Overview of CPT Code 19272:Placement of Breast Localization Device
CPT Code 19272 refers to the placement of a breast localization device, which is used to mark the location of a breast lesion or abnormality prior to surgical intervention. This procedure is essential in guiding surgeons during breast surgeries, particularly in cases of breast cancer or other breast conditions.
When CPT Code 19272 is Used?
This procedure is indicated in various clinical scenarios.
- Preoperative localization of non-palpable breast lesions.
- Guidance for excisional biopsy of suspicious breast masses.
- Assistance in lumpectomy procedures for breast cancer treatment.
Symptoms Indicating This Procedure
Patients may present with specific symptoms that warrant this procedure.
- Presence of a suspicious mass detected on mammography.
- Abnormal findings on breast ultrasound.
- History of breast cancer with new lesions.
Causes and Risk Factors
Several factors may lead to the need for this procedure.
- Family history of breast cancer.
- Genetic predispositions such as BRCA mutations.
- Previous breast biopsies showing atypical cells.
Diagnostic Tests Before Procedure
Prior to the placement of a localization device, certain tests are performed.
- Mammography to identify lesions.
- Breast ultrasound for further evaluation.
- MRI of the breast in complex cases.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, usually lying on their back.
- Local anesthesia is administered to minimize discomfort.
- Imaging guidance (ultrasound or mammography) is used to locate the lesion.
- A thin wire or localization device is inserted into the breast tissue at the lesion site.
- The device is secured in place, and the patient is monitored before discharge.
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 physician of any allergies, especially to anesthesia.
- Wear comfortable clothing and arrange for transportation home.
Recovery and Aftercare
Post-procedure care is crucial for recovery.
- Rest for the remainder of the day after the procedure.
- Apply ice packs to reduce swelling if needed.
- Follow up with the surgeon as scheduled for further evaluation.
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.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Monitoring after the procedure is important.
- Follow-up appointment within one week to assess the site.
- Additional imaging may be required to confirm device placement.
- Regular check-ups as per the surgeon's recommendations.
Alternative Treatments
There are non-surgical options available for breast lesions.
- Observation and regular imaging for benign lesions.
- Medication for hormonal therapy in certain breast conditions.
- Stereotactic biopsy as a less invasive diagnostic option.
Home Care Tips
Patients can take steps to ensure proper recovery at home.
- Keep the insertion site clean and dry.
- Monitor for signs of infection such as redness or increased pain.
- Avoid strenuous activities for a few days post-procedure.
Patient Education & Prevention
Educating patients can help in prevention and early detection.
- Regular breast self-exams to detect changes early.
- Annual mammograms as recommended based on age and risk factors.
- Discuss family history with healthcare providers for personalized screening.
Billing and Coding Information
CPT Code: 19272
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- LT - Left side
- RT - Right side
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.
- Patients should verify coverage with their insurance provider.
Related CPT Codes
- 19281 - Breast Biopsy, Needle, Percutaneous
- 19283 - Placement of Breast Tissue Expander
- 19301 - Breast Reconstruction, Unilateral
- 19302 - Breast Reconstruction with Implant
- 19303 - Breast Reconstruction with Implant
References and Sources
Frequently Asked Questions (FAQs)
What is a breast localization device?
It is a device used to mark the location of a breast lesion for surgical guidance.
Is the procedure painful?
Most patients experience minimal discomfort due to local anesthesia.
How long does the procedure take?
The procedure typically takes about 30 minutes to an hour.
Can I go home after the procedure?
Yes, most patients can go home the same day after monitoring.
