Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)
CPT4 code
Name of the Procedure:
Biopsy of Breast; Percutaneous, Needle Core, Not Using Imaging Guidance (Separate Procedure)
Common Name(s):
- Breast Needle Core Biopsy
- Core Needle Biopsy of the Breast
Summary
A breast needle core biopsy involves taking a small sample of breast tissue using a hollow needle. The procedure is performed without the assistance of imaging technology to guide the needle.
Purpose
This biopsy helps diagnose abnormalities in breast tissue, such as lumps or changes detected during a physical exam. The sample is analyzed to determine if the tissue is benign or cancerous. The goal is to provide a definitive diagnosis to guide treatment options.
Indications
- Presence of a palpable lump in the breast
- Unexplained changes in breast texture or shape
- Nipple discharge or skin changes
- Previous inconclusive mammograms or physical exams
Preparation
- Patients may be advised to avoid blood-thinning medications.
- Wear comfortable clothing and a supportive bra.
- No significant fasting is required.
- Inform the doctor of any allergies or medical conditions.
Procedure Description
- The patient lies down in a comfortable position.
- The area on the breast is cleaned, and a local anesthetic is applied to numb the site.
- The physician inserts a hollow needle into the breast tissue to remove small core samples.
- Multiple samples may be taken for thorough analysis.
- Pressure is applied to the biopsy site to minimize bleeding, followed by a small bandage.
Duration
The procedure typically takes about 15 to 30 minutes.
Setting
- Outpatient clinic
- Physician’s office
- Surgical center
Personnel
- Physician (often a surgeon or radiologist)
- Nurse or medical assistant
Risks and Complications
- Bruising and swelling at the biopsy site
- Slight bleeding or infection
- Pain or discomfort during and after the procedure
- Rarely, an inconclusive result requiring further evaluation
Benefits
- Minimally invasive diagnostic tool
- Provides a definitive diagnosis to guide treatment
- Quick recovery, often within a few days
Recovery
- Mild pain or discomfort managed with over-the-counter pain relievers
- Keep the biopsy site clean and dry
- Avoid strenuous activity for 24-48 hours
- Follow-up appointment for results discussion
Alternatives
- Fine needle aspiration (less invasive but smaller sample)
- Surgical biopsy (invasive but can remove larger tissue)
- Imaging-guided biopsy (used if precise targeting is needed)
Patient Experience
During the procedure, patients might feel mild pressure and discomfort but typically no significant pain due to local anesthesia. Post-procedure, some soreness and bruising are common but manageable with pain relievers. The overall experience is often well-tolerated and allows rapid return to normal activities.