Overview of CPT Code 19250: Injection of breast lesion
CPT Code 19250 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 19250 is Used?
This code is applicable in various clinical scenarios.
- To inject medication directly into a breast lesion for treatment.
- To perform a biopsy of a suspicious breast mass.
- To alleviate symptoms associated with benign breast conditions.
Symptoms Indicating This Procedure
Patients may present with several symptoms that warrant 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.
- Family history of breast cancer.
- Previous breast lesions or surgeries.
- Hormonal changes or therapies.
- Age, particularly women over 40.
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 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 or obtain a sample.
- The site is bandaged after the procedure.
Preparation for the Procedure
Proper preparation can enhance the procedure's effectiveness.
- Inform the physician about any medications or allergies.
- Avoid blood thinners for a few days prior to the procedure.
- Wear comfortable clothing and arrange for post-procedure transport if sedation is used.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest for the remainder of the day.
- Apply ice packs to reduce swelling.
- Monitor the injection site for signs of infection.
- Follow up with the physician as directed.
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 injected substances.
- Discomfort or pain at the injection site.
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Post-Procedure Follow-Up
Follow-up is crucial for monitoring recovery and results.
- Schedule a follow-up appointment within a week.
- Discuss any persistent symptoms or concerns.
- Review results of any biopsies or imaging performed.
Alternative Treatments
There are non-invasive options available for managing breast lesions.
- Observation and regular monitoring.
- Medications to manage symptoms.
- Physical therapy for pain relief.
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 over-the-counter pain relievers as needed.
Patient Education & Prevention
Education is key to prevention and early detection.
- Perform regular breast self-exams.
- Schedule routine mammograms as recommended.
- Discuss family history and risk factors with your doctor.
Billing and Coding Information
CPT Code: 19250
Category: Surgical Procedures
Common Modifiers:
- -50
- -RT
- -LT
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.
Related CPT Codes
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19102 - Excision of Breast Lesion
- 19103 - Excision of breast lesion, malignant
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 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.
