Overview of CPT Code 19296:Placement of breast localization device
CPT Code 19296 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 19296 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 real-time imaging of the breast.
- MRI for detailed imaging of complex breast abnormalities.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, and the breast is exposed.
- Imaging (ultrasound or mammography) is used to locate the lesion.
- A localization device (wire or marker) is inserted into the breast tissue at the lesion site.
- The device is secured in place to ensure accurate localization during surgery.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners (e.g., aspirin) for a few days prior.
- Inform the physician of any allergies, especially to local anesthetics.
- Wear comfortable clothing and arrange for transportation post-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 and to monitor healing.
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
Monitoring after the procedure is essential.
- Follow-up appointment within one week to assess healing.
- Additional imaging may be required to confirm device placement.
- Regular check-ups as advised by the healthcare provider.
Alternative Treatments
Other management options may be considered.
- Observation for benign lesions.
- Needle localization for biopsy instead of surgical excision.
- Radiation therapy for certain breast cancer cases.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the insertion site clean and dry.
- Monitor for signs of infection, such as increased redness or discharge.
- Limit physical activity to avoid strain on the breast area.
Patient Education & Prevention
Education is key to prevention and management.
- Regular breast self-exams to detect changes early.
- Annual mammograms as recommended based on age and risk factors.
- Discuss family history and genetic testing options with a healthcare provider.
Billing and Coding Information
CPT Code: 19296
Category: Surgical Procedures
Common Modifiers:
- -50
- -LT
- -RT
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
- 19285 - Placement of Breast Tissue Expander
- 19295 - Placement of breast localization device
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?
Most patients experience minimal discomfort, 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.
