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The procedure described by CPT® Code 32098 involves a thoracotomy, which is a surgical operation that provides access to the thoracic cavity. This specific procedure is performed to obtain biopsy samples from the pleura, the thin membrane that lines the chest cavity and covers the lungs. During the operation, the physician makes a small incision in the anterior chest wall, typically located between the second, third, fourth, or fifth ribs, depending on the targeted area for biopsy. The surgical team carefully divides the pectoralis and intercostal muscles to expose the pleura, allowing for direct access to the tissue. Once the pleura is visible, the ribs are gently spread apart to facilitate the collection of one or more tissue samples. These samples are crucial for diagnosing various conditions affecting the pleura, such as infections, tumors, or inflammatory diseases. After the biopsy is completed, a chest tube or catheter may be inserted into the pleural space to assist with drainage if necessary. Finally, the incision is meticulously closed in layers around the chest tube to ensure proper healing and minimize complications.
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