19281 Percutaneous device breast first imag
Also known as: image-guided wire localization, percutaneous marking, needle localization
Image-guided placement of a percutaneous breast lesion localization device using imaging guidance for the first lesion. This technique uses imaging (mammography, ultrasound, or MRI) to precisely identify and mark breast abnormalities.
In Plain Language
marking a breast lump with imaging help
Clinical Context
Used preoperatively to localize nonpalpable breast lesions prior to excisional biopsy or lumpectomy. Essential for identifying microcalcifications or masses not easily felt during physical examination.
RVU Breakdown
| Work RVU | 1.95 |
| Total RVU | 1.95 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.95, this code ranks in the 13th percentile among Surgery codes — 4.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19281?
CPT 19281 (Percutaneous device breast first imag) is a Surgery code. Image-guided placement of a percutaneous breast lesion localization device using imaging guidance for the first lesion. This technique uses imaging (mammography, ultrasound, or MRI) to precisely identify and mark breast abnormalities.
What is the wRVU value for CPT 19281?
The work RVU for CPT 19281 is 1.95. This code is primarily used by General Surgery, Breast Surgery, Radiology.
When is CPT 19281 used?
Used preoperatively to localize nonpalpable breast lesions prior to excisional biopsy or lumpectomy. Essential for identifying microcalcifications or masses not easily felt during physical examination.
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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.