CPT® Code 19102

Deleted

1. Indications

The percutaneous needle core biopsy of the breast, as described by CPT® Code 19102, is indicated for various clinical scenarios where tissue diagnosis is necessary. The following conditions may warrant this procedure:

• Suspicious Breast Mass The presence of a palpable or non-palpable breast mass that requires further evaluation to determine its nature.
• Abnormal Imaging Findings Results from mammography or ultrasound that suggest the presence of a lesion that may be benign or malignant.
• Monitoring of Known Lesions Assessment of previously identified lesions that have changed in size or characteristics, necessitating a tissue diagnosis.

2. Procedure

The procedure for a percutaneous needle core biopsy of the breast involves several key steps to ensure accurate tissue sampling. The following outlines the procedural steps:

• Step 1: Patient Preparation The patient is positioned comfortably, typically lying on their back or side, depending on the location of the breast mass. The area over the breast is cleaned and sterilized to minimize the risk of infection.
• Step 2: Imaging Guidance Imaging guidance is employed, which may include ultrasound or mammography, to accurately locate the breast mass. This step is crucial for ensuring that the needle is directed precisely to the area of interest.
• Step 3: Anesthesia Administration Local anesthesia is administered to the area surrounding the breast mass to minimize discomfort during the procedure. The patient is informed about the process and what to expect.
• Step 4: Needle Insertion A large-gauge needle equipped with a tissue reservoir is carefully inserted into the breast mass under imaging guidance. The physician may take multiple passes to collect sufficient tissue samples for analysis.
• Step 5: Sample Collection As the needle is withdrawn, it captures a core of tissue from the mass. The collected samples are placed in appropriate containers for pathologic examination.
• Step 6: Post-Procedure Care After the biopsy, pressure is applied to the site to control any bleeding, and a bandage is placed over the area. The patient is monitored briefly before being discharged with post-procedure instructions.

3. Post-Procedure

Following the percutaneous needle core biopsy, patients are typically advised to rest for a short period. They may experience some bruising, swelling, or tenderness at the biopsy site, which usually resolves within a few days. Patients are instructed to monitor the site for any signs of infection, such as increased redness, swelling, or discharge. Follow-up appointments may be scheduled to discuss the biopsy results and any further management based on the findings. It is essential for patients to adhere to the post-procedure care instructions provided by their healthcare provider to ensure optimal recovery.