Overview of CPT Code 19295:Placement of breast localization device
CPT Code 19295 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 19295 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 breast 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.
- Imaging (ultrasound or mammography) is used to locate the lesion.
- Local anesthesia is administered to minimize discomfort.
- A thin wire or localization device is inserted into the breast tissue at the lesion site.
- The device is secured in place, and imaging is repeated to confirm correct placement.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Inform the healthcare provider of any medications being taken.
- Avoid blood thinners or certain supplements as advised.
- Wear comfortable clothing and avoid applying deodorant or lotion on the day of the procedure.
- 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.
- Apply ice packs to reduce swelling if needed.
- Follow wound care instructions provided by the healthcare team.
- 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 reaction to anesthesia.
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 a week to assess the site.
- Discuss pathology results if a biopsy was performed.
- Plan for any necessary surgical interventions based on findings.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Observation and regular monitoring of benign lesions.
- Medication for hormonal therapy in certain breast conditions.
- Radiation therapy for localized breast cancer.
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.
- Perform regular breast self-exams.
- Schedule routine mammograms as recommended.
- Discuss family history and risk factors with a healthcare provider.
- Adopt a healthy lifestyle to reduce breast cancer risk.
Billing and Coding Information
CPT Code: 19295
Category: Surgical Procedures
Common Modifiers:
- 50 (bilateral procedure)
- LT (left side)
- RT (right side)
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
- 19281 - Breast Biopsy, Needle, Percutaneous
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 the same day after monitoring.
What should I watch for after the procedure?
Monitor for signs of infection, such as increased redness or discharge.
