19125 Excision breast lesion
Also known as: excisional biopsy, breast lesion removal, breast excision with localization
Surgical excision of a benign lesion of the breast tissue. This procedure involves removing a localized abnormality from the breast parenchyma.
In Plain Language
removal of a breast lump; breast tissue biopsy
Clinical Context
Used to diagnose or treat palpable masses, fibrocystic changes, or benign tumors of the breast. Common indications include fibroadenomas, papillomas, or other non-malignant lesions.
RVU Breakdown
| Work RVU | 6.52 |
| Total RVU | 6.52 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 6.52, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19125?
CPT 19125 (Excision breast lesion) is a Surgery code. Surgical excision of a benign lesion of the breast tissue. This procedure involves removing a localized abnormality from the breast parenchyma.
What is the wRVU value for CPT 19125?
The work RVU for CPT 19125 is 6.52. This code is primarily used by General Surgery, Surgical Oncology, Breast Surgery. It has a 90-day global period.
When is CPT 19125 used?
Used to diagnose or treat palpable masses, fibrocystic changes, or benign tumors of the breast. Common indications include fibroadenomas, papillomas, or other non-malignant lesions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.