CPT® Code 19371

The procedure described by CPT® Code 19371 refers to a complete peri-implant capsulectomy of the breast, which involves the surgical removal of the fibrous capsule that forms around a breast implant. This capsule, often a result of the body’s natural healing response, can lead to complications such as capsular contraction, where the scar tissue becomes thickened and may cause the breast to appear distorted, feel hard, and potentially be painful. In some cases, this condition can also lead to the formation of calcifications or adhesions to the surrounding tissue, further complicating the situation. The complete capsulectomy procedure entails not only the excision of the capsule itself but also the removal of all intracapsular contents, which may include the breast implant and any associated materials. This procedure is typically indicated for patients experiencing significant issues with thickened or calcified scar tissue capsules or those with ruptured implants. The surgical approach generally involves making an incision along the breast crease to access the capsule, allowing the surgeon to carefully dissect surrounding tissue and assess the condition of the capsule. Depending on the findings, the surgeon may employ an enbloc technique to remove the entire capsule and implant in one piece, minimizing the risk of leakage from ruptured implants. Alternatively, if the capsule is thin or adherent to other structures, the surgeon will proceed with the necessary steps to ensure complete removal of the capsule and its contents while preserving surrounding tissue as much as possible.