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A subcutaneous mastectomy, as defined by CPT® Code 19304, is a surgical procedure that involves the removal of breast tissue while preserving the underlying muscle and skin. This procedure is typically indicated for patients who may require mastectomy due to various conditions, such as breast cancer or other breast abnormalities, but who wish to maintain the integrity of the skin and muscle structure. The surgery begins with an incision made along the inframammary crease, which is the natural fold beneath the breast. This strategic incision allows the surgeon to access the breast tissue effectively. During the procedure, the surgeon carefully dissects the breast tissue from the underlying muscle fascia and skin, ensuring that the muscle remains intact. Prior to the removal of the breast tissue, the skin may be examined for any pathological conditions that could warrant further intervention. After the breast tissue is excised, the nipple and areola are repositioned and sutured back into place. To facilitate recovery and prevent complications, a suction catheter or drainage tube is often inserted to manage any fluid accumulation. Additionally, a prosthesis may be placed under the skin to provide aesthetic support before the surgical site is closed. This procedure is particularly beneficial for patients seeking a less invasive option while addressing their medical needs.
© Copyright 2025 Coding Ahead. All rights reserved.
Subcutaneous mastectomy is indicated for various conditions that may necessitate the removal of breast tissue while preserving the overlying skin and muscle. The following are common indications for this procedure:
The subcutaneous mastectomy procedure involves several key steps that ensure the effective removal of breast tissue while preserving the underlying structures. The following outlines the procedural steps:
After the subcutaneous mastectomy, patients are typically monitored for any immediate complications, such as bleeding or infection. The insertion of a suction catheter or drainage tube helps manage fluid accumulation, which is crucial for a smooth recovery. Patients may experience some discomfort and swelling in the surgical area, which can be managed with prescribed pain relief medications. Follow-up appointments are essential to monitor the healing process and to remove any drainage tubes if used. Patients are advised on post-operative care, including activity restrictions to allow for proper healing. The expected recovery time may vary, but many patients can return to normal activities within a few weeks, depending on their individual healing process and any additional treatments that may be required.
Short Descr | MAST SUBQ | Medium Descr | MASTECTOMY SUBCUTANEOUS | Long Descr | Mastectomy, subcutaneous | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1A - Major procedure - breast | MUE | Not applicable/unspecified. | CCS Clinical Classification | 167 - Mastectomy |
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2019-12-31 | Deleted | Code deleted. |
2011-01-01 | Changed | Short description changed. |
2007-01-01 | Added | First appearance in code book in 2007. |
1983-12-31 | Deleted | Code deleted. |