Overview of CPT Code 19187: Breast Biopsy, Stereotactic

Overview of CPT Code 19187: Breast Biopsy, Stereotactic

CPT Code 19187 refers to a stereotactic breast biopsy, a minimally invasive procedure used to obtain tissue samples from suspicious breast lesions identified through imaging techniques. This procedure is crucial for diagnosing breast cancer and other abnormalities.

When CPT Code 19187 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 lesions that require further evaluation.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant a stereotactic breast 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 area.

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, particularly women over 40.

Diagnostic Tests Before Procedure

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

• Mammography to identify suspicious areas.
• Breast ultrasound for further evaluation.
• MRI of the breast if indicated.

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.
• 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 for accurate diagnosis.
• The incision is closed with a 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 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 recovery.

• Rest for the remainder of the day after the procedure.
• Apply ice packs to reduce swelling.
• 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.
• Discomfort or pain in the breast.
• Scarring.

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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 for any signs of infection or complications.
• Regular breast examinations as recommended by the healthcare provider.

Alternative Treatments

There are non-surgical options available for breast abnormalities.

• Watchful waiting for benign lesions.
• Medication for hormonal imbalances.
• Regular imaging and monitoring.

Home Care Tips

Patients can take steps to aid their recovery at home.

• 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.
• Annual mammograms as recommended.
• Healthy lifestyle choices to reduce breast cancer risk.

Billing and Coding Information

CPT Code: 19187

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 $1,500 to $3,000.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 19180 - Excision of Breast Lesion
• 19182 - Breast Biopsy, Stereotactic, Needle
• 19183 - Breast Biopsy, Stereotactic
• 19281 - Breast Biopsy, Needle, Percutaneous
• 19290 - Placement of Breast Tissue Expander

References and Sources

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