CPT® Code 19126

Add-On Code

Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)

The CPT® Code 19126 refers to the excision of a breast lesion that has been identified through the preoperative placement of a radiological marker. This procedure is specifically designed for lesions that are nonpalpable, meaning they cannot be felt during a physical examination but have been detected via imaging techniques such as mammography or ultrasound. The use of a radiological marker is crucial as it provides a precise location for the surgeon to target during the excision process. The procedure involves making an incision in the breast tissue, guided by the marker, to remove the lesion along with a margin of surrounding healthy tissue to ensure complete removal. To manage any bleeding that may occur during the surgery, techniques such as electrocautery or ligation are employed. In some cases, a drain may be placed to prevent fluid accumulation at the surgical site. Finally, the incision is closed using layered sutures to promote optimal healing. It is important to note that CPT® Code 19126 is used in conjunction with CPT® Code 19125, which is designated for the excision of the first lesion, while 19126 is specifically for each additional lesion that has been separately identified by a radiological marker.