2025 CPT code 19282
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Introduction Procedures on the Breast Surgery Feed
Placement of each additional breast localization device, percutaneous; includes mammographic guidance.This is an add-on code and requires a primary procedure code (e.g., 19281).
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 59 for distinct procedural service, 78 for unplanned return to OR). Consult CPT guidelines and payer-specific rules.
Medical necessity is established when a suspicious breast lesion requires localization to facilitate accurate biopsy or surgical removal.The procedure ensures precise targeting of the abnormality, minimizing the risk of incomplete resection or misidentification of the lesion.
The physician or qualified healthcare professional is responsible for the precise placement of the localization device under mammographic guidance, ensuring proper visualization of the target tissue and accurate placement of the device. This involves image interpretation, precise needle manipulation, and confirmation of correct placement via post-placement imaging.
In simple words: This code is for placing an extra marker in the breast to show where a problem is before a biopsy. The doctor uses a mammogram (breast X-ray) to guide them and does this at the same time as placing the first marker.
This CPT code, 19282, reports the percutaneous placement of an additional breast localization device (e.g., clip, metallic pellet, wire/needle, radioactive seeds) under mammographic guidance.This procedure is performed at the same session as the placement of a localization device at an initial lesion.Mammographic guidance is included and should not be reported separately.The code is an add-on code and must be reported in conjunction with a primary procedure code, such as 19281, which represents the initial localization device placement.The additional placement may be on the same or contralateral breast; if different imaging modalities are used for additional placements, another primary code is reported for each.
Example 1: A patient presents with a suspicious mammographic finding. The physician performs a percutaneous localization using 19281 (first lesion).A second suspicious area is identified and the physician performs a second placement using 19282 (add-on code)., Bilateral breast lesions are identified. The physician places a localization device in the right breast using 19281 and subsequently places a device in the left breast using 19282., During a breast biopsy guided by ultrasound, the provider identifies an additional suspicious lesion that requires localization. They perform the additional localization with 19282 in conjunction with 19281.
* Pre-procedure mammogram or other imaging demonstrating the target lesion.* Operative report detailing the procedure, including device type, placement location, and imaging confirmation of placement.* Post-procedure imaging to confirm device placement.* Anesthesia record (if applicable).
** Always verify coding with payer-specific guidelines and local coverage determinations to ensure proper reimbursement.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: This information is not available from the provided text.Consult the AMA CPT codes for RVU values.
- Global Days: Not applicable to this add-on code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this add-on code.
- Fee Schedule: This information is not available from the provided text. Consult your payer's fee schedule.
- Specialties:Surgery (Breast Surgery), Radiology (Interventional Radiology)
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)