Overview of CPT Code 19357: Breast Reconstruction with Tissue Expander
CPT Code 19357 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 19357 is Used?
This procedure is indicated in various clinical scenarios.
- Post-mastectomy breast reconstruction for patients with breast cancer.
- Reconstruction after lumpectomy when significant breast tissue is removed.
- Patients seeking to restore breast symmetry after unilateral mastectomy.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the need for this procedure.
- Loss of breast shape and volume after mastectomy.
- Desire for improved body image and self-esteem.
- Physical discomfort or psychological distress due to breast loss.
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 may have altered breast structure.
Diagnostic Tests Before Procedure
Certain tests are essential to evaluate the patient's condition before 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.
- The surgeon makes an incision to place the tissue expander beneath the chest muscle.
- The expander is filled with saline gradually over time to stretch the skin.
- Final reconstruction is performed once the desired size is achieved.
Preparation for the Procedure
Patients should follow specific guidelines before surgery.
- Consult with the surgeon about medical history and medications.
- Stop smoking and avoid blood thinners as advised.
- Arrange for post-operative care and transportation.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Expected recovery period is 4 to 6 weeks.
- Wound care includes keeping the incision clean and dry.
- Pain management with prescribed medications as needed.
Possible Complications
Like any surgery, there are potential risks involved.
- Infection at the surgical site.
- Scarring or changes in breast sensation.
- Complications related to the tissue expander, such as leakage.
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
Regular follow-up is essential for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Subsequent visits every few months to assess healing.
- Long-term follow-up to monitor for any complications.
Alternative Treatments
There are non-surgical options available.
- Prosthetic breast forms for external support.
- Psychological counseling for emotional support.
- Physical therapy to improve body image and self-esteem.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Follow all post-operative instructions from the surgeon.
- Avoid heavy lifting and strenuous activities for several weeks.
- Maintain a healthy diet to support healing.
Patient Education & Prevention
Education is key to preventing complications.
- Understand the importance of regular breast screenings.
- Discuss genetic testing options if there is a family history of breast cancer.
- Stay informed about breast health and self-examinations.
Billing and Coding Information
CPT Code: 19357
Category: Surgical Procedures
Common Modifiers:
- -50 Bilateral
- -RT Right Side
- -LT Left Side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $10,000 to $30,000.
- Most insurance plans cover breast reconstruction after mastectomy.
- Verify coverage details with your insurance provider.
Related CPT Codes
- 19361 - Breast Reconstruction with Implant
- 19364 - Breast Reconstruction with Implant
- 19368 - Breast Reconstruction with Tissue Expander
- 19340 - Breast Reconstruction with Implant
- 19342 - Breast Reconstruction with Implant
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 procedure take?
The procedure typically takes 1 to 3 hours, depending on individual circumstances.
Will I have scars after surgery?
Yes, there will be scars, but they usually fade over time.
How long is the recovery period?
Most patients take about 4 to 6 weeks to recover fully.
