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The procedure described by CPT® Code 32124 involves a thoracotomy, which is a surgical incision into the chest wall. This specific procedure includes an open intrapleural pneumonolysis, a technique aimed at creating a pneumothorax, or a controlled collapse of the lung. The primary purpose of this intervention is to treat conditions such as cavitary tuberculosis, where the lung may be affected by cavities that can lead to significant complications. During the procedure, the surgeon makes an incision on the side of the chest to gain access to the pleural space, which is the area between the lungs and the chest wall. Once inside, the surgeon carefully cuts the adhesions that have formed between the visceral pleura, which covers the lungs, and the parietal pleura, which lines the chest wall. This cutting of adhesions facilitates the collapse of the lung, thereby allowing for therapeutic benefits in managing the underlying condition. The procedure is also known as collapse therapy, highlighting its role in intentionally inducing a pneumothorax for medical treatment purposes.
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