Overview of CPT Code 21743:ultrasound-guided-aspiration-of-breast-cyst
CPT Code 21743 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 21743 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 symptomatic or have atypical features on imaging.
- Needle aspiration for diagnostic purposes to analyze cyst fluid.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Pain or tenderness in the breast.
- A noticeable lump or swelling in the breast.
- Changes in breast shape or size.
- Fluid discharge from the nipple.
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 cancer.
- Age, particularly women aged 30-50.
- Previous breast surgeries or trauma.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to guide the decision for this procedure.
- Breast ultrasound to visualize cysts.
- Mammography to assess breast tissue.
- Fine needle aspiration cytology for fluid analysis.
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.
- Skin is cleaned with antiseptic solution.
- A thin needle is inserted into the cyst under ultrasound guidance.
- Fluid is aspirated from the cyst into a syringe.
- 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 a few days prior to the procedure.
- 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 reduce swelling if needed.
- Keep the aspiration site clean and dry.
- Follow up with the physician if there are signs of infection or increased pain.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the aspiration site.
- Bleeding or hematoma formation.
- Persistent or recurrent cyst formation.
- Allergic reaction to local anesthetic.
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Post-Procedure Follow-Up
Follow-up care is important to monitor recovery and outcomes.
- Schedule a follow-up appointment within a week to assess the site.
- Monitor for any unusual symptoms or complications.
- Further imaging may be required if cysts recur.
Alternative Treatments
There are non-surgical options available for managing breast cysts.
- Observation and regular monitoring of cysts.
- Hormonal therapy to manage symptoms.
- Over-the-counter pain relief medications.
Home Care Tips
Patients can take simple steps at home to aid recovery.
- Avoid strenuous activities for a few days post-procedure.
- Use over-the-counter pain relievers as needed.
- Maintain a healthy diet to support healing.
Patient Education & Prevention
Educating patients can help in preventing recurrence.
- Regular breast self-exams to detect changes early.
- Routine mammograms as recommended by healthcare providers.
- Discuss any family history of breast conditions with a physician.
Billing and Coding Information
CPT Code: 21743
Category: Surgical Procedures
Common Modifiers:
- 50 (bilateral procedure)
- RT (right side)
- LT (left side)
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- Average cost ranges from $300 to $800.
- Most insurance plans cover the procedure if deemed medically necessary.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
- 19100 - 'Excision of breast lesion'
- 19101 - Biopsy of breast, percutaneous, needle
- 19285 - Placement of Breast Tissue Expander
- 19301 - Breast Reconstruction, Unilateral
- 19302 - Breast Reconstruction with Implant
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 numb the area.
Can I go back to work after the procedure?
Most patients can return to normal activities the same day.
