Overview of CPT Code 19211: Breast Biopsy, Needle, Percutaneous

CPT Code 19211 refers to a percutaneous needle biopsy of the breast, a minimally invasive procedure used to obtain tissue samples for diagnostic evaluation of breast abnormalities.

When CPT Code 19211 is Used?

This procedure is indicated in various clinical scenarios.

Suspicious breast mass detected on imaging studies.
Abnormal findings on a mammogram.
Palpable breast lump that requires histological examination.
Follow-up of previously diagnosed breast lesions.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant a biopsy.

A 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 redness.

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 and BRCA2.

Diagnostic Tests Before Procedure

Prior to the biopsy, certain tests may be performed.

Mammography to identify abnormalities.
Ultrasound to assess the characteristics of the mass.
MRI for detailed imaging of breast tissue.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably, and the breast area is cleaned.
Local anesthesia is administered to minimize discomfort.
A thin needle is inserted into the breast tissue to obtain a sample.
Multiple samples may be taken to ensure adequate tissue for diagnosis.
The needle is removed, and pressure is applied to the site to minimize bleeding.

Preparation for the Procedure

Patients should follow specific guidelines before the biopsy.

Avoid blood thinners for several days prior to the procedure.
Inform the physician 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, and follow any specific wound care instructions.
Over-the-counter pain relievers may be used as needed.

Possible Complications

While generally safe, there are potential risks.

Bleeding at the biopsy site.
Infection at the site of the procedure.
Hematoma formation.
Discomfort or pain in the breast area.

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Post-Procedure Follow-Up

Follow-up care is important for monitoring.

Schedule a follow-up appointment within a week to discuss results.
Monitor the biopsy site for signs of infection or excessive swelling.
Follow up with imaging studies if recommended by the physician.

Alternative Treatments

There are non-surgical options available.

Watchful waiting for benign findings.
Medication for hormonal therapy in certain breast conditions.
Regular imaging and monitoring for non-suspicious lesions.

Home Care Tips

Patients can take steps to aid recovery at home.

Avoid strenuous activities for a few days post-procedure.
Keep the biopsy site clean and dry.
Monitor for any unusual symptoms and contact a healthcare provider if they occur.