Ask Dr. Z

We see patients several days prior to a partial mastectomy for placement of SAVI devices. Would the preop placement be appropriate with 19285-RT or 19499? Would the identification at time of partial mastectomy be coded additionally? "The mass with associated clip noted in the right breast at 10:00 was localized with ultrasound. Using sterile technique, under local anesthesia, 5 cc lidocaine 1% was injected in the affected breast. A SAVI needle was placed at the site of abnormality, and the SAVI reflector was deployed. Post procedure mammogram was performed, confirming the SAVI reflector at the level of the clip. Conclusion: Successful deployment of a SAVI reflector at a mass with associated clip at 10:00 in the right breast."