Overview of CPT Code 19183: Breast Biopsy, Stereotactic
CPT Code 19183 refers to a stereotactic breast biopsy, a minimally invasive procedure used to obtain tissue samples from suspicious breast lesions identified through imaging techniques.
When CPT Code 19183 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a suspicious mass or calcifications on a mammogram.
- Follow-up of abnormal findings from previous imaging studies.
- Assessment of breast lesions that cannot be felt during a physical examination.
Symptoms Indicating This Procedure
Patients may report specific symptoms that warrant a stereotactic breast biopsy.
- Palpable lump in the breast.
- Changes in breast shape or size.
- Nipple discharge that is bloody or clear.
- Localized breast pain or tenderness.
Causes and Risk Factors
Several factors may contribute to the need for a stereotactic breast biopsy.
- Family history of breast cancer.
- Personal history of breast abnormalities.
- Genetic mutations such as BRCA1 or BRCA2.
- Age, particularly women over 40.
Diagnostic Tests Before Procedure
Prior to the biopsy, certain diagnostic tests are typically performed.
- Mammography to identify suspicious areas.
- Ultrasound to further evaluate breast lesions.
- MRI for detailed imaging of breast tissue.
Procedure Description
The stereotactic breast biopsy involves several key steps.
- Patient is positioned comfortably, usually lying face down.
- Imaging is performed to locate the lesion precisely.
- Local anesthesia is administered to numb the area.
- A small incision is made, and a hollow needle is inserted to collect tissue samples.
- Multiple samples may be taken for accurate diagnosis.
- The incision is closed with a bandage.
Preparation for the Procedure
Patients should follow specific guidelines before undergoing the biopsy.
- Avoid blood thinners for several days prior to the procedure.
- Inform the doctor of any medications or allergies.
- Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
Recovery and Aftercare
Post-procedure care is essential for optimal 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 up with the healthcare provider for results and further instructions.
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 scarring.
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Post-Procedure Follow-Up
Monitoring after the procedure is crucial.
- Schedule a follow-up appointment within a week to discuss results.
- Monitor for any signs of infection or unusual symptoms.
- Regular breast examinations as recommended by the healthcare provider.
Alternative Treatments
There are non-surgical options available for breast abnormalities.
- Regular monitoring with imaging studies.
- Medication for hormonal imbalances.
- Lifestyle changes to reduce breast cancer risk.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Avoid strenuous activities for a few days.
- Use over-the-counter pain relievers as needed.
- Keep the biopsy site clean and dry.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular breast self-exams and clinical exams.
- Annual mammograms as recommended based on age and risk factors.
- Healthy lifestyle choices, including diet and exercise.
Billing and Coding Information
CPT Code: 19183
Category: Surgical Procedures
Common Modifiers:
- 26 - Professional component
- TC - Technical component
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- Average cost ranges from $1,500 to $3,000.
- Most insurance plans cover the procedure if deemed medically necessary.
Related CPT Codes
- 19181 - Breast Biopsy, Needle, Image-Guided
- 19182 - Breast Biopsy, Stereotactic, Needle
- 19281 - Breast Biopsy, Needle, Percutaneous
- 19283 - Placement of Breast Tissue Expander
References and Sources
Frequently Asked Questions (FAQs)
What is a stereotactic breast biopsy?
It is a procedure to obtain tissue samples from suspicious breast areas using imaging guidance.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
How long does the procedure take?
The biopsy typically takes about 30 to 60 minutes.
When will I get my results?
Results are usually available within a few days to a week.
