We have a question circling around our department as to when 10022 can be used to record multiple aspirations.

If a physician specifies "4 aspirations were made" to one nodule with each area referenced (superior, middle, etc) , do you record 10022 x 1 or 10022 x 4? Does the size of a nodule come into play?

Also, if you have multiple nodules and aspirate each one, is it correct to assign 10022 per nodule and append Mod 59?

The CC is confusing stating "many insertions are usually required to obtain an adequate sample" but it also states "if mult areas are aspirated for each site taken, append modifer 59 to additional codes.

Are separate sites within 1 nodule, coded the same as 2 distinct nodule sites?