CPT® Code 10022

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The CPT® Code 10022 refers to a fine needle aspiration (FNA) procedure that is performed with imaging guidance. This minimally invasive technique involves the use of a fine gauge needle, typically 22 or 25 gauge, along with a syringe to obtain a sample of fluid from a cyst or to extract clusters of cells from a solid mass. The procedure begins with the cleaning of the FNA site, followed by the physician palpating the area to locate the lump. If the lump is palpable, the physician can directly guide the needle into the site. However, if the lump is not palpable, imaging guidance becomes essential to assist in accurately locating the lesion. This imaging guidance may be provided through fluoroscopy or ultrasonography, ensuring precise needle placement. Once the needle is positioned within the breast lesion, a vacuum is created, and the physician performs multiple in-and-out motions with the needle to collect an adequate tissue sample. It is common for several needle insertions to be necessary to secure sufficient material for analysis. The collected samples are then prepared for examination by smearing them onto a microscope slide, where they may be air-dried, fixed with a spray, or immersed in a liquid for preservation. After fixation, the smears are stained and subsequently reviewed by a pathologist under a microscope for diagnostic purposes. Notably, the FNA procedure does not require stitches and is typically conducted on an outpatient basis, allowing many patients to return to their normal activities on the same day. A small bandage is applied to the site post-procedure to protect the area.