Overview of CPT Code 19224: Placement of breast localization device
CPT Code 19224 refers to the procedure of placing a localization device in the breast to assist in the accurate identification and removal of breast lesions during surgery.
When CPT Code 19224 is Used?
This procedure is typically indicated in various clinical scenarios.
- Preoperative localization of non-palpable breast lesions.
- Guidance for excisional biopsy of suspicious breast tissue.
- Assistance in the surgical removal of breast tumors.
Symptoms Indicating This Procedure
Patients may present with specific symptoms that warrant this procedure.
- Presence of a breast lump that cannot be felt.
- Abnormal findings on a mammogram.
- Changes in breast shape or contour.
Causes and Risk Factors
Several factors may contribute to the need for this procedure.
- Family history of breast cancer.
- Previous breast biopsies showing atypical cells.
- Age and hormonal factors influencing breast tissue changes.
Diagnostic Tests Before Procedure
Certain tests are essential for determining the need for localization.
- Mammography to identify lesions.
- Ultrasound for further evaluation of breast masses.
- MRI for detailed imaging of breast tissue.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, usually lying on their back.
- 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.
- The device is secured in place to mark the lesion for surgical removal.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners and certain medications as advised by the physician.
- 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 surgeon for wound care instructions and to monitor healing.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the insertion site.
- Bleeding or hematoma formation.
- Displacement of the localization device.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery.
- Schedule a follow-up appointment within a week after the procedure.
- Monitor for any signs of infection or complications.
- Discuss pathology results and further treatment options if necessary.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Observation and regular monitoring of benign lesions.
- Medication for hormonal therapy in certain breast conditions.
- Radiation therapy for specific types of breast cancer.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Keep the insertion site clean and dry.
- Avoid strenuous activities for a few days.
- Take prescribed pain medications as needed.
Patient Education & Prevention
Educating patients can help in 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 to reduce breast cancer risk.
Billing and Coding Information
CPT Code: 19224
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 the procedure if deemed medically necessary.
- Check with your insurance provider for specific coverage details.
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 removal.
Is the procedure painful?
Most patients experience minimal discomfort due to local anesthesia.
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 the same day after monitoring.
