CPT® Code 32035

The procedure described by CPT® Code 32035 involves a thoracostomy with rib resection specifically performed to address empyema, which is an accumulation of pus in the pleural space. In this surgical intervention, the physician makes a small incision in the chest wall, strategically located over the rib that is situated above the area of the empyema collection. The primary goal of this procedure is to create an opening in the chest cavity that facilitates the drainage of the abscess. To achieve this, a segment of the rib is excised, allowing access to the pleural space. Once the pleural cavity is entered, the physician meticulously breaks down any loculated cavities within the pleural space, which may involve the use of a fingertip or suction tip to ensure thorough drainage. Following the aspiration of the empyema collection, the pleural space is irrigated with an antibiotic solution to help prevent infection. To maintain continuous drainage, a large bore chest tube is inserted into the empyema pocket through a separate incision. This procedure is critical for managing empyema effectively, as it not only alleviates the accumulation of pus but also promotes healing and recovery in the affected area.