Overview of CPT Code 19288:Placement of breast localization device
CPT Code 19288 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 19288 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a non-palpable breast lesion requiring surgical excision.
- Guidance for lumpectomy in patients with breast cancer.
- Localization of abnormal breast tissue identified on imaging studies.
Symptoms Indicating This Procedure
Patients may report specific symptoms or findings that lead to 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.
- Genetic predisposition (e.g., BRCA mutations).
- Previous breast biopsies showing atypical cells.
Diagnostic Tests Before Procedure
Certain tests are performed to guide the localization procedure.
- Mammography to identify the location of the lesion.
- Ultrasound for further evaluation of breast abnormalities.
- MRI of the breast in complex cases.
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 needle is inserted to place the localization device at the lesion site.
- The device is secured in place, and the area is bandaged.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Inform the physician of any medications being taken.
- Avoid blood thinners or aspirin prior to the procedure.
- Wear comfortable clothing and arrange for transportation if sedation is used.
Recovery and Aftercare
Post-procedure care is essential for recovery.
- Rest for the remainder of the day after the procedure.
- Keep the area clean and dry; follow specific wound care instructions.
- Monitor for signs of infection, such as increased redness or discharge.
Possible Complications
While generally safe, there are potential risks.
- Infection at the insertion site.
- Bleeding or hematoma formation.
- Displacement of the localization device.
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Post-Procedure Follow-Up
Follow-up is crucial for monitoring recovery.
- Schedule a follow-up appointment within a week to assess the site.
- Discuss pathology results and further treatment options if necessary.
- Regular breast exams as recommended by the healthcare provider.
Alternative Treatments
Other management options may be considered.
- Observation and regular monitoring for benign lesions.
- Needle biopsy for diagnosis without localization.
- Medication management for symptomatic relief.
Home Care Tips
Patients can take steps to aid recovery at home.
- Apply ice packs to reduce swelling if needed.
- Avoid strenuous activities for a few days.
- Follow a healthy diet to support healing.
Patient Education & Prevention
Education is key to prevention and awareness.
- Regular breast self-exams and clinical exams.
- Understanding family history and genetic risks.
- Maintaining a healthy lifestyle to reduce breast cancer risk.
Billing and Coding Information
CPT Code: 19288
Category: Surgical Procedures
Common Modifiers:
- 50 (bilateral procedure)
- LT (left side)
- RT (right side)
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- 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
- 19281 - Breast Biopsy, Needle, Percutaneous
- 19285 - Placement of Breast Tissue Expander
- 19286 - Placement of breast localization device
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 during the procedure, often 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.
