Overview of CPT Code 19251: Injection of breast lesion
CPT Code 19251 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.
When CPT Code 19251 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable breast lesion requiring treatment.
- Management of benign breast conditions such as cysts.
- Biopsy of suspicious lesions for diagnostic purposes.
- Injection of medications for pain relief or to reduce lesion size.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to 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 during menstrual cycles.
- Family history of breast cancer.
- Previous breast surgeries or biopsies.
- 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 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.
- A local anesthetic is administered to minimize discomfort.
- A needle is inserted into the lesion, and the appropriate medication is injected.
- The site is bandaged, and the patient is monitored briefly.
Preparation for the Procedure
Proper preparation can enhance the procedure's effectiveness.
- Inform the physician about any medications or allergies.
- Avoid blood thinners or anti-inflammatory medications prior to the procedure.
- Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
- Arrange for transportation if sedation is used.
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 if necessary.
- Keep the injection site clean and dry.
- Follow up with the physician for any unusual symptoms or concerns.
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
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 signs of complications.
- Discuss results of any biopsies or imaging performed post-injection.
- Regular breast examinations as recommended by the physician.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Observation and regular monitoring of benign lesions.
- Medications to manage symptoms or hormonal therapies.
- Surgical excision for larger or symptomatic lesions.
Home Care Tips
Simple home care can aid in recovery.
- Avoid strenuous activities for a few days post-procedure.
- Keep the injection site clean and dry.
- Monitor for any signs of infection, such as increased redness or swelling.
- Take over-the-counter pain relief as needed.
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 your healthcare provider.
- Discuss family history and risk factors with your physician.
- Maintain a healthy lifestyle to reduce overall cancer risk.
Billing and Coding Information
CPT Code: 19251
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
- 19102 - Excision of Breast Lesion
- 19103 - Excision of breast lesion, malignant
- 19200 - Excision of Breast Lesion
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 the same day.
What should I watch for after the procedure?
Monitor for signs of infection or unusual swelling.
