Overview of CPT Code 19229:Placement of Breast Tissue Expander

Overview of CPT Code 19229:Placement of Breast Tissue Expander

CPT Code 19229 refers to the surgical procedure for the placement of a breast tissue expander, which is often used in breast reconstruction following mastectomy or lumpectomy.

When CPT Code 19229 is Used?

This procedure is indicated in various clinical scenarios.

• Post-mastectomy breast reconstruction.
• Breast reconstruction after lumpectomy.
• Patients desiring breast augmentation with expanders.

Symptoms Indicating This Procedure

Patients may present with specific symptoms that warrant this procedure.

• Loss of breast tissue due to cancer treatment.
• Desire for breast reconstruction.
• Physical discomfort or psychological distress related to breast loss.

Causes and Risk Factors

Several factors can lead to the need for this procedure.

• Breast cancer requiring mastectomy.
• Genetic predisposition to breast cancer.
• Previous breast surgeries or trauma.

Diagnostic Tests Before Procedure

Certain tests are performed to ensure the patient is a suitable candidate.

• Mammography to assess breast tissue.
• MRI for detailed imaging of breast anatomy.
• Biopsy to confirm cancer diagnosis.

Procedure Description

The procedure involves several key steps.

• Administer anesthesia to the patient.
• Make an incision in the breast area.
• Create a pocket for the tissue expander.
• Insert the tissue expander into the pocket.
• Close the incision with sutures.

Preparation for the Procedure

Patients should follow specific guidelines before the surgery.

• Avoid eating or drinking after midnight before the procedure.
• Discuss medications with the healthcare provider.
• Arrange for transportation post-surgery.

Recovery and Aftercare

Post-operative care is crucial for recovery.

• Rest for at least 24 hours post-surgery.
• Follow wound care instructions provided by the surgeon.
• Take prescribed pain medications as needed.

Possible Complications

As with any surgical procedure, there are risks involved.

• Infection at the surgical site.
• Bleeding or hematoma formation.
• Implant rupture or displacement.

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

• Schedule a follow-up appointment within a week post-surgery.
• Monitor for signs of infection or complications.
• Discuss further reconstruction options if necessary.

Alternative Treatments

There are non-surgical options available.

• Prosthetic breast forms.
• Fat grafting for breast reconstruction.
• Psychological counseling for body image issues.

Home Care Tips

Patients can follow these tips for better recovery.

• Keep the surgical area clean and dry.
• Wear a supportive bra as advised.
• Avoid strenuous activities for several weeks.

Patient Education & Prevention

Education is key to preventing complications.

• Understand the signs of infection.
• Know when to contact your healthcare provider.
• Discuss lifestyle changes to reduce cancer risk.

Billing and Coding Information

CPT Code: 19229

Category: Surgery

Common Modifiers:

• 50 (bilateral procedure)
• RT (right side)
• LT (left side)

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $5,000 to $15,000.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 19357 - Breast Reconstruction with Tissue Expander
• 19340 - Breast Reconstruction with Implant
• 19342 - Breast Reconstruction with Implant
• 19350 - Breast Reconstruction with Tissue Expander

References and Sources

• American Society of Plastic Surgeons
• National Cancer Institute