Overview of CPT Code 19298:Placement of Breast Tissue Expander
CPT Code 19298 refers to the surgical placement of a breast tissue expander, which is a temporary device used to create space for a future breast implant following mastectomy or breast reconstruction.
When CPT Code 19298 is Used?
This procedure is indicated in several clinical scenarios.
- Post-mastectomy breast reconstruction to prepare for permanent implants.
- Correction of breast asymmetry after previous surgeries.
- Reconstruction after trauma or congenital deformities.
Symptoms Indicating This Procedure
Patients may present with various symptoms that necessitate this procedure.
- Desire for breast reconstruction after mastectomy.
- Physical discomfort or dissatisfaction with breast shape.
- Psychological distress related to breast loss.
Causes and Risk Factors
Several factors can lead to the need for a breast tissue expander.
- Breast cancer requiring mastectomy.
- Genetic predisposition to breast cancer.
- Previous breast surgeries that altered breast structure.
Diagnostic Tests Before Procedure
Certain tests are essential to evaluate the patient's condition prior to surgery.
- Mammography to assess breast tissue.
- MRI for detailed imaging of breast anatomy.
- Biopsy to confirm the diagnosis of breast cancer.
Procedure Description
The procedure involves several key steps.
- Administer anesthesia to the patient.
- Make an incision in the breast area.
- Create a pocket for the tissue expander.
- Insert the tissue expander into the pocket.
- Close the incision with sutures.
Preparation for the Procedure
Patients should follow specific guidelines before the surgery.
- Consult with the surgeon about medical history and medications.
- Avoid blood thinners and certain supplements as advised.
- Arrange for post-operative transportation.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Rest for at least 24 hours post-surgery.
- Follow-up appointments to monitor healing.
- Manage pain with prescribed medications.
Possible Complications
As with any surgical procedure, there are risks involved.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Implant displacement or rupture.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery.
- Initial follow-up within one week post-surgery.
- Subsequent visits every few weeks to assess healing.
- Long-term follow-up to evaluate the need for permanent implants.
Alternative Treatments
There are non-surgical options available for breast reconstruction.
- Fat grafting to enhance breast volume.
- External prosthetics for temporary solutions.
- Psychological counseling for emotional support.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the surgical area clean and dry.
- Wear a supportive bra as recommended.
- Avoid strenuous activities for several weeks.
Patient Education & Prevention
Understanding risks and preventive measures is vital.
- Regular breast screenings for early detection.
- Genetic counseling for those with family history.
- Healthy lifestyle choices to reduce cancer risk.
Billing and Coding Information
CPT Code: 19298
Category: Surgery
Common Modifiers:
- -50
- -RT
- -LT
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Most insurance plans cover the procedure if medically necessary.
- Out-of-pocket costs depend on the insurance policy.
Related CPT Codes
- 19357 - Breast Reconstruction with Tissue Expander
- 19340 - Breast Reconstruction with Implant
- 19342 - Breast Reconstruction with Implant
- 19361 - Breast Reconstruction with Implant
- 19366 - Breast Reconstruction with Tissue Expander
References and Sources
Frequently Asked Questions (FAQs)
What is a breast tissue expander?
A breast tissue expander is a temporary device used to stretch the skin and create space for a permanent implant.
How long does the procedure take?
The procedure typically takes about one to two hours.
Will I feel pain after the surgery?
Some discomfort is normal, but pain can be managed with medication.
How long is the recovery period?
Most patients can return to normal activities within a few weeks.
