Overview of CPT Code 19185: Breast Biopsy, Stereotactic, Needle
CPT Code 19185 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 19185 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a suspicious mass or lesion detected on a mammogram.
- Abnormal findings on breast ultrasound.
- Follow-up of previously identified breast abnormalities.
- Assessment of microcalcifications that may indicate early breast cancer.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant a 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 needle 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 50.
Diagnostic Tests Before Procedure
Prior to the biopsy, certain tests are typically performed.
- Mammography to identify suspicious areas.
- Breast ultrasound for further evaluation.
- MRI of the breast in complex cases.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, usually lying face down.
- Imaging guidance is used to locate the lesion.
- Local anesthesia is administered to numb the area.
- A small incision is made, and a thin needle is inserted to collect tissue samples.
- Multiple samples may be taken to ensure accurate diagnosis.
- The incision is closed with a small bandage.
Preparation for the Procedure
Patients should follow specific guidelines before the biopsy.
- Avoid blood thinners for several days prior to the procedure.
- Inform the doctor of any allergies or medical conditions.
- Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
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 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 changes in breast appearance.
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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 if the lesion is benign.
- Medications for hormonal therapy in certain cases.
- Lifestyle changes to reduce breast cancer risk.
Home Care Tips
Patients can take simple steps to aid recovery.
- Avoid strenuous activities for a few days.
- Take 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 to detect changes early.
- Annual mammograms as recommended based on age and risk factors.
- Healthy lifestyle choices, including diet and exercise.
Billing and Coding Information
CPT Code: 19185
Category: Surgical Procedures
Common Modifiers:
- -50
- -RT
- -LT
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.
Related CPT Codes
- 19183 - Breast Biopsy, Stereotactic
- 19186 - Breast biopsy, percutaneous, needle
- 19281 - Breast Biopsy, Needle, Percutaneous
- 19283 - Placement of Breast Tissue Expander
- 19301 - Breast Reconstruction, Unilateral
References and Sources
Frequently Asked Questions (FAQs)
What is a stereotactic needle biopsy?
It is a minimally invasive procedure to obtain breast tissue samples using imaging guidance.
Is the procedure painful?
Local anesthesia is used, so discomfort is minimal during the procedure.
How long does the procedure take?
The biopsy typically takes about 30 to 60 minutes.
When will I get the results?
Results are usually available within a few days to a week.
