BY THE NUMBERS & BEYOND
CPT-BREAST PROCEDURES
ANATOMY & PHYSIOLOGY — KNOW THE BREAST
BREAST SURGERY —
KNOW YOUR OPTIONS
GUIDELINES — SEQUENCE IT RIGHT
100

According to the American Cancer Society,

approximately one in this many U.S. women will

develop breast cancer during her lifetime.

What is 8?


100

Bilateral screening mammography includes two views of each breast and computer-aided detection. No tomosynthesis is performed. Assign the CPT code.

What is

77067?

100

These breast channels carry milk toward the nipple.

What are lactiferous ducts?

100

This breast-conserving operation removes the cancer and a margin of surrounding tissue while preserving most of the breast.

What is a lumpectomy?

100

An encounter is solely for administering breast-cancer

chemotherapy. Which code is first-listed?

What is Z51.11?

200

Breast cancer ranks second

among causes of cancer death

in U.S. women. This cancer

ranks first.

What is lung

cancer?

200

A surgeon performs a cancer lumpectomy

with attention to margins, without axillary

lymphadenectomy. Assign the CPT code.



What is

19301?

200

These milk-producing

structures are where

lobular breast

carcinoma originates.

What are lobules?

200

This type of mastectomy removes breast tissue while preserving the nipple, areola, and breast skin.

What is a nipple- sparing mastectomy?

200

An office assessment documents a breast lump and

suspected cancer. What finding is reported pending

confirmation?

What is the breast lump?

300

A breast-cancer patient faces medical debt and skips

prescriptions because of treatment costs. This term

describes the financial harm associated with her medical care.

What is financial toxicity?

300

One suspicious breast lesion undergoes

percutaneous core biopsy with ultrasound

guidance. Assign the CPT code.



What is

19083?

300

These lymph nodes are What are axillary ACS, Breast Anatomy: “Lymph nodes located under the arm and are evaluated for regional breast-cancer spread.

What are axillary Lymph nodes


l

300

After mastectomy or removal of breast implants,

this procedure removes excess tissue and shapes a

smooth, flat chest contour without creating a breast

mound.

What is aesthetic flat closure?

300

A patient is admitted for surgery treating only a liver

metastasis from breast cancer. Which malignancy is

principal?

What is the secondary liver malignancy?

400

Unreliable transportation, unstable housing, and limited income can interfere with breast-cancer care. These conditions fall under this broader term, abbreviated SDOH.

What are social determinants of health?

400

A modified radical mastectomy includes

axillary lymph nodes but preserves the

pectoralis major muscle. Assign the CPT

code.

What is

19307?

400

This term identifies the first lymph node—or group of nodes—to which a breast tumor is likely to drain and spread.

What are sentinel lymph nodes?

400

This surgical approach combines a lumpectomy

with plastic-surgery techniques to reshape the

remaining breast.

What is oncoplastic breast surgery?

400

Only anemia caused by the breast malignancy itself is

treated. State the diagnosis sequence.

What is breast malignancy first, followed by D63.0?

500

According to the ACS’s 2025 report on cancer among

Black people, breast-cancer mortality among Black

women is this percentage higher than among White

women, despite slightly lower incidence.

What is 38%?

500

During the postoperative period, the same

surgeon re-excises a lumpectomy cavity for

positive cancer margins. This is more

extensive treatment of the original

condition. Assign the procedure code and

modifier.

What is

19301-

58?

500

Triple-negative breast cancer tests negative for these three biomarkers.

What are estrogen receptor, progesterone receptor, and HER2?

500

This reconstruction uses lower-abdominal skin, fat, and blood vessels while preserving abdominal muscle. Its abbreviation stands for deep inferior epigastric perforator.

What is a DIEP?

500

Only anemia caused by correctly administered breast- cancer chemotherapy is treated. State the three-part diagnosis sequence.

What is anemia first,  breast malignancy

second, and chemotherapy adverse

effect third?

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