Overview of CPT Code 19161:Breast Biopsy, Needle, Percutaneous

CPT Code 19161 refers to a percutaneous needle biopsy of the breast, a minimally invasive procedure used to obtain tissue samples for diagnostic evaluation of breast abnormalities.

When CPT Code 19161 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a suspicious breast mass or lump detected on imaging.
Abnormal findings on a mammogram or breast ultrasound.
Evaluation of breast tissue for cancer or other diseases.
Follow-up of previously diagnosed breast conditions.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant 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

Several factors can contribute to the need for a breast biopsy.

Family history of breast cancer.
Personal history of breast disease.
Age, particularly women over 40.
Genetic mutations such as BRCA1 and BRCA2.

Diagnostic Tests Before Procedure

Prior to the biopsy, certain tests may be conducted.

Mammography to identify abnormalities.
Breast ultrasound to assess the characteristics of a lump.
MRI of the breast for detailed imaging.
Fine needle aspiration cytology if indicated.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably, usually lying on their back.
The area of the breast is cleaned and sterilized.
Local anesthesia is administered to numb the area.
A thin needle is inserted into the breast to obtain tissue samples.
Multiple samples may be taken to ensure adequate tissue for diagnosis.
The needle is removed, and pressure is applied to minimize bleeding.

Preparation for the Procedure

Patients should follow specific guidelines before the biopsy.

Inform the doctor of any medications being taken, especially blood thinners.
Avoid aspirin or anti-inflammatory medications for a few days prior.
Wear comfortable clothing and avoid wearing deodorant or lotion on the day of the procedure.
Arrange for someone to drive 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 the area to reduce swelling.
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 site of the biopsy.
Discomfort or pain in the breast.
Possible changes in breast appearance.

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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 excessive swelling.
Follow up with imaging studies if recommended by the physician.

Alternative Treatments

There are non-surgical options available.

Observation and regular monitoring of benign breast conditions.
Medications for hormonal therapy in certain breast conditions.
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.