
- Hormonal therapy for certain types of breast lesions.
- Radiation therapy in specific cases of malignancy.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the incision site clean and dry.
- Avoid strenuous activities for a few weeks.
- Monitor for signs of infection such as increased redness or discharge.
- Use ice packs to reduce swelling if recommended.
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, including diet and exercise.
- Discuss family history with healthcare providers for personalized screening.
Billing and Coding Information
CPT Code: 19140
Category: Surgery
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 $2,000 to $5,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
- 19125 - Excision of breast lesion
- 19200 - Excision of Breast Lesion
- 19281 - Breast Biopsy, Needle, Percutaneous
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision is performed to remove and evaluate a breast lesion for potential cancer.
How long does the procedure take?
The procedure typically takes about 30 minutes to an hour.
Will I need anesthesia?
Yes, local or general anesthesia will be used to ensure comfort during the procedure.
What should I expect during recovery?
You may experience some swelling and discomfort, which can be managed with medication.
How soon can I return to normal activities?
Most patients can return to normal activities within a week, depending on individual recovery.
