codedog
True Blue
I dont know why I am uncertain of this but is this cpt code 19125 ?
PREOPERATIVE DIAGNOSIS: Nonpalpable right breast mass.
POSTOPERATIVE DIAGNOSIS: Nonpalpable right breast mass.
PROCEDURE PERFORMED: Right needle-localized ultrasound-guided right breast biopsy.
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Minimal.
CLINICAL HISTORY: A female with a nonpalpable right breast mass. Percutaneous needle biopsy had previously been obtained, but there is a question as to whether or not lesion in question was adequately biopsied.
PROCEDURE IN DETAIL: After the patient went to radiology and had the needle placed, the patient was brought into the operating room. The right breast was prepped and draped in a sterile fashion. A curvilinear incision was made in the lower outer quadrant of the breast about 2 cm away from the edge of the areola. The electrocautery was used to dissect through the subcutaneous tissue. The needle, which had been placed through the border of the areola was exteriorized through the incision. The area in question was then grasped with a Lahey clamp. Electrocautery was used to excise the area, which had been marked by the needle. All of the margins were grossly negative. The specimen was marked for orientation and sent to the pathologist. The wound was irrigated with normal saline. It was inspected and found to be hemostatic. The subcutaneous tissue was closed with interrupted 3-0 Vicryl suture and interrupted 3-0 nylon was used to close the skin. A total of 10 cc of 0.25% Marcaine with epinephrine were injected for local anesthesia into the skin and breast parenchyma. The patient tolerated the procedure well.
PREOPERATIVE DIAGNOSIS: Nonpalpable right breast mass.
POSTOPERATIVE DIAGNOSIS: Nonpalpable right breast mass.
PROCEDURE PERFORMED: Right needle-localized ultrasound-guided right breast biopsy.
ANESTHESIA: General.
ESTIMATED BLOOD LOSS: Minimal.
CLINICAL HISTORY: A female with a nonpalpable right breast mass. Percutaneous needle biopsy had previously been obtained, but there is a question as to whether or not lesion in question was adequately biopsied.
PROCEDURE IN DETAIL: After the patient went to radiology and had the needle placed, the patient was brought into the operating room. The right breast was prepped and draped in a sterile fashion. A curvilinear incision was made in the lower outer quadrant of the breast about 2 cm away from the edge of the areola. The electrocautery was used to dissect through the subcutaneous tissue. The needle, which had been placed through the border of the areola was exteriorized through the incision. The area in question was then grasped with a Lahey clamp. Electrocautery was used to excise the area, which had been marked by the needle. All of the margins were grossly negative. The specimen was marked for orientation and sent to the pathologist. The wound was irrigated with normal saline. It was inspected and found to be hemostatic. The subcutaneous tissue was closed with interrupted 3-0 Vicryl suture and interrupted 3-0 nylon was used to close the skin. A total of 10 cc of 0.25% Marcaine with epinephrine were injected for local anesthesia into the skin and breast parenchyma. The patient tolerated the procedure well.