CPT code 19081 refers to a procedure where doctors take a sample from the breast to check for any abnormalities, and a small device is placed to mark the spot where the sample was taken, along with any needed imaging, done with guidance. CPT 19081 represents “Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance.”
Procedure Explanation:
This procedure involves using a needle to remove a small piece of tissue from the breast to be examined under a microscope. During the process, a small marker or device, sometimes like a tiny clip or pellet, is placed at the biopsy site to help identify the exact location later if needed. Also, pictures or scans of the area might be taken to help document and guide the procedure. It focuses on the first area of investigation in the breast, without covering additional areas unless specified separately.
Common Names:
- Breast Biopsy with Clip Placement
- Percutaneous Breast Biopsy
- Stereotactic Breast Biopsy
Relative Value Units (RVU):
The RVUs associated with this code are 3.29.
How This Procedure Appears:
- Operating Room Schedule Name: Breast biopsy with localization and imaging
- Surgical Consent Form Name: Biopsy of breast with placement of marker and image guidance
Typical Patients and Diagnoses:
This procedure is commonly performed for patients who have detected a lump in the breast or had a suspicious area identified in a mammogram. These situations often require further examination to determine if the area is benign (non-cancerous) or malignant (cancerous). For example, if a woman goes for a routine screening and the imaging shows something unusual, the doctor might suggest this type of biopsy to get a clearer understanding of what is going on.
Associated ICD-10 Codes:
- N63: This code points to an unspecified lump in the breast, meaning there’s a noticeable spot but it’s not defined what it is yet.
- C50.911: This code denotes malignant neoplasm of an unspecified site of the right female breast, indicating a confirmed cancer diagnosis without a specifically mapped starting location.
- Z12.31: This code is used for encounter for screening mammogram for malignant neoplasm of breast, generally associated with routine breast cancer screenings.
Summary
In summary, code 19081 describes the process of taking a piece of breast tissue to check for any issues, with the addition of placing a marker and possibly taking images to accurately guide the process. Typical ICD-10 codes associated with 19081 include N63 (Unspecified lump in breast) and C50.911 (Malignant neoplasm of unspecified site of right female breast).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.