Overview of CPT Code 21705: Ultrasound-guided aspiration of breast cyst
CPT Code 21705 refers to the procedure of ultrasound-guided aspiration of a breast cyst, which is a minimally invasive technique used to remove fluid from a cyst in the breast using ultrasound imaging for guidance.
When CPT Code 21705 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable breast cyst causing discomfort or pain.
- Cystic lesions identified on imaging studies that require further evaluation.
- Cysts that are suspected to be symptomatic or causing cosmetic concerns.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Localized breast pain or tenderness.
- A noticeable lump or swelling in the breast.
- Changes in breast shape or contour.
Causes and Risk Factors
Understanding the causes and risk factors can help in identifying patients who may benefit from this procedure.
- Hormonal changes during menstrual cycles.
- Family history of breast cysts or breast disease.
- Age, particularly women aged 30-50 years.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to guide the decision for this procedure.
- Breast ultrasound to confirm the presence of a cyst.
- Mammography to rule out other breast abnormalities.
- Fine needle aspiration cytology if indicated.
Procedure Description
The procedure is performed in a clinical setting with the following steps.
- Patient is positioned comfortably, usually lying on their back.
- Ultrasound is used to locate the cyst accurately.
- A sterile needle is inserted into the cyst under ultrasound guidance.
- Fluid is aspirated from the cyst using a syringe.
- The needle is removed, and a bandage is applied to the site.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the procedure.
- Inform the physician about any medications being taken.
- Avoid blood thinners or aspirin prior to the procedure if advised.
- Wear comfortable clothing and avoid wearing jewelry on the day of the procedure.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest for the remainder of the day after the procedure.
- Apply ice packs to the area to reduce swelling if needed.
- Monitor the site for signs of infection such as increased redness or discharge.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the site of aspiration.
- Bleeding or hematoma formation.
- Recurrence of the cyst after aspiration.
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
Follow-up care is important to ensure proper healing.
- Schedule a follow-up appointment within a week to assess the site.
- Monitor for any recurrence of symptoms or cyst formation.
- Discuss results of any fluid analysis if performed.
Alternative Treatments
There are non-surgical options available for managing breast cysts.
- Observation and regular monitoring of the cyst.
- Hormonal therapy to manage symptoms.
- Lifestyle modifications such as dietary changes.
Home Care Tips
Patients can take simple steps at home to aid recovery.
- Keep the aspiration site clean and dry.
- Avoid strenuous activities for a few days post-procedure.
- Take over-the-counter pain relievers as needed.
Patient Education & Prevention
Educating patients can help in preventing recurrence.
- Regular breast self-exams to monitor for changes.
- Maintain a healthy lifestyle to reduce risk factors.
- Discuss any new breast symptoms with a healthcare provider promptly.
Billing and Coding Information
CPT Code: 21705
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Understanding the financial aspects can help patients prepare.
- Average cost ranges from $300 to $800 depending on facility and location.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage with their insurance provider.
Related CPT Codes
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19120 - Excision of Breast Lesion
- 19125 - Excision of breast lesion
- 19281 - Breast Biopsy, Needle, Percutaneous
References and Sources
Frequently Asked Questions (FAQs)
Is the procedure painful?
Most patients report minimal discomfort during the aspiration.
How long does the procedure take?
The procedure typically takes about 15 to 30 minutes.
Will I need anesthesia?
Local anesthesia is usually used to minimize discomfort.
Can I return to normal activities after the procedure?
Most patients can resume normal activities within a day.
