Overview of CPT Code 19212:Placement of breast localization device
CPT Code 19212 refers to the placement of a breast localization device, which is used to mark the location of a breast lesion or abnormality prior to surgical intervention. This procedure is essential in guiding surgeons during breast surgeries, particularly in cases of breast cancer or other breast conditions.
When CPT Code 19212 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a non-palpable breast lesion identified on imaging studies.
- Need for precise localization of a tumor before lumpectomy or excisional biopsy.
- Guidance for surgical removal of abnormal breast tissue.
Symptoms Indicating This Procedure
Patients may present with specific symptoms or findings that warrant this procedure.
- Abnormal mammogram results showing a suspicious area.
- Breast pain or discomfort in the area of the lesion.
- Palpable mass or lump that requires further evaluation.
Causes and Risk Factors
Several factors may contribute to the need for this procedure.
- Family history of breast cancer.
- Personal history of breast abnormalities.
- Age-related risk, particularly in women over 40.
Diagnostic Tests Before Procedure
Prior to the placement of a localization device, certain diagnostic tests are performed.
- Mammography to identify the location of the lesion.
- Ultrasound for further evaluation of the breast tissue.
- MRI if additional imaging is required for complex cases.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, and the breast is exposed.
- Local anesthesia is administered to minimize discomfort.
- Imaging guidance (ultrasound or mammography) is used to locate the lesion.
- A thin wire or localization device is inserted into the breast tissue at the lesion site.
- The device is secured in place, and the patient is monitored before discharge.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners or medications that may increase bleeding.
- Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
- Arrive at the facility with a support person if possible.
Recovery and Aftercare
Post-procedure care is crucial for recovery.
- Rest for the remainder of the day after the procedure.
- Apply ice packs to reduce swelling if needed.
- Follow up with the healthcare provider as instructed for further evaluation.
Possible Complications
While generally safe, there are potential risks associated with this procedure.
- Infection at the insertion site.
- Bleeding or hematoma formation.
- Displacement of the localization device.
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Post-Procedure Follow-Up
Monitoring after the procedure is essential.
- Follow-up appointment within one week to assess the site.
- Additional imaging may be required to confirm device placement.
- Ongoing monitoring for any signs of complications.
Alternative Treatments
There are non-surgical options available for breast lesions.
- Observation and regular imaging for benign lesions.
- Medication management for hormonal-related breast conditions.
- Stereotactic biopsy as a less invasive diagnostic option.
Home Care Tips
Patients can take steps to ensure proper recovery at home.
- Keep the insertion site clean and dry.
- Monitor for any signs of infection, such as increased redness or discharge.
- Limit physical activity that may strain the breast area for a few days.
Patient Education & Prevention
Educating patients on breast health is vital.
- Regular breast self-exams to detect changes early.
- Annual mammograms as recommended based on age and risk factors.
- Healthy lifestyle choices to reduce breast cancer risk.
Billing and Coding Information
CPT Code: 19212
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 this procedure if deemed medically necessary.
- Patients should verify coverage with their insurance provider.
Related CPT Codes
- 19120 - Excision of Breast Lesion
- 19125 - Excision of breast lesion
- 19200 - Excision of Breast Lesion
References and Sources
Frequently Asked Questions (FAQs)
What is a breast localization device?
It is a device used to mark the location of a breast lesion for surgical guidance.
Is the procedure painful?
Local anesthesia is used, so discomfort is minimal during the procedure.
How long does the procedure take?
The procedure typically takes about 30 minutes to an hour.
Can I go home after the procedure?
Yes, most patients can go home shortly after the procedure.
