Ask Dr. Z

We have a case where they placed three needles for localization in the breast, each dictated in a separate report. They were placed at 12 o'clock posterior depth, 12 o'clock anterior depth, and 12 o'clock middle depth. In each impression it reads needle localization for the marker clip in the left breast at 12 o'clock middle depth, 12 o'clock anterior depth, and 12 o'clock posterior depth was successful. We asked the tech at the hospital if these were three separate lesions, and she said no they were three separate areas of the breast, not really a lesion. The patient did have three biopsies of these areas with the clip placement. Would we report this with codes 19290 and 19291 x 2?  Or just code 19290?