Ask Dr. Z

The skin site over the targeted lesions was prepped and draped. Lidocaine with infiltrated into the deeper tissues around the lesion. under direct sonographic guidance, aspiration was performed using a 22 gauge spinal needle. Lesion completely collapsed upon aspiration and approx. 2 cc of yellowish fluid was removed. A ring shaped biopsy marking clip was placed at the former site of the cyst.

Compression was held until hemostasis was achieved. The specimen was sent t the lab for analysis.

Post procedure digital CC and lateral mammograms were obtained which show resolution of the mammographic finding and the biopsy marking clip in the expected location

Impression: successful ultrasound-guided aspiration of 2cm cyst in the 4-5:00 position of the left breast.

Since this is a breast aspiration, would that clip placement be considered unlisted? I got codes 19000, 76942, 77065 but unsure of the clip placement. Thank you- DM