Overview of CPT Code 19205: Breast Biopsy, Needle, Percutaneous, Image-Guided
CPT Code 19205 refers to a minimally invasive procedure used to obtain tissue samples from a suspicious area in the breast using a needle, guided by imaging techniques such as ultrasound or mammography.
When CPT Code 19205 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable breast mass.
- Abnormal findings on a mammogram.
- Suspicious lesions identified during imaging studies.
- Follow-up of previously diagnosed breast conditions.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this biopsy.
- 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 breast biopsy.
- Family history of breast cancer.
- Genetic mutations such as BRCA1 or BRCA2.
- Previous breast cancer diagnosis.
- Age, particularly women over 40.
Diagnostic Tests Before Procedure
Prior to the biopsy, certain tests may be conducted.
- Mammography to identify suspicious areas.
- Ultrasound to assess the characteristics of the mass.
- MRI for detailed imaging of breast tissue.
Procedure Description
The procedure is performed under local anesthesia.
- Patient is positioned comfortably.
- Skin is cleaned and numbed with local anesthetic.
- Imaging guidance is used to locate the target area.
- A thin needle is inserted to obtain tissue samples.
- Samples are sent for pathological analysis.
Preparation for the Procedure
Patients should follow specific guidelines before the biopsy.
- Avoid blood thinners for several days prior.
- Inform the doctor of any allergies.
- Wear comfortable clothing for the procedure.
- Arrange for transportation if sedation is used.
Recovery and Aftercare
Post-procedure care is essential for recovery.
- Rest for the remainder of the day.
- Apply ice packs to reduce swelling.
- Keep the biopsy site clean and dry.
- Follow up with the doctor for results.
Possible Complications
While generally safe, some risks are associated with the procedure.
- Bleeding at the biopsy site.
- Infection.
- Hematoma formation.
- Discomfort or pain at the site.
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Post-Procedure Follow-Up
Monitoring after the procedure is crucial.
- Schedule a follow-up appointment within a week.
- Discuss biopsy results with the healthcare provider.
- Monitor for any signs of complications.
Alternative Treatments
Other management options may be considered.
- Watchful waiting for benign findings.
- Medication for hormonal therapy in certain cases.
- Surgical excision for larger or concerning masses.
Home Care Tips
Patients can take steps to aid 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.
- Monitor for any unusual symptoms.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular breast self-exams.
- Annual mammograms as recommended.
- Healthy lifestyle choices to reduce cancer risk.
- Genetic counseling if there is a family history.
Billing and Coding Information
CPT Code: 19205
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 $1,000 to $3,000.
- Most insurance plans cover the procedure.
- Check with your provider for specific coverage details.
Related CPT Codes
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19102 - Excision of Breast Lesion
- 19103 - Excision of breast lesion, malignant
- 19281 - Breast Biopsy, Needle, Percutaneous
References and Sources
Frequently Asked Questions (FAQs)
Is the procedure painful?
Most patients experience minimal discomfort due to local anesthesia.
How long does the procedure take?
The biopsy typically takes about 30 minutes.
When will I get my results?
Results are usually available within a week.
Can I drive after the procedure?
You may drive unless sedation was used.
What should I do if I notice bleeding?
Contact your healthcare provider if bleeding persists.
