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The procedure described by CPT® Code 19125 involves the excision of a breast lesion that has been identified through preoperative placement of a radiological marker. This technique is particularly utilized for nonpalpable lesions, which are abnormalities in the breast that cannot be felt during a physical examination but have been detected via imaging studies such as mammograms or ultrasounds. The placement of a radiological marker serves as a precise guide for the surgeon during the excision process. The physician makes an incision in the breast tissue, using the marker to accurately locate the lesion. Following the incision, the surgeon excises the lesion along with a margin of surrounding healthy breast tissue to ensure complete removal of the abnormality. To manage any bleeding that may occur during the procedure, the surgeon employs techniques such as electrocautery or ligation. In some cases, a drain may be placed to facilitate the removal of any excess fluid that could accumulate postoperatively. Finally, the surgical site is closed using layered sutures to promote optimal healing. It is important to note that CPT® Code 19125 is specifically designated for the excision of the first lesion, while CPT® Code 19126 should be used for each additional lesion that is separately identified by a radiological marker.
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