CPT® Code 32095

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The procedure described by CPT® Code 32095 involves a limited thoracotomy specifically performed for the purpose of obtaining a biopsy from either the lung or the pleura. In this surgical approach, the physician makes a small incision in the anterior chest wall, typically located between the second, third, fourth, or fifth intercostal spaces, depending on the targeted biopsy site. This incision allows access to the thoracic cavity while minimizing trauma to surrounding tissues. During the procedure, the pectoralis and intercostal muscles are carefully divided to expose the pleura, the membrane surrounding the lungs. The ribs are then spread apart to facilitate access to the pleural space. If the biopsy is focused on the pleura, one or more samples of pleural tissue are collected. Conversely, if lung tissue is to be biopsied, the pleura is incised, and the lung may be collapsed as necessary to allow for better visualization and access. Pleural fluid may also be aspirated during this process. Once the lung is adequately exposed, the physician examines the area and proceeds to excise a sample of lung tissue using clamps to secure the biopsy site. After the biopsy is completed, the area is closed with mattress sutures, and a chest tube or catheter may be placed in the pleural space if required. Finally, the lung is reinflated, and the chest incision is closed in layers around the chest tube, ensuring proper healing and recovery.