Overview of CPT Code 19182: Breast Biopsy, Stereotactic, Needle

CPT Code 19182 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 19182 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a suspicious mass or lesion detected on a mammogram.
Abnormal breast imaging findings that require histological evaluation.
Follow-up of previously identified breast abnormalities.
Assessment of breast tissue in patients with a family history of breast cancer.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the need for 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, such as dimpling or puckering.

Causes and Risk Factors

Several factors may contribute to the need for a stereotactic breast biopsy.

Family history of breast cancer.
Genetic mutations such as BRCA1 or BRCA2.
Previous breast biopsies or surgeries.
Age, with increased risk in women over 40.

Diagnostic Tests Before Procedure

Prior to the biopsy, several diagnostic tests may be performed.

Mammography to identify suspicious areas.
Ultrasound to further evaluate breast lesions.
MRI of the breast for detailed imaging.
Clinical breast examination by a healthcare provider.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably, usually lying face down.
Stereotactic imaging is used to locate the lesion.
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 or aspirin for several days prior.
Inform the doctor of any allergies or medical conditions.
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 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 bruising at the biopsy site.
Infection at the incision site.
Discomfort or pain in the breast.
Possible need for additional biopsies if results are inconclusive.

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Post-Procedure Follow-Up

Follow-up care is important for monitoring recovery.

Schedule a follow-up appointment within a week to discuss results.
Monitor the biopsy site for signs of infection or unusual changes.
Follow up with imaging studies as recommended by the healthcare provider.

Alternative Treatments

There are non-surgical options available for breast abnormalities.

Regular monitoring with imaging for benign lesions.
Medications for hormonal therapy in certain breast conditions.
Lifestyle changes to reduce breast cancer 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 signs of complications and contact a healthcare provider if needed.
Stay hydrated and maintain a balanced diet to support healing.