Overview of CPT Code 19297:Placement of breast localization device
CPT Code 19297 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 19297 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 present with specific symptoms or findings that necessitate 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
Prior to the placement of a localization device, certain diagnostic tests are performed.
- 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, 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 discharge.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- 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 possible.
Recovery and Aftercare
Post-procedure care is crucial for recovery.
- Rest for the remainder of the day after the procedure.
- Apply ice packs to the area to reduce swelling.
- Follow up with the surgeon as scheduled to monitor healing.
Possible Complications
While generally safe, there are potential risks associated with this procedure.
- Infection at the insertion site.
- Bleeding or hematoma formation.
- Displacement of the localization device.
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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.
- Monitor for any signs of infection or complications.
- Discuss pathology results and further treatment options.
Alternative Treatments
There are non-surgical options available for managing breast lesions.
- Regular monitoring with imaging for benign lesions.
- Medication for pain management.
- Consultation for genetic counseling if indicated.
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.
Patient Education & Prevention
Education is key to preventing recurrence and promoting breast health.
- Regular breast self-exams and clinical exams.
- Adhere to recommended screening guidelines.
- Discuss family history and risk factors with healthcare providers.
Billing and Coding Information
CPT Code: 19297
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 this procedure when 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, so discomfort is minimal 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, such as increased redness or swelling.
