A patient underwent fine needle aspiration of a cyst on the L breast and another on the R breast. Both aspirates were properly labeled and sent to cytopathology for interpretation and report. Pathology report demonstrated cells consistent with fibrocystic breast disease; no malignancy was noted. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for fine needle aspiration with interpretation is 88173, and since the procedure was performed on both the left and right breasts, it should be reported twice (x 2). The ICD-10-CM codes N60.11 and N60.12 correctly identify fibrocystic breast disease of the left and right breast, respectively.

A Patient Underwent Fine Needle Aspiration of a Cyst on the L