Overview of CPT Code 19291:Placement of breast localization device
CPT Code 19291 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 19291 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a suspicious breast mass detected on imaging.
- Needle localization for excisional biopsy of a breast lesion.
- Guidance for lumpectomy in patients with non-palpable tumors.
- Preoperative marking of lesions for surgical planning.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the need for this procedure.
- Palpable lump or mass in the breast.
- Abnormal findings on a mammogram.
- Changes in breast shape or size.
- Nipple discharge or inversion.
Causes and Risk Factors
Several factors may contribute to the need for breast localization.
- Family history of breast cancer.
- Genetic predisposition (e.g., BRCA mutations).
- Previous breast biopsies or surgeries.
- Age and hormonal factors.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to guide the procedure.
- Mammography to identify lesions.
- Ultrasound for further evaluation of breast masses.
- MRI for detailed imaging of breast tissue.
- Biopsy results to confirm the nature of the lesion.
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, and the patient is monitored before proceeding to surgery.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners or certain medications as advised by the physician.
- Inform the doctor of any allergies, especially to anesthesia.
- Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
- Arrange for transportation home after the procedure.
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 and discomfort.
- Follow up with the surgeon for wound care instructions.
- Monitor for signs of infection, such as increased redness or discharge.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the insertion site.
- Bleeding or hematoma formation.
- Displacement of the localization device.
- Allergic reactions to anesthesia.
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Post-Procedure Follow-Up
Follow-up care is essential for monitoring recovery.
- Schedule a follow-up appointment within a week after the procedure.
- Discuss pathology results and further treatment options.
- Monitor for any complications or concerns during recovery.
Alternative Treatments
There are non-surgical options available for breast lesions.
- Observation and regular monitoring of benign lesions.
- Medication for hormonal therapy in certain breast conditions.
- Stereotactic biopsy as a less invasive diagnostic option.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the insertion site clean and dry.
- Avoid strenuous activities for a few days.
- Take prescribed pain medications as needed.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular breast self-exams to detect changes early.
- Annual mammograms as recommended by healthcare providers.
- Healthy lifestyle choices to reduce breast cancer risk.
- Genetic counseling for those with a family history of breast cancer.
Billing and Coding Information
CPT Code: 19291
Category: Surgical Procedures
Common Modifiers:
- -50
- -RT
- -LT
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- 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
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19120 - Excision of Breast Lesion
- 19125 - Excision of breast lesion
- 19285 - Placement of Breast Tissue Expander
References and Sources
Frequently Asked Questions (FAQs)
What is a breast localization device?
It is a device used to mark the location of a breast lesion for surgical guidance.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
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 go home shortly after the procedure.
What should I watch for after the procedure?
Monitor for signs of infection or unusual pain at the insertion site.
