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CPT 19297: Balloon Catheter Placement During Partial Mastectomy, Image-Guided
CPT code 19297 denotes an add-on intraoperative procedure: placement of a single- or multichannel expandable balloon catheter for radiotherapy at the same session as a partial mastectomy, performed with image guidance. This code matters nationally because it captures a distinct, device-based step in breast-conserving surgery that supports delivery of targeted post-lumpectomy radiation, affecting billing, hospital workflow, and device utilization.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for catheter-based brachytherapy delivery at the time of partial mastectomy, the service setting typically involved (hospital OR or ambulatory surgical center), and common billing considerations tied to add-on procedure reporting. The publication summarizes benchmarks and coverage patterns where available and highlights policy and coding factors that influence claims submission and reimbursement pathways for this device-placement add-on. Data not available in the input is noted where coverage details, associated taxonomies, and ICD-10 mappings would normally appear.
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Billing Code Overview
CPT code 19297 describes an add-on procedure in which the provider inserts a single- or multichannel expandable balloon catheter for radiotherapy at the same session as a partial mastectomy. The procedure is performed with image guidance to ensure correct placement of the catheter.
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Service type: Intraoperative catheter insertion for adjuvant radiotherapy (balloon catheter placement during partial mastectomy)
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Typical site of service: Hospital operating room or ambulatory surgical center during the partial mastectomy session