CPT® Code 19328

The procedure described by CPT® Code 19328 involves the removal of an intact breast implant. This surgical intervention is typically indicated when there are complications associated with the implant, such as alterations in size or shape, displacement, or asymmetry. Additionally, intact breast implants may be extracted due to adverse reactions to the materials used in the implant, which can manifest as symptoms like bleeding, infection, capsular contraction, necrosis, or the presence of calcium deposits. In some cases, a diagnosis of breast cancer may also necessitate the removal of the implant. It is important to note that if an implant has ruptured or is leaking, the procedure for removal would differ, as outlined in CPT® Code 19330. The surgical approach for the removal of an intact implant typically involves making an incision in the inframammary crease, around the areola, or along the previous surgical scar from the initial implant procedure. During the operation, the intact implant is carefully extracted, and if it is filled with saline, the saline may be drained prior to removal. The surrounding breast tissue, fat, and muscle are meticulously dissected away from the implant to facilitate its removal. In some cases, the surgeon may also opt for en bloc removal, which includes the extraction of the scar tissue capsule that has formed around the implant. After the implant is successfully removed, the surgical cavity is inspected and irrigated with saline to ensure cleanliness before the incision is closed with sutures.