CPT^® 32505, Under Removal Procedures on the Lungs and Pleura

The Current Procedural Terminology (CPT^®) code 32505 as maintained by American Medical Association, is a medical procedural code under the range - Removal Procedures on the Lungs and Pleura.

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Summary

In this procedure, the provider creates an open surgical incision into the pleural space/cavity of chest and excises a portion of the lung as a triangular piece. This code represents the first resection during the procedure.

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help Right minithoracotomy with open lung biopsy of the middle lobe and upper lobe

Procedure: 1. Right minithoracotomy with open lung biopsy of the middle lobe and upper lobe ?32505 Specimens: -Right middle lobe wedge biopsy for pathology and cultures -Right upper lobe wedge biop... [ Read More ]

Thoracotomy

How would you bill a bilateral thoracotomy with 10 legions removed from right and 6 removed from left? Can add-on codes (32506) have multiple units? 32505 for initial and then??? Thanks!... [ Read More ]

Vats/thoracoscopy help

Hi TWilliam2019, Just saw this post. These are always a little tricky. TIP: First he started as a VATS, then converted to thoracotomy. Add your Z53.32 to your diagnosis, this way if you have combin... [ Read More ]

Nerve block coding w/ lung procedures?

My Dr is asking : what are the circumstances under which 64421 can be used? We do this all the time on most of our patients and I haven’t been coding it; but I’ve been told by other surgeons that... [ Read More ]

Rusty and need help...please!

Hi there Three years away from CT surgery and I am rusty! It's coming back but I feel 'off' on this report. I'm not sure about the 19271 and I feel 32507 is wrong because doc states chest wall tumor ... [ Read More ]

Need Help with Coding Thoracoscopic/Thoracotomy Procedure

I'm trying to determine appropriate codes for following. I'm looking at 32653, 32505 and 32506. Have found these are not bundled but are they correct?Any suggestions? Op report reads Thoracoscope in... [ Read More ]

Immediate re-opening of Thoractomy due to air leak

Patient had an extensive open therapeutic wedge resection 32505 (Modifier 22 used as it took 2 hours to free the lung from adhesions). Immediately after closing the chest, the surgeon noticed an ext... [ Read More ]

Coding Help - Gunshot wound, Sternotomy, Exploration, Resection of Lung, Repairs

I have a very complicated surgery that I'd love a second pair of eyes on coding. An additonal surgeon was called in to help and so I've copied both notes. There's a LOT of documentation here - again... [ Read More ]

Help! Thoracotomy RU Lobectomy & RL lobe resection

Confused about modifiers ....My provider performed a open RU lobectomy and a rt lower lobe wedge resection. I thought I could bill for both, however, I keep getting CCI conflicts regardless of the mod... [ Read More ]

38746

[b]Primary Codes related to add-on code 38746[/b] As an "add-on" code, 38746 is not subject to multiple procedure rules. No reimbursement reduction or modifier 51 is applied. "Add-on" codes describe ... [ Read More ]

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