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

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CPT code 88173 is used for cytopathology interpretation of a fine needle aspirate, and since two separate sites were aspirated (left and right breast), the code should be reported twice. ICD-10-CM codes N60.11 and N60.12 are used for fibrocystic breast disease of the right and left breast, respectively, indicating the condition was found in both breasts.

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