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Breast Cyst Aspiration

Date: Jan 14, 2014

Question:

I need help coding the following scenario. Would you report codes 19000 and 76942? "Ultrasound-directed right breast cyst aspiration HISTORY: Nodule in the upper outer right breast. The patient initially was scheduled for biopsy. The procedure of breast biopsy was explained to the patient; consent was obtained. With the patient in the supine position, the skin overlying the upper outer aspect of the right breast was prepped and draped in the usual sterile fashion. While administering lidocaine, the lesion of interest disappeared completely on ultrasound. Follow-up mammogram showed also that the lesion has disappeared. Lesion is felt to represent a cyst, which was completely drained. IMPRESSION: Cyst drained on its own after being punctured with the lidocaine needle."

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