CPT® Code 32097

The procedure described by CPT® Code 32097 involves a thoracotomy, which is a surgical incision into the chest wall to access the lungs. This specific procedure is performed for the purpose of obtaining diagnostic biopsies of lung nodules or masses, which are abnormal growths within the lung tissue. A lung nodule is defined as a small, rounded growth that can be detected on imaging studies such as chest X-rays or CT scans. The thoracotomy is typically unilateral, meaning it is performed on one side of the chest. During the procedure, the surgeon makes a small anterior incision between the ribs, usually in the second, third, fourth, or fifth intercostal space, depending on the location of the nodule or mass to be biopsied. The surgical approach involves dividing the pectoralis and intercostal muscles to expose the pleura, the membrane surrounding the lungs. The ribs are then spread apart to allow access to the lung tissue. The pleura is incised, and the lung may be collapsed if necessary to facilitate the biopsy. The surgeon examines the exposed lung area, and tissue samples are obtained either by incising the lung or excising a triangular wedge of lung tissue. After the biopsy, the area is closed with mattress sutures, and a chest tube may be placed to drain any fluid or air from the pleural space. Finally, the lung is reinflated, and the chest incision is closed in layers, ensuring proper healing and recovery.