Overview of CPT Code 19633: Percutaneous biopsy of breast lesion

CPT Code 19633 refers to a percutaneous biopsy of a breast lesion, a minimally invasive procedure used to obtain tissue samples from suspicious breast masses for diagnostic purposes.

When CPT Code 19633 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a palpable breast mass that requires evaluation.
Abnormal findings on a mammogram or breast ultrasound.
Monitoring of known breast lesions for changes in size or characteristics.
Assessment of breast lesions in patients with a family history of breast cancer.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this biopsy.

A lump or mass in the breast.
Changes in breast shape or size.
Nipple discharge that is bloody or clear.
Skin changes over the breast, such as dimpling or redness.

Causes and Risk Factors

Several factors can contribute to the development of breast lesions.

Hormonal changes, particularly in women.
Family history of breast cancer.
Genetic mutations such as BRCA1 and BRCA2.
Previous breast biopsies or surgeries.

Diagnostic Tests Before Procedure

Prior to the biopsy, several diagnostic tests may be performed.

Mammography to identify suspicious areas.
Breast ultrasound to evaluate the characteristics of the lesion.
MRI of the breast for detailed imaging.
Fine needle aspiration (FNA) for preliminary assessment.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably, usually lying on their back.
The area over the breast lesion is cleaned and sterilized.
Local anesthesia is administered to numb the area.
A thin needle is inserted into the lesion to obtain tissue samples.
Multiple samples may be taken to ensure adequate tissue for diagnosis.
The needle is removed, and pressure is applied to minimize bleeding.

Preparation for the Procedure

Patients should follow specific guidelines before the biopsy.

Inform the doctor of any medications being taken, especially blood thinners.
Avoid aspirin or anti-inflammatory medications for a few days prior.
Wear comfortable clothing and avoid wearing deodorant or lotions on the day of the procedure.
Arrange for someone to drive you home if sedation is used.

Recovery and Aftercare

Post-procedure care is essential for recovery.

Rest for the remainder of the day after the procedure.
Apply ice packs to the area to reduce swelling and discomfort.
Keep the biopsy site clean and dry; follow any specific wound care instructions.
Over-the-counter pain relievers may be used as needed.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

Bleeding at the biopsy site.
Infection at the site of the biopsy.
Hematoma formation (a localized collection of blood).
Discomfort or pain in the breast area.

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Post-Procedure Follow-Up

Follow-up care is important for monitoring recovery.

Schedule a follow-up appointment within a week to discuss biopsy results.
Monitor the biopsy site for signs of infection or excessive bleeding.
Report any unusual symptoms, such as increased pain or swelling, to your doctor.

Alternative Treatments

There are non-surgical options for managing breast lesions.

Regular monitoring with imaging studies.
Medications to manage symptoms or hormonal therapy.
Observation for benign lesions that do not change over time.

Home Care Tips

Patients can take simple steps to aid recovery at home.

Avoid strenuous activities for a few days post-procedure.
Keep the biopsy site clean and dry.
Use ice packs to alleviate swelling and discomfort.
Follow all post-procedure instructions provided by your healthcare provider.

Patient Education & Prevention

Education is key to prevention and early detection.

Perform regular breast self-exams to detect changes early.
Schedule routine mammograms as recommended by your healthcare provider.
Discuss family history and risk factors with your doctor.
Maintain a healthy lifestyle to reduce overall cancer risk.

Billing and Coding Information

CPT Code: 19633

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 depending on facility and location.
Most insurance plans cover the procedure if deemed medically necessary.
Patients should verify coverage with their insurance provider prior to the procedure.