Overview of CPT Code 19287:Placement of breast localization device

Overview of CPT Code 19287:Placement of breast localization device

CPT Code 19287 refers to the placement of a breast localization device, which is used to guide surgical procedures for breast lesions. This device helps in accurately locating abnormal tissue during surgery, ensuring precise removal and minimizing damage to surrounding healthy tissue.

When CPT Code 19287 is Used?

This procedure is indicated in various clinical scenarios, including:

• Patients with non-palpable breast lesions identified on imaging studies.
• Patients undergoing lumpectomy or excisional biopsy for breast cancer.
• Patients requiring localization of a breast mass prior to surgical intervention.

Symptoms Indicating This Procedure

Patients may present with the following symptoms or findings:

• 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.
• Previous breast biopsies showing atypical cells.
• Age and hormonal factors influencing breast tissue changes.

Diagnostic Tests Before Procedure

Prior to the placement of a localization device, the following tests may be performed:

• Mammography to identify the location of the lesion.
• Ultrasound to assess the characteristics of the breast mass.
• MRI for detailed imaging of complex breast lesions.

Procedure Description

The procedure involves several key steps:

• Patient is positioned comfortably, and the breast area is cleaned.
• 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 site of the lesion.
• The device is secured in place to ensure accurate localization during surgery.

Preparation for the Procedure

Patients should follow these preparation steps:

• 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 needed.

Recovery and Aftercare

Post-procedure care is essential for recovery:

• Rest for the remainder of the day after the procedure.
• Monitor the site for signs of infection, such as redness or swelling.
• Follow up with the surgeon for suture removal and further evaluation.

Possible Complications

While generally safe, there are potential risks involved:

• 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

Follow-up care is crucial for monitoring recovery:

• Schedule a follow-up appointment within one week post-procedure.
• Discuss pathology results and further treatment options if necessary.
• Regular breast examinations as recommended by the healthcare provider.

Alternative Treatments

Other management options may include:

• Observation and regular imaging for benign lesions.
• Needle biopsy for diagnostic purposes without localization.
• Medication management for symptomatic relief.

Home Care Tips

Patients can follow these tips for better recovery:

• Keep the insertion site clean and dry.
• Avoid strenuous activities for a few days.
• Take prescribed pain medications as needed.

Patient Education & Prevention

Educating patients on breast health is vital:

• Regular breast self-exams and clinical exams.
• Annual mammograms as recommended based on age and risk factors.
• Healthy lifestyle choices to reduce breast cancer risk.

Billing and Coding Information

CPT Code: 19287

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on location and facility:

• Average cost ranges from $1,500 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

• 19285 - Placement of Breast Tissue Expander
• 19286 - Placement of breast localization device
• 19120 - Excision of Breast Lesion
• 19125 - Excision of breast lesion

References and Sources

• American College of Radiology
• National Cancer Institute
• Breast Cancer Research Foundation