Overview of CPT Code 19184: Percutaneous Breast Biopsy

Overview of CPT Code 19184: Percutaneous Breast Biopsy

CPT Code 19184 refers to a percutaneous breast biopsy, a minimally invasive procedure used to obtain tissue samples from a suspicious area in the breast for diagnostic purposes.

When CPT Code 19184 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable breast mass or lump.
• Abnormal findings on a mammogram or breast ultrasound.
• Monitoring of previously diagnosed breast lesions.
• Evaluation of breast pain with no clear cause.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant a biopsy.

• A lump or mass in the breast.
• Changes in breast shape or size.
• Nipple discharge that is bloody or clear.
• Breast pain or tenderness.

Causes and Risk Factors

Several factors may 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 or BRCA2.

Diagnostic Tests Before Procedure

Prior to the biopsy, certain tests may be conducted.

• Mammography to identify suspicious areas.
• Breast ultrasound for further evaluation.
• MRI of the breast in complex cases.
• Fine needle aspiration cytology if indicated.

Procedure Description

The percutaneous breast biopsy involves several key steps.

• Patient is positioned comfortably, usually lying on their back.
• Local anesthesia is administered to numb the area.
• A small incision is made, and a biopsy needle is inserted into the breast tissue.
• Tissue samples are collected using a vacuum-assisted device or core needle.
• The incision is closed with a small bandage.

Preparation for the Procedure

Patients should follow specific guidelines before the biopsy.

• Avoid blood thinners like aspirin or ibuprofen a few days prior.
• Inform the doctor about any allergies or medications.
• Wear comfortable clothing and avoid wearing deodorant on the day of the procedure.
• Arrange for someone to drive you 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 reduce swelling and discomfort.
• Keep the biopsy site clean and dry.
• Follow up with the doctor for results and further instructions.

Possible Complications

While generally safe, some risks are associated with the procedure.

• Bleeding or bruising at the biopsy site.
• Infection at the incision site.
• Discomfort or pain in the breast.
• Possible scarring at the biopsy site.

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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 complications.
• Regular breast examinations as advised by the healthcare provider.

Alternative Treatments

There are non-surgical options for managing breast concerns.

• Regular monitoring with imaging for benign lesions.
• Medications for pain management.
• Hormonal therapy for certain breast conditions.

Home Care Tips

Patients can take 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.
• Monitor for any unusual symptoms and contact your doctor if they occur.

Patient Education & Prevention

Education is key to prevention and early detection.

• Perform regular breast self-exams.
• Schedule routine mammograms as recommended.
• Discuss family history and risk factors with your doctor.
• Maintain a healthy lifestyle to reduce breast cancer risk.

Billing and Coding Information

CPT Code: 19184

Category: Surgical Procedures

Common Modifiers:

• 50 (bilateral procedure)
• LT (left side)
• RT (right side)

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $1,000 to $3,000.
• Most insurance plans cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 19183 - Breast Biopsy, Stereotactic
• 19185 - Breast Biopsy, Stereotactic, Needle
• 19281 - Breast Biopsy, Needle, Percutaneous

References and Sources

• American College of Radiology
• National Cancer Institute
• Mayo Clinic