CPT® Code 19295

Deleted

1. Indications

The placement of a metallic localization clip under image guidance is indicated for several specific scenarios related to breast biopsies and aspirations. These indications include:

• Lesion Localization The procedure is performed to accurately mark the location of a breast lesion or abnormality that requires further evaluation through biopsy or aspiration.
• Guidance for Surgical Intervention The clip serves as a reference point for surgeons during subsequent surgical procedures, ensuring precise excision of the targeted tissue.
• Improved Accuracy The use of a localization clip enhances the accuracy of the biopsy or aspiration by providing a clear marker for the physician to follow, particularly in cases where the lesion is difficult to palpate.

2. Procedure

The procedure for the placement of a metallic localization clip involves several key steps, which are detailed as follows:

• Step 1: Patient Preparation The patient is positioned appropriately, and the area of the breast where the clip will be placed is identified using imaging guidance. The skin is cleansed, and a local anesthetic may be administered to minimize discomfort during the procedure.
• Step 2: Imaging Guidance Radiologic imaging, such as ultrasound or mammography, is utilized to visualize the lesion or area of interest. This imaging is crucial for ensuring accurate placement of the localization clip.
• Step 3: Clip Insertion A thin needle or catheter is inserted into the breast tissue at the identified site, guided by the imaging. The metallic localization clip is then introduced through the needle or catheter and positioned precisely at the target location.
• Step 4: Confirmation After the clip is placed, imaging is performed again to confirm that the clip is correctly positioned at the intended site. This step is vital to ensure that the clip will serve its purpose during the subsequent biopsy or aspiration.
• Step 5: Post-Procedure Care Once the clip is successfully placed, the needle or catheter is removed, and pressure may be applied to the site to minimize bleeding. The area is then bandaged, and the patient is monitored for any immediate complications.

3. Post-Procedure

After the placement of the metallic localization clip, patients are typically advised to monitor the insertion site for any signs of infection or unusual swelling. The recovery period is generally brief, with most patients able to resume normal activities shortly after the procedure. However, they may be instructed to avoid strenuous activities or heavy lifting for a short period. Follow-up appointments may be scheduled to assess the site and discuss the results of the subsequent biopsy or aspiration, ensuring that the localization clip remains in place and functions as intended during the primary procedure.