19285 Percutaneous device breast first ultrasound imag
Also known as: ultrasound-guided wire placement, ultrasound localization
Image-guided placement of a percutaneous breast lesion localization device for the first lesion using ultrasound imaging guidance. This technique employs real-time ultrasound to precisely identify and mark breast abnormalities.
In Plain Language
marking a breast lump with ultrasound
Clinical Context
Used for preoperative localization of nonpalpable lesions when ultrasound provides optimal visualization. Particularly useful for lesions in superficial locations or cystic lesions.
RVU Breakdown
| Work RVU | 1.66 |
| Total RVU | 1.66 |
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 1.66, this code ranks in the 10th percentile among Surgery codes — 4.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 19285?
CPT 19285 (Percutaneous device breast first ultrasound imag) is a Surgery code. Image-guided placement of a percutaneous breast lesion localization device for the first lesion using ultrasound imaging guidance. This technique employs real-time ultrasound to precisely identify and mark breast abnormalities.
What is the wRVU value for CPT 19285?
The work RVU for CPT 19285 is 1.66. This code is primarily used by General Surgery, Breast Surgery, Radiology.
When is CPT 19285 used?
Used for preoperative localization of nonpalpable lesions when ultrasound provides optimal visualization. Particularly useful for lesions in superficial locations or cystic 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.