Overview of CPT Code 19141: Excision of breast lesion, malignant
CPT Code 19141 refers to the surgical excision of a malignant breast lesion. This procedure is performed to remove cancerous tissue from the breast, ensuring clear margins to prevent recurrence.
When CPT Code 19141 is Used?
This code is applicable in various clinical scenarios.
- Diagnosis of breast cancer confirmed by biopsy.
- Presence of a malignant tumor in the breast requiring surgical intervention.
- Need for removal of a lesion to prevent further spread of cancer.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- 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
Understanding the causes and risk factors can help in prevention and early detection.
- Family history of breast cancer.
- Genetic mutations such as BRCA1 and BRCA2.
- Age, with increased risk for women over 50.
- Previous history of breast lesions or atypical hyperplasia.
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the diagnosis and plan the procedure.
- Mammography to visualize breast lesions.
- Ultrasound to assess the size and characteristics of the lesion.
- MRI for detailed imaging of breast tissue.
- Biopsy to confirm malignancy.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably and anesthetized.
- An incision is made over the lesion.
- The malignant tissue is carefully excised along with a margin of healthy tissue.
- The incision is closed with sutures or staples.
- Specimen is sent for pathological examination.
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.
- Arrange for transportation home post-surgery.
- Discuss any allergies or medical conditions with the healthcare provider.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest for the first few days after surgery.
- Keep the surgical site clean and dry.
- Follow-up appointments to monitor healing.
- Pain management with prescribed medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Scarring or changes in breast appearance.
- Recurrence of breast cancer.
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
Regular follow-up is important for monitoring recovery.
- Initial follow-up within one week to check the surgical site.
- Further follow-ups every 3-6 months for the first two years.
- Annual mammograms as recommended by the physician.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Chemotherapy for systemic treatment of breast cancer.
- Radiation therapy to target remaining cancer cells.
- Hormonal therapy for hormone receptor-positive cancers.
Home Care Tips
Patients can take steps at home to aid recovery.
- Follow the surgeon's instructions for wound care.
- Monitor for signs of infection such as increased redness or discharge.
- Maintain a healthy diet to support healing.
- Engage in light activities as tolerated, avoiding heavy lifting.
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, to reduce risk.
Billing and Coding Information
CPT Code: 19141
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 $3,000 to $10,000.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
- 19140 - Excision of Breast Lesion
- 19200 - Excision of Breast Lesion
- 19281 - Breast Biopsy, Needle, Percutaneous
- 19301 - Breast Reconstruction, Unilateral
- 19302 - Breast Reconstruction with Implant
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of CPT Code 19141?
It is used for the surgical excision of malignant breast lesions.
How long does recovery take?
Most patients recover within a few weeks, but full healing may take longer.
Will I have a scar after the procedure?
Yes, there will be a scar, but it typically fades over time.
Is this procedure painful?
Some discomfort is expected, but pain can be managed with medication.
