2025 CPT code 19296
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Integumentary System Feed
Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy.
Modifiers may be applicable (e.g., 26 for professional component, TC for technical component).
Medical necessity is established by the diagnosis of breast cancer requiring radiation therapy after a partial mastectomy.
The physician performs the procedure, including prepping the patient, making the incision, inserting the catheter under image guidance, verifying placement, and securing the catheter.
In simple words: After a partial mastectomy (surgery to remove part of the breast), this procedure places a small, flexible tube (catheter) into the breast. This catheter is used to deliver radiation therapy directly to the area where the tumor was removed. The doctor uses medical imaging to guide the placement of the catheter precisely.This is done on a separate day from the mastectomy.
This procedure involves the placement of a single or multichannel expandable balloon catheter into the breast for interstitial radioelement application following a partial mastectomy.The catheter is placed on a date separate from the partial mastectomy. Imaging guidance is included in the procedure.
Example 1: A patient has undergone a partial mastectomy for breast cancer.On a separate day, she returns to have a catheter placed for interstitial brachytherapy., A patient who had a partial mastectomy a week prior now has a multichannel expandable catheter placed for radiation therapy., A patient post partial mastectomy requires placement of a single afterloading expandable catheter for interstitial radiotherapy. This is performed as a separate procedure using image guidance.
Documentation should include details of the partial mastectomy, type of catheter used, method of placement, imaging guidance used, and confirmation of placement.
- Payment Status: Active
- Modifier TC rule: Modifier TC might apply if billing for only the technical component.
- Specialties:Radiation Oncology, Surgical Oncology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Freestanding Clinic