Overview of CPT Code 19284:Placement of breast localization device

CPT Code 19284 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 19284 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a non-palpable breast lesion identified on imaging studies.
Need for precise localization of a tumor before lumpectomy or excisional biopsy.
Guidance for surgical removal of abnormal breast tissue.

Symptoms Indicating This Procedure

Patients may present with specific symptoms or findings that warrant this procedure.

Abnormal mammogram results indicating a lesion.
Breast pain or discomfort in the area of the lesion.
Palpable mass or lump in the breast that requires further evaluation.

Causes and Risk Factors

Several factors may contribute to the need for this procedure.

Family history of breast cancer.
Personal history of breast abnormalities.
Age-related risk, particularly in women over 40.

Diagnostic Tests Before Procedure

Certain tests are performed to confirm the need for localization.

Mammography to identify lesions.
Ultrasound for further evaluation of breast abnormalities.
MRI for detailed imaging of 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 to ensure accurate localization during surgery.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

Avoid blood thinners or certain medications as advised by the physician.
Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
Arrive at the facility with a support person if possible.

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 for wound care instructions and to discuss pathology results.