Ask Dr. Z

"History: Left supraclavicular lymph node.

Interpretation: After obtaining informed consent, the patient was placed supine on the examination table, and the neck was prepped and draped in a sterile fashion. A timeout was performed confirming the correct patient, procedure, and site. Local anesthesia was achieved with lidocaine 1%. With ultrasound guidance, a 25 gauge needle was used to obtain a fine needle aspiration biopsy of the left supraclavicular, 4.3 x 2.3 x 4.0 cm lymph node. Three samples were obtained. Cytology was present and determined that the specimen was adequate for evaluation. Next, two 18 gauge samples were removed and placed directly in formalin. The patient tolerated the procedure well without complication.

Impression: Uncomplicated fine needle aspiration and core biopsy of an enlarged left supraclavicular lymph node."

Would this be coded with codes 38505 and 76942 or codes 38505, 76942, and 10005?