Overview of CPT Code 19283:Placement of Breast Tissue Expander
CPT Code 19283 refers to the surgical procedure for the placement of a breast tissue expander, which is often used in breast reconstruction following mastectomy or lumpectomy. This procedure helps to create space for a permanent implant.
When CPT Code 19283 is Used?
This procedure is indicated in several clinical scenarios.
- Post-mastectomy breast reconstruction.
- Breast reconstruction after lumpectomy.
- Patients desiring breast augmentation after significant weight loss.
- Correction of breast asymmetry.
Symptoms Indicating This Procedure
Patients may present with various symptoms that lead to the need for this procedure.
- Loss of breast tissue due to cancer treatment.
- Desire for breast reconstruction.
- Physical discomfort or psychological distress related to breast appearance.
Causes and Risk Factors
Several factors can lead to the need for a breast tissue expander.
- Breast cancer requiring mastectomy.
- Genetic predisposition to breast cancer.
- Previous breast surgeries that altered breast shape.
Diagnostic Tests Before Procedure
Certain tests are typically performed to ensure the appropriateness of the procedure.
- Mammography to assess breast tissue.
- MRI for detailed imaging of breast anatomy.
- Biopsy results confirming cancer diagnosis.
Procedure Description
The procedure involves several key steps.
- Administer anesthesia to the patient.
- Make an incision in the breast area.
- Create a pocket for the tissue expander.
- Insert the tissue expander into the pocket.
- Close the incision with sutures.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid eating or drinking after midnight before surgery.
- Discuss medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the procedure.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Rest for at least 24 hours post-surgery.
- Follow-up appointments to monitor healing.
- Keep the surgical area clean and dry.
- Manage pain with prescribed medications.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Implant rupture or displacement.
- Scarring or changes in breast sensation.
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
Regular follow-up is essential for monitoring recovery.
- Initial follow-up within one week post-surgery.
- Subsequent visits every few weeks to assess healing.
- Long-term follow-up to evaluate the need for permanent implants.
Alternative Treatments
There are non-surgical options available.
- Prosthetic breast forms for external use.
- Counseling for emotional support.
- Physical therapy for post-surgical recovery.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Avoid heavy lifting for several weeks.
- Wear a supportive bra as recommended.
- Monitor for signs of infection, such as redness or swelling.
Patient Education & Prevention
Education is key to preventing complications.
- Understand the importance of follow-up care.
- Be aware of signs of complications.
- Discuss lifestyle changes that may reduce cancer risk.
Billing and Coding Information
CPT Code: 19283
Category: Surgery
Common Modifiers:
- 50 (bilateral procedure)
- RT (right side)
- LT (left side)
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan.
Related CPT Codes
- 19357 - Breast Reconstruction with Tissue Expander
- 19340 - Breast Reconstruction with Implant
- 19342 - Breast Reconstruction with Implant
- 19361 - Breast Reconstruction with Implant
References and Sources
Frequently Asked Questions (FAQs)
What is a breast tissue expander?
A breast tissue expander is a device used to stretch the skin and muscle to prepare for a permanent breast implant.
How long does the procedure take?
The procedure typically takes about one to two hours.
Will I feel pain after the procedure?
Some discomfort is normal, but pain can be managed with medication.
How long is the recovery period?
Most patients can return to normal activities within a few weeks.
