Overview of CPT Code 19286:Placement of breast localization device
CPT Code 19286 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 19286 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 showing suspicious lesions.
- Breast pain or discomfort in the area of the lesion.
- Palpable masses that require further evaluation.
Causes and Risk Factors
Several factors may contribute 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 diagnostic tests are performed.
- Mammography to identify the location of the lesion.
- Ultrasound for further evaluation of breast abnormalities.
- MRI for detailed imaging of complex cases.
Procedure Description
The procedure involves several key steps to ensure accurate placement.
- Patient is positioned comfortably, typically lying on their back.
- Imaging guidance (ultrasound or mammography) is used to locate the lesion.
- A small incision is made, and the localization device is inserted into the breast tissue.
- The device is secured in place, and the incision is closed with sutures.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners and certain medications as advised by the physician.
- Inform the healthcare provider of any allergies, especially to anesthesia.
- Wear comfortable clothing and arrange for transportation post-procedure.
Recovery and Aftercare
Post-procedure care is crucial for optimal recovery.
- Rest for the remainder of the day after the procedure.
- Keep the incision site clean and dry; follow specific wound care instructions.
- Take prescribed pain medications as needed and report any unusual symptoms.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Displacement of the localization device.
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Post-Procedure Follow-Up
Follow-up appointments are essential for monitoring recovery.
- Schedule a follow-up visit within one week to assess the incision site.
- Discuss pathology results and further treatment options if necessary.
- Regular breast examinations as recommended by the healthcare provider.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Observation and regular monitoring of benign lesions.
- Medication for pain management or hormonal therapy.
- Stereotactic biopsy for diagnosis without surgical intervention.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Apply ice packs to reduce swelling in the first 24 hours.
- Avoid strenuous activities and heavy lifting for a few days.
- Monitor for signs of infection, such as increased redness or discharge.
Patient Education & Prevention
Educating patients on breast health is vital for prevention.
- Regular breast self-exams and clinical breast exams.
- Annual mammograms as recommended based on age and risk factors.
- Healthy lifestyle choices, including diet and exercise, to reduce cancer risk.
Billing and Coding Information
CPT Code: 19286
Category: Surgical Procedures
Common Modifiers:
- -50
- -RT
- -LT
Average Cost and Insurance Coverage
Costs can vary based on location and insurance plans.
- 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
- 19285 - Placement of Breast Tissue Expander
- 19287 - Placement of breast localization device
- 19301 - Breast Reconstruction, Unilateral
References and Sources
Frequently Asked Questions (FAQs)
What is a breast localization device?
It is a small device placed in the breast to mark the location of a lesion for surgical guidance.
Is the procedure painful?
Most patients report minimal discomfort, managed with 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 return home the same day after a brief recovery period.
