CPT^® 32609, Under Thoracoscopy (Video-assisted thoracic surgery [VATS]) on the Lungs and Pleura

The Current Procedural Terminology (CPT^®) code 32609 as maintained by American Medical Association, is a medical procedural code under the range - Thoracoscopy (Video-assisted thoracic surgery [VATS]) on the Lungs and Pleura.

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Summary

Using a video–assisted endoscopic approach, the provider takes one or more tissue samples from the pleura, the membrane lining the chest cavity and enveloping the lungs.

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? left VATS with biopsy of subpleural mass

Based on the above dictation with the biopsy being obtained in the subpleural interspace from a cyst (not nodule), I would go with 32609. I do not see any indication that a pleurodesis was performed, ... [ Read More ]

? left VATS with biopsy of subpleural mass

These are my weakness I was looking at either 32608, 32609, 32650 any suggestions is greatly appreciated thanks Postoperative diagnosis: #1 bilateral pleural effusions #2 bilateral pleural-based ma... [ Read More ]

mini thoracotomy

[QUOTE="TWilliam2019, post: 450703, member: 117131"]Procedure: 1. Video thoracoscopy with mini-thoracotomy, Left 2. Left lung biopsy 3. Left pleural biopsy 4. Mediastinal lymph node dissection, Le... [ Read More ]

mini thoracotomy

Procedure: 1. Video thoracoscopy with mini-thoracotomy, Left 2. Left lung biopsy 3. Left pleural biopsy 4. Mediastinal lymph node dissection, Left 32609 32674 vs 32097 38746 vats are my weakness ... [ Read More ]

Lung Biopsy

Coding for a VATS with lung biopsy. The surgeon took a biopsy from upper, middle, and lower lobes of left lung. The code 32607 is for lung infiltrates, 32608 is for biopsy of lung nodule or mass, and ... [ Read More ]

quick ??'s on short op note for thorascopic eval/plueral bx/thoracotomy/talc

I'm not sure if this is right or not, but I'd try 32609, 32560 (with the appropriate mod). The op note reads to me as the talc being instilled after the procedures, particularly because it's listed af... [ Read More ]

quick ??'s on short op note for thorascopic eval/plueral bx/thoracotomy/talc

Looking for insight on a few things: The limited (3 cm) thoracotomy to repair venous bleeder on lung.. all the thoracotomy codes I find describe a wide incision. Code ideas? And the way I read the op ... [ Read More ]

Thymectomy and resection of mediastinal mass

From what info you've written, you're on the right track....60522,39220,32608 (maybe 32609 if he biopsied them being in the pleural), but on the 33033, I would question that as well, with that code it... [ Read More ]

Parietal pleural bx w/o thoracoscopy

I am stumped to find a pleural bx code performed with a VATS talc pleurodesis. Doctor performed a bronch with biopsies of the mid lobe but the pleural bx was done during the VATS. If a thoracoscopy wa... [ Read More ]

32609/32650

Does anyone know a better coding combo for these procedure because of CCI edits. My surgeon does a biopsy of pleura and then does thoracoscopy with plueurodesis. Per CCI edits these can not be billed ... [ Read More ]

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