2025 CPT code 19283
(Active) Effective Date: N/A Revision Date: N/A Surgery - Introduction Procedures on the Breast Surgery Feed
Percutaneous placement of a breast localization device (e.g., clip, pellet, wire, seeds) for the first lesion, using stereotactic guidance.
Modifiers 26 (professional component), TC (technical component), and 50 (bilateral procedure) may be applicable depending on the billed services and the circumstances.
Medical necessity is established based on the presence of a suspicious breast lesion requiring precise localization for biopsy or surgical excision.Supporting documentation should demonstrate the clinical need for the procedure and the appropriateness of the selected device and method.
The physician or qualified healthcare professional is responsible for pre-procedural assessment, image guidance, percutaneous device placement, and post-procedural care, including image confirmation of device placement and wound closure.In some settings, technical components such as equipment and staff may be handled by a facility.
- Surgery
- Surgery > Surgical Procedures on the Integumentary System > Introduction Procedures on the Breast
In simple words: This code describes a procedure where a small marker is placed in the breast to pinpoint an abnormal area before a biopsy or surgery.A doctor uses imaging to guide a small needle to precisely place the marker, making the abnormal area easier to find later.
This CPT code encompasses the percutaneous placement of a breast localization device (e.g., clip, metallic pellet, wire/needle, or radioactive seeds) for the first lesion identified in the breast.The procedure involves using stereotactic guidance to precisely locate the lesion and then percutaneously inserting the localization device to mark its location.Stereotactic guidance is inherently included in the code and should not be billed separately. The device placement facilitates subsequent biopsy or surgical procedures by accurately identifying the target tissue.
Example 1: A 45-year-old female presents with a suspicious mammographic finding.The radiologist performs a stereotactic breast biopsy, placing a localization clip (code 19283) percutaneously before the biopsy to precisely target the lesion., A 60-year-old female undergoes ultrasound-guided core needle biopsy.Prior to the biopsy, the radiologist uses ultrasound guidance to place a localization wire (code 19283) to mark the target location., A 52-year-old female has a palpable breast mass.A surgeon utilizes a wire localization (code 19283) technique to mark the lesion prior to surgical excision.
* Detailed clinical history including reason for the procedure.* Imaging reports (mammography, ultrasound, etc.) showing the lesion location.* Images documenting device placement.* Operative report if the procedure is followed by a biopsy or surgical intervention.* Pathology report if a biopsy is performed.
** The selection of a specific code (19281-19288) depends on factors like the number of lesions, laterality, and imaging modality used.Always refer to the most up-to-date CPT codebook and payer guidelines for accurate coding and billing.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: The provided sources do not contain the RVU values.These values vary based on geographic location and payer.
- Global Days: The provided sources do not specify the global period for this code.Consult your local payer guidelines.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be applied if the technical component of the procedure (equipment and technical staff) is billed separately from the professional component (physician services).
- Fee Schedule: The provided sources lack historical fee schedule data. Consult relevant fee schedules for specific years.
- Specialties:Radiology, Surgery, Oncology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient/Outpatient)