Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)
CPT4 code
Name of the Procedure:
Puncture Aspiration of Cyst of Breast; Each Additional Cyst
Common name(s): Breast Cyst Aspiration, Breast Fluid Drainage
Technical/medical terms: Puncture aspiration
Summary
In this procedure, a healthcare provider uses a needle and syringe to drain fluid from a cyst in the breast. This description covers the drainage of each additional cyst beyond the primary one.
Purpose
This procedure addresses breast cysts, which are fluid-filled sacs within the breast tissue. It aims to alleviate discomfort, confirm the diagnosis, and possibly prevent cyst recurrence.
Indications
- Pain, tenderness, or discomfort in the breast
- Palpable lump or masses in the breast
- Diagnostic confirmation of a cyst
- Patient anxiety regarding breast lumps
Preparation
- No fasting generally required
- Review of current medications (some may need adjustment)
- Blood tests or mammogram to assess the cysts
Procedure Description
- The patient lies on an examination table.
- The skin over the cyst is cleaned with an antiseptic solution.
- Local anesthesia is administered to numb the area.
- A fine needle is inserted into the cyst under ultrasound guidance.
- The fluid from the cyst is aspirated using a syringe.
- For each additional cyst, steps 4-5 are repeated.
- The needle is withdrawn, and a small bandage is applied to the puncture site.
Duration
The procedure typically takes 15-30 minutes, depending on the number of cysts being aspirated.
Setting
- Outpatient clinic
- Hospital
- Surgical center
Personnel
- Breast surgeon or radiologist
- Nurse or medical assistant
- Ultrasound technician (if ultrasound guidance is used)
Risks and Complications
- Bleeding or bruising at the puncture site
- Infection
- Pain or discomfort
- Rarely, damage to surrounding tissue
Benefits
- Immediate relief from discomfort or pain
- Reduced anxiety from knowing the nature of the lump
- Potential prevention of cyst recurrence
Recovery
- Patients can usually resume normal activities immediately.
- Application of a cold pack to reduce soreness
- Over-the-counter pain relievers if necessary
- Follow-up appointments to monitor for new cysts or recurrence
Alternatives
- Watchful waiting (monitoring the cyst over time)
- Surgical removal of the cyst (more invasive but definitive)
- Hormonal therapy (for recurrent cysts in women)
Patient Experience
During the procedure, patients may feel slight pressure but should not feel pain due to local anesthesia. After the procedure, some mild discomfort or tenderness can be expected, which typically resolves within a few days.