This is the first time I have coded this type of report. I'm confused on how many times I report the aspiration of the cysts. and do I code with a 50 modifier on all procedure codes? 
EXAMINATION: BILATERAL BREAST CYST ASPIRATION
DATE: 6/29/2015
HISTORY: Bilateral breast cysts.
COMPARISON: Breast ultrasound 6/11/2015.
FINDINGS:
Written consent was obtained. Breasts were prepped and draped in a sterile
fashion. 2% Xylocaine with bicarbonate was used for local anesthesia. Using an
18-gauge needle, 3 right-sided breast cysts were aspirated at the 10:30 o'clock
position approximately 8 cm from nipple. The cysts contained clear tan fluid.
Post aspiration images show complete resolution of cysts.
Next, 2% Xylocaine with bicarbonate was used for local anesthesia and aspiration
of 3 left-sided breast cyst was performed using 18-gauge needle. 2 of the cysts
completely collapsed and demonstrate clear tan fluid. The third cyst did not
completely collapse and contained thick white fluid, which was sent for
cytology. Area was dressed in a sterile fashion. Patient tolerated procedure
well.
EXAMINATION: BILATERAL BREAST CYST ASPIRATION
DATE: 6/29/2015
HISTORY: Bilateral breast cysts.
COMPARISON: Breast ultrasound 6/11/2015.
FINDINGS:
Written consent was obtained. Breasts were prepped and draped in a sterile
fashion. 2% Xylocaine with bicarbonate was used for local anesthesia. Using an
18-gauge needle, 3 right-sided breast cysts were aspirated at the 10:30 o'clock
position approximately 8 cm from nipple. The cysts contained clear tan fluid.
Post aspiration images show complete resolution of cysts.
Next, 2% Xylocaine with bicarbonate was used for local anesthesia and aspiration
of 3 left-sided breast cyst was performed using 18-gauge needle. 2 of the cysts
completely collapsed and demonstrate clear tan fluid. The third cyst did not
completely collapse and contained thick white fluid, which was sent for
cytology. Area was dressed in a sterile fashion. Patient tolerated procedure
well.