CPT® Code 19110

Nipple exploration, as described by CPT® Code 19110, is a surgical procedure aimed at diagnosing the underlying cause of bloody discharge from the nipple. This condition is often associated with a nonpalpable, benign lesion, such as a papilloma, which can obstruct the lactiferous duct. The procedure begins with the cleansing of the nipple area, followed by a gentle massage of the breast from the outer edges toward the center. This technique helps in locating the affected duct. If bloody fluid is expressed during this process, it indicates that the physician has successfully identified the problematic duct. Subsequently, the physician cannulates and dilates the duct to facilitate further examination. Once adequately dilated, a ductoscope is utilized to explore the duct and its branches for any lesions. If a lesion is detected during this exploration, both the duct and the lesion may be excised to alleviate the issue. This procedure is critical for addressing potential complications arising from duct obstructions and ensuring proper breast health.