CPT^® 32124, Under Incision Procedures on the Lungs and Pleura

The Current Procedural Terminology (CPT^®) code 32124 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Lungs and Pleura.

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Summary

The provider performs thoracotomy, which is a surgical incision into the chest. The provider performs this procedure with pneumonolysis, which is the separation of an adherent lung from the pleura covering the lungs.

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Thoracoscopy converted to thoracotomy of repair of recurrent diaphragm hernia.

I'm looking for guidance on this one. I looked at both 43334 and 32124. I just don't know about this one. If anyone has experience with this, your input would be appreciated. Op Note: (Patient... [ Read More ]

diagnostic lung biopsy with cpt 32124

Can someone please help me with the following: I bill for a thoracic surgeon and he consistently performs code: 32097 Thoracotomy, with diagnosis biopsy(ies) of lung nodule(s) or mass(es) and on the... [ Read More ]

Robotic lysis of adhesions

PREOPERATIVE DIAGNOSIS: Right upper lobe lung carcinoma. POSTOPERATIVE DIAGNOSIS: Unresectable right upper lobe lung carcinoma (T4 lesion). OPERATION PERFORMED: 1. Right robotic video-assisted t... [ Read More ]

Help with Open Lobectomy

I agree: 32320 includes decortication and I do not see decortication performed. What about this: 32480 32124 19260-51 Logically, I feel the pleurectomy is included with 32480 since you would have to... [ Read More ]

Help with Open Lobectomy

Any help would be greatly appreciated! "The incision was taken down through the subcutaneous tissue and the fascia. Intercostal muscles were divided. The patient had massive adhesions from the previo... [ Read More ]

Lysis of adhesions-I have two

I have two patients, both have a right VATS procedure with wedge resections (32657) but both of them had extensive lysis of adhesions. I see with a thoracotomy that there's a specific code for open i... [ Read More ]

VATS for Chest Wall Resection

Would like opinion/s on resection of a chest wall resection. Codes being considered: 19260 = open wo/rib involvement ---------would one use above code with mod 52 because tumor take with VAT OR 3212... [ Read More ]

Very complicated CABG-Help Please

I really need help coding this note. If you like a good challenge please take the time to read this very long note and let me know how you would code it. I sincerely appreciate anyone who responds. T... [ Read More ]

HELP PLEASE! Very complicated Coronary Artery Bypass Graft

Denial

My claim scrubber is saying modifier 51 needs to be added to 32500 and 32124. As to whether or not the codes and use of modifiers is supported depends on the note. My first response to just seeing t... [ Read More ]

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