Overview of CPT Code 19285:Placement of Breast Tissue Expander
CPT Code 19285 refers to the surgical placement of a breast tissue expander, which is used in breast reconstruction following mastectomy or lumpectomy. This procedure allows for gradual expansion of the breast tissue to accommodate a permanent implant.
When CPT Code 19285 is Used?
This procedure is indicated in various clinical scenarios.
- Post-mastectomy breast reconstruction.
- Breast reconstruction after lumpectomy.
- Correction of breast asymmetry.
- Preparation for permanent breast implant placement.
Symptoms Indicating This Procedure
Patients may present with specific symptoms that warrant this procedure.
- Desire for breast reconstruction after cancer surgery.
- Physical discomfort or dissatisfaction with breast shape.
- Psychological distress related to breast loss.
Causes and Risk Factors
Several factors may lead to the need for a breast tissue expander.
- Breast cancer requiring mastectomy.
- Genetic predisposition to breast cancer.
- Previous breast surgeries or trauma.
Diagnostic Tests Before Procedure
Certain tests are performed to ensure the patient is a suitable candidate for 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.
- Consult with the surgeon about medical history.
- Avoid blood thinners and certain medications.
- Arrange for post-operative transportation.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Rest for several days post-surgery.
- Follow-up appointments to monitor healing.
- Manage pain with prescribed medications.
- Keep the surgical site clean and dry.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Implant rupture or leakage.
- Capsular contracture.
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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 expansion.
- Long-term follow-up to evaluate implant integrity.
Alternative Treatments
There are non-surgical options available.
- Prosthetic breast forms.
- External breast prostheses.
- Counseling and support groups.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Avoid strenuous activities for several weeks.
- Wear a supportive bra as recommended.
- Monitor for signs of infection.
Patient Education & Prevention
Education is key to preventing complications.
- Understand the importance of follow-up care.
- Be aware of signs of complications.
- Discuss any concerns with healthcare providers.
Billing and Coding Information
CPT Code: 19285
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
- 19361 - Breast Reconstruction with Implant
- 19364 - Breast Reconstruction with Implant
- 19350 - Breast Reconstruction with Tissue Expander
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 in preparation 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.
