CPT code 19286 describes an add-on ultrasound-guided breast localization procedure in which a provider places a localization device (clip, metallic pellet, wire/needle, or radioactive seed) during the same session as placement of another device at an initial lesion. This code captures an increasingly common imaging-assisted localization step used to guide subsequent diagnostic or surgical interventions, and it matters nationally as breast-conserving workflows and image-guided procedures continue to expand.

Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find context on the clinical purpose of the code, typical sites of service where it is performed, and the service type it represents. The publication outlines billing considerations tied to it, common modifiers associated with the code, and how the code relates to procedural workflows.

The analysis provides benchmarks and policy-oriented context useful to billing managers, radiologists, breast surgeons, and revenue cycle staff. It highlights the role of ultrasound guidance in localization, the typical clinical scenarios when localization is placed at the same session as another device, and what aspects of coding and billing merit attention. Data not available in the input are noted explicitly where applicable.