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The CPT® Code 19001 refers to the procedure of puncture aspiration of a cyst of the breast, specifically for each additional cyst treated beyond the primary one. This procedure involves the careful palpation of the cyst to locate it accurately. Once identified, the skin over the cyst is thoroughly cleansed to minimize the risk of infection. A local anesthetic may be administered to ensure patient comfort during the procedure. A needle, which is connected to a syringe, is then inserted into the cyst to aspirate the fluid contained within, effectively collapsing the cyst. After the aspiration, pressure is applied to the area to control any potential bleeding. Finally, adhesive strips and antibiotic ointment may be applied to the puncture site as necessary to promote healing and prevent infection. It is important to note that this code is used in conjunction with CPT® Code 19000, which is designated for the aspiration of a single cyst, while CPT® Code 19001 is specifically for each additional cyst treated during the same session.
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The procedure associated with CPT® Code 19001 is indicated for the treatment of breast cysts that require aspiration. The following conditions may warrant this procedure:
The procedure for puncture aspiration of a breast cyst, as described by CPT® Code 19001, involves several key steps that ensure the effective and safe aspiration of the cyst.
After the puncture aspiration procedure is completed, the patient may be monitored for any immediate complications, such as excessive bleeding or signs of infection. The application of adhesive strips and antibiotic ointment helps protect the puncture site. Patients are typically advised on how to care for the site and may be instructed to watch for any unusual symptoms, such as increased pain, swelling, or discharge. Follow-up appointments may be scheduled to assess the site and ensure proper healing. It is important for patients to report any concerning symptoms to their healthcare provider promptly.
| Short Descr | PUNCTURE ASPIR CYST BRST EA | Medium Descr | PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST | Long Descr | Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 5 | CCS Clinical Classification | 165 - Breast biopsy and other diagnostic procedures on breast |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 19000 | MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Puncture aspiration of cyst of breast; |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2024-01-01 | Changed | Short and Medium Descriptions changed. |
| Pre-1990 | Added | Code added. |
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