Overview of CPT Code 19228:Placement of breast localization device
CPT Code 19228 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 19228 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a suspicious breast mass or lesion identified on imaging studies.
- Need for precise localization of a tumor before lumpectomy or excisional biopsy.
- Guidance for surgical removal of non-palpable breast lesions.
- Planning for breast conservation surgery in patients with breast cancer.
Symptoms Indicating This Procedure
Patients may present with various symptoms that necessitate this procedure.
- Palpable lump or mass in the breast.
- Abnormal findings on mammography or ultrasound.
- Changes in breast shape or contour.
- Nipple discharge or skin changes.
Causes and Risk Factors
Several factors may contribute to the need for this procedure.
- Family history of breast cancer.
- Genetic mutations such as BRCA1 or BRCA2.
- Previous breast biopsies showing atypical cells.
- Age and hormonal factors.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to guide the procedure.
- Mammography to identify lesions.
- Breast ultrasound for further evaluation.
- MRI of the breast for detailed imaging.
- Biopsy results to assess the nature of the lesion.
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.
- 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 proceeding to surgery.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners or certain medications as advised by the physician.
- Inform the healthcare provider of any allergies or medical conditions.
- Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
- Arrange for transportation home after 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 if needed.
- Follow wound care instructions provided by the healthcare team.
- Take prescribed pain medications as directed.
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.
- Allergic reaction to anesthesia or materials used.
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Post-Procedure Follow-Up
Follow-up care is crucial for monitoring recovery.
- Schedule a follow-up appointment within a week to assess the site.
- 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 localized breast cancer.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the insertion site clean and dry.
- Avoid strenuous activities for a few days.
- Monitor for any unusual symptoms and report them to the doctor.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Education is key to prevention and early detection.
- Perform regular breast self-exams to detect changes early.
- Schedule routine mammograms as recommended by healthcare providers.
- Discuss family history and risk factors with a healthcare professional.
- Adopt a healthy lifestyle to reduce breast cancer risk.
Billing and Coding Information
CPT Code: 19228
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.
- 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
- 19240 - Injection 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 to minimize discomfort during the procedure.
How long does the procedure take?
The procedure typically takes about 30 minutes to an hour.
What should I expect after the procedure?
You may experience some soreness and swelling at the site, which is normal.
