Breast Cyst Aspiration

Breast Cyst Aspiration

February 1, 2018

The surgeon did a fine needle aspiration of two cysts in the same breast without any imaging. Is this billed once or twice?

Fine needle aspiration of a breast cyst is reported per cyst. In this scenario, code 10021 with 2 units or 10021 and a second 10021 with a 59 or XS modifier as directed by your payor.

The fine needle aspiration codes are shown below.

Fine Needle Aspiration (FNA)

CPT Code



Fine needle aspiration; without imaging guidance


with imaging guidance

Global Period for both codes – XXX
*XXX means the concept of global period does not apply

*This response is based on the best information available as of 02/01/18.


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