CPT® Code 19330

The procedure described by CPT® Code 19330 involves the removal of a ruptured breast implant, which includes the extraction of the implant contents, such as saline or silicone gel. Breast implants may require removal for various reasons, particularly when complications arise. These complications can manifest as changes in the size or shape of the implant, shifting of the implant position, or asymmetry between the breasts. Additionally, adverse reactions to the implant material may occur, leading to symptoms such as bleeding, infection, capsular contraction, necrosis, or the formation of calcium deposits. In some cases, the presence of breast cancer may also necessitate the removal of the implant. When an implant ruptures or leaks, it is critical to remove the implant material to prevent further complications. The surgical approach typically involves making an incision in the inframammary crease, around the areola, or over an existing scar from a previous implant procedure. The removal process may involve dissection of breast tissue, fat, and muscle to access the implant. In cases where the implant is intact, as referenced in CPT® Code 19328, the procedure may differ slightly, focusing on the removal of the intact implant. However, for ruptured implants, the procedure is more complex, often requiring en bloc removal, which includes the scar tissue capsule that has formed around the implant. This ensures that all remnants of the implant, including any silicone gel that may have leaked beyond the capsule, are thoroughly removed. After the implant and any residual material are extracted, the cavity is inspected and irrigated with saline before closing the incision with sutures. This comprehensive approach is essential for ensuring patient safety and optimal recovery following the procedure.