2025 CPT code 19284
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Breast Surgery Feed
Placement of an additional breast localization device using stereotactic guidance at the same session as the initial device placement.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT and local payer guidelines for appropriate modifier use.
Medical necessity is established by the presence of suspicious breast lesions requiring localization prior to biopsy or surgical intervention. Documentation should clearly demonstrate the need for localization to guide subsequent procedures and improve their accuracy.
The physician is responsible for prepping and anesthetizing the patient, acquiring stereotactic images, placing the localization device, confirming its placement, and closing the insertion site.This requires expertise in breast imaging and minimally invasive procedures.
In simple words: This code covers placing an extra marker in the breast to pinpoint a suspicious area before a biopsy.It's done at the same time as placing the first marker and uses special imaging to ensure the marker is in the right spot.
This CPT code, 19284, represents the percutaneous placement of each additional breast localization device (e.g., clip, metallic pellet, wire/needle, radioactive seeds) under stereotactic guidance.This procedure is performed at the same session as the initial localization device placement (coded separately with 19283) and involves prepping the site, administering anesthesia, acquiring stereotactic images to precisely locate the lesion, inserting the device, confirming its placement with additional imaging, and closing the site.Imaging guidance is inherently included and should not be billed separately.
Example 1: A patient presents with two suspicious lesions identified on mammography. The physician performs a stereotactic biopsy of the first lesion (primary code 19283), and during the same session, places a localization device at the second lesion using 19284., A patient undergoes a stereotactic biopsy of a breast lesion (primary code 19283) with placement of a localization device. A second, smaller lesion is identified during the procedure requiring placement of an additional localization device (19284)., During a preoperative assessment, a patient has multiple suspicious areas identified on mammography. The physician decides to place localization devices in all suspicious areas during the same session.The primary procedure would be coded using 19283, with 19284 added for each additional lesion.
* Preoperative imaging (mammography, ultrasound, MRI) showing the location of the lesions.* Operative report detailing the procedure, including the type and number of localization devices placed, and imaging confirmation of placement.* Anesthesia record.* Postoperative imaging, if performed.
** This code should only be used for additional lesions localized during the same session as an initial lesion.If different imaging modalities are used for additional lesions, another primary code should be reported for each modality.Always refer to the current CPT manual for the most up-to-date coding guidelines.
- Revenue Code: P6C (Minor Procedures - Other)
- RVU: Information not available in source.Refer to CMS guidelines and local payer policies for RVU values.
- Global Days: Information not available in source.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is typically not applicable to this code, as the entire service is typically performed by the physician.
- Fee Schedule: Information not available in source. Consult historical CPT fee schedules and payer data for historical fee information.
- Specialties:Radiology, Surgery (Breast Surgery)
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)