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Overview of CPT Code 19240: Injection of breast lesion

Overview of CPT Code 19240: Injection of breast lesion

CPT Code 19240 refers to the injection of a breast lesion, typically used for therapeutic or diagnostic purposes. This procedure is performed to treat or evaluate abnormalities in breast tissue.

When CPT Code 19240 is Used?

This code is applicable in various clinical scenarios.

  • Presence of a palpable breast lesion requiring treatment.
  • Guidance for biopsy or aspiration of a breast mass.
  • Management of cysts or solid masses in the breast.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to this procedure.

  • Lump or mass in the breast.
  • Pain or tenderness in the breast area.
  • Changes in breast shape or size.
  • Nipple discharge or inversion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

  • Hormonal changes during menstrual cycles.
  • Family history of breast cancer.
  • Previous breast surgeries or biopsies.
  • Age and genetic predispositions.

Diagnostic Tests Before Procedure

Several tests may be conducted to guide the injection procedure.

  • Mammography to visualize breast lesions.
  • Ultrasound for real-time imaging of the lesion.
  • MRI for detailed imaging of breast tissue.

Procedure Description

The injection procedure involves several key steps.

  • Patient is positioned comfortably.
  • Skin over the lesion is cleaned and sterilized.
  • Local anesthesia may be administered.
  • A needle is inserted into the lesion to deliver medication.
  • Post-procedure care instructions are provided.

Preparation for the Procedure

Proper preparation can enhance the procedure's effectiveness.

  • Avoid blood thinners for a few days prior.
  • Inform the doctor of any allergies.
  • Wear comfortable clothing for the procedure.

Recovery and Aftercare

Post-procedure care is crucial for recovery.

  • Rest for the remainder of the day.
  • Apply ice to reduce swelling.
  • Monitor for signs of infection at the injection site.

Possible Complications

While generally safe, there are potential risks involved.

  • Infection at the injection site.
  • Bleeding or bruising.
  • Allergic reaction to injected substances.
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Post-Procedure Follow-Up

Follow-up is essential to monitor recovery.

  • Schedule a follow-up appointment within a week.
  • Report any unusual symptoms immediately.
  • Discuss results of any biopsies or imaging.

Alternative Treatments

There are non-invasive options available.

  • Observation for benign lesions.
  • Medication for pain management.
  • Surgical options for larger or problematic lesions.

Home Care Tips

Simple home care can aid in recovery.

  • Keep the injection site clean and dry.
  • Avoid strenuous activities for a few days.
  • Take prescribed medications as directed.

Patient Education & Prevention

Education is key to prevention and early detection.

  • Regular breast self-exams.
  • Routine mammograms as recommended.
  • Healthy lifestyle choices to reduce risk.

Billing and Coding Information

CPT Code: 19240

Category: Surgical Procedures

Common Modifiers:

  • 50 - Bilateral procedure
  • RT - Right side
  • LT - Left side

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

  • Average cost ranges from $200 to $600.
  • Most insurance plans cover the procedure if medically necessary.

References and Sources

Frequently Asked Questions (FAQs)

Is the injection painful?

Most patients report minimal discomfort during the injection.

How long does the procedure take?

The procedure typically takes about 15 to 30 minutes.

Will I need anesthesia?

Local anesthesia is usually administered to minimize discomfort.

What should I do if I notice swelling?

Contact your healthcare provider if swelling persists or worsens.

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