Overview of CPT Code 19350: Breast Reconstruction with Tissue Expander
CPT Code 19350 refers to the surgical procedure of breast reconstruction using a tissue expander, typically performed after mastectomy to restore breast shape and volume.
When CPT Code 19350 is Used?
This procedure is indicated in various clinical scenarios.
- Post-mastectomy breast reconstruction for breast cancer patients.
- Reconstruction after lumpectomy when significant tissue loss occurs.
- Patients seeking to restore breast symmetry after unilateral mastectomy.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Loss of breast volume and shape after mastectomy.
- Desire for improved body image and self-esteem.
- Physical discomfort due to asymmetry.
Causes and Risk Factors
Several factors can lead to the need for breast reconstruction.
- Breast cancer requiring mastectomy.
- Genetic predisposition to breast cancer (e.g., BRCA mutations).
- Previous breast surgeries that resulted in tissue loss.
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 cancer diagnosis and stage.
Procedure Description
The procedure involves several key steps.
- Anesthesia is administered to ensure patient comfort.
- Incisions are made in the breast area to place the tissue expander.
- The tissue expander is inserted and gradually filled with saline over time.
- Incisions are closed with sutures, and dressings are applied.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for surgery.
- Consult with the surgeon about medical history and medications.
- Avoid blood thinners and certain supplements as advised.
- Arrange for post-operative transportation and support.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest for several days following the procedure.
- Follow-up appointments to monitor healing and adjust the expander.
- Pain management with prescribed medications as needed.
Possible Complications
As with any surgery, there are potential risks involved.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Complications related to the tissue expander, such as rupture.
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Post-Procedure Follow-Up
Regular follow-up is essential for optimal recovery.
- Initial follow-up within one week post-surgery.
- Subsequent visits every few weeks to monitor the expander.
- Long-term follow-up to assess overall breast reconstruction outcomes.
Alternative Treatments
There are non-surgical options available for breast reconstruction.
- Prosthetic breast forms for temporary solutions.
- Fat grafting techniques for minor volume restoration.
- Psychological counseling for body image concerns.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the surgical area clean and dry.
- Wear a supportive bra as recommended.
- Avoid strenuous activities until cleared by the surgeon.
Patient Education & Prevention
Education is key to preventing complications and recurrence.
- Understand the importance of regular breast screenings.
- Discuss genetic testing options with healthcare providers.
- Maintain a healthy lifestyle to reduce cancer risk.
Billing and Coding Information
CPT Code: 19350
Category: Surgery
Common Modifiers:
- 50
- RT
- LT
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $10,000 to $30,000.
- Insurance often covers reconstruction after mastectomy.
- Verify coverage details with your insurance provider.
Related CPT Codes
- 19357 - Breast Reconstruction with Tissue Expander
- 19340 - Breast Reconstruction with Implant
- 19342 - Breast Reconstruction with Implant
- 19350 - Breast Reconstruction with Tissue Expander
References and Sources
Frequently Asked Questions (FAQs)
What is a tissue expander?
A tissue expander is a device used to stretch the skin and create space for a permanent implant.
How long does the recovery take?
Most patients can expect a recovery period of several weeks, with full healing taking longer.
Will insurance cover this procedure?
Many insurance plans cover breast reconstruction after mastectomy, but it's best to check with your provider.
