© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 19291 refers to the preoperative placement of a needle localization wire in the breast for each additional lesion beyond the first. This procedure is essential in the context of breast surgery, particularly when multiple lesions are identified that require surgical intervention. The localization wire serves as a guide for the surgeon, ensuring precise targeting of the lesions during the surgical procedure. The process involves the use of imaging guidance, which may include techniques such as ultrasound or mammography, to accurately position the needle over the targeted mass. Once the needle is correctly placed, a guidewire is inserted through the hollow needle into the mass, allowing for clear identification of the lesion during surgery. This code is specifically used in conjunction with CPT® Code 19290, which covers the placement of the first localization wire, thereby indicating that 19291 is an add-on code used to report additional lesions that require similar localization procedures.
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