Overview of CPT Code 19271: Placement of breast localization device

Overview of CPT Code 19271: Placement of breast localization device

CPT Code 19271 refers to the procedure of placing a localization device in the breast to assist in the accurate identification and removal of breast lesions during surgery.

When CPT Code 19271 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a non-palpable breast lesion identified on imaging.
• Need for precise localization of a tumor prior to surgical excision.
• Guidance for biopsy of suspicious breast tissue.

Symptoms Indicating This Procedure

Patients may report specific symptoms or findings that lead to this procedure.

• Abnormal mammogram results.
• Breast lump that cannot be felt during a physical exam.
• Changes in breast shape or contour.

Causes and Risk Factors

Several factors may contribute to the need for this procedure.

• Family history of breast cancer.
• Previous breast cancer diagnosis.
• Age and hormonal factors.

Diagnostic Tests Before Procedure

Certain tests are performed to guide the localization procedure.

• Mammography to identify lesions.
• Ultrasound for further evaluation.
• MRI for detailed imaging of breast tissue.

Procedure Description

The procedure involves several key steps.

• Patient is positioned comfortably.
• Local anesthesia is administered to minimize discomfort.
• Imaging guidance (ultrasound or mammography) is used to locate the lesion.
• A thin wire or marker is inserted into the breast tissue at the lesion site.
• The localization device is secured in place.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners for a few days prior to the procedure.
• Inform the doctor of any allergies or medical conditions.
• Wear comfortable clothing and arrange for transportation home.

Recovery and Aftercare

Post-procedure care is essential for recovery.

• Rest for the remainder of the day after the procedure.
• Apply ice packs to reduce swelling.
• Follow up with the surgeon as directed for wound care.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the insertion site.
• Bleeding or hematoma formation.
• Displacement of the localization device.

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Post-Procedure Follow-Up

Monitoring after the procedure is crucial.

• Follow-up appointment within a week to assess the site.
• Additional imaging may be required to confirm device placement.
• Regular check-ins as per the surgeon's recommendations.

Alternative Treatments

There are non-surgical options available.

• Observation for benign lesions.
• Needle biopsy for diagnosis without localization.
• Medication management for certain breast conditions.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Keep the insertion site clean and dry.
• Monitor for signs of infection such as redness or discharge.
• Limit physical activity for a few days.

Patient Education & Prevention

Education is key to prevention and awareness.

• Regular breast self-exams and clinical exams.
• Understanding family history and risk factors.
• Maintaining a healthy lifestyle to reduce breast cancer risk.

Billing and Coding Information

CPT Code: 19271

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 $1,000 to $3,000.
• Most insurance plans cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 19120 - Excision of Breast Lesion
• 19125 - Excision of breast lesion

References and Sources

• American College of Surgeons
• National Cancer Institute
• Breast Cancer Research Foundation