Overview of CPT Code 19245: Injection of breast lesion
CPT Code 19245 refers to the injection of a breast lesion, typically performed to treat or manage abnormalities found in breast tissue. This procedure is often guided by imaging techniques to ensure accuracy and effectiveness.
When CPT Code 19245 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable breast lesion requiring treatment.
- Management of cysts or solid masses in the breast.
- Biopsy of a suspicious lesion for diagnostic purposes.
- Injection of medication for pain relief or to reduce lesion size.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the need for this procedure.
- Palpable lump or mass in the breast.
- Breast pain or discomfort.
- Changes in breast shape or size.
- Nipple discharge or changes in the skin over the breast.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early detection.
- Hormonal changes affecting breast tissue.
- Family history of breast cancer or lesions.
- Previous breast surgeries or biopsies.
- Age and gender, with women over 40 being at higher risk.
Diagnostic Tests Before Procedure
Several tests may be conducted to guide the injection procedure.
- Mammography to visualize breast lesions.
- Ultrasound to assess the characteristics of the lesion.
- MRI for detailed imaging of complex cases.
- Fine needle aspiration or core needle biopsy for cytological analysis.
Procedure Description
The injection procedure involves several key steps.
- Patient is positioned comfortably, and the breast area is cleaned.
- Imaging guidance (ultrasound or mammography) is used to locate the lesion.
- Local anesthesia is administered to minimize discomfort.
- A needle is inserted into the lesion, and the medication is injected.
- The site is bandaged, and the patient is monitored briefly.
Preparation for the Procedure
Proper preparation can enhance the procedure's success.
- Inform the physician about any medications or allergies.
- Avoid blood thinners or anti-inflammatory medications prior to the procedure.
- Wear comfortable clothing and arrange for transportation if sedation is used.
- Follow any specific dietary instructions provided by the healthcare team.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest for the remainder of the day after the procedure.
- Apply ice packs to reduce swelling and discomfort.
- Keep the injection site clean and dry.
- Follow up with the healthcare provider as instructed.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site.
- Bleeding or hematoma formation.
- Allergic reaction to the injected substance.
- Persistent pain or discomfort in the breast.
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Post-Procedure Follow-Up
Monitoring after the procedure is crucial for assessing outcomes.
- Schedule a follow-up appointment within a week to assess the injection site.
- Monitor for any unusual symptoms such as increased pain or swelling.
- Discuss the results of any biopsies or imaging performed.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Observation and regular monitoring of the lesion.
- Medications to manage symptoms or hormonal therapy.
- Surgical excision for larger or problematic lesions.
Home Care Tips
Simple home care can aid in recovery.
- Avoid strenuous activities for a few days post-procedure.
- Use over-the-counter pain relievers as needed.
- Keep the injection site clean and monitor for signs of infection.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular breast self-exams to detect changes early.
- Routine mammograms as recommended by healthcare providers.
- Healthy lifestyle choices to reduce breast cancer risk.
Billing and Coding Information
CPT Code: 19245
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 $300 to $800.
- Most insurance plans cover the procedure if deemed medically necessary.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19120 - Excision of Breast Lesion
- 19125 - Excision of breast lesion
- 19281 - Breast Biopsy, Needle, Percutaneous
References and Sources
Frequently Asked Questions (FAQs)
Is the injection painful?
Most patients report minimal discomfort due to local anesthesia.
How long does the procedure take?
The procedure typically takes about 30 minutes.
Will I need time off work?
Most patients can return to normal activities within a day.
What should I watch for after the procedure?
Monitor for signs of infection, such as increased redness or swelling.
