CPT® Code 32140

The procedure described by CPT® Code 32140 involves a thoracotomy, which is a surgical incision into the chest wall. This procedure is specifically performed for the removal of one or more cysts located within the thoracic cavity. The thoracic cavity is the space within the chest that houses vital organs such as the lungs and heart. During the operation, the physician makes an incision in the chest wall directly over the cyst to gain access. Once the cyst is exposed, the physician may aspirate it, which involves using a needle to remove fluid from the cyst, thereby decompressing it. This step is crucial as it helps to alleviate any pressure that the cyst may be exerting on surrounding structures. In cases where the cyst is adhered to other intrathoracic structures, the surgeon will carefully sever these adhesions to facilitate the removal of the cyst. The excision of the cyst is a critical step in the procedure, and if the physician encounters difficulty in removing the cyst completely, they may cauterize any remaining cystic tissue. Cauterization is a technique used to burn tissue to prevent further growth or recurrence of the cyst. Additionally, if the procedure necessitates intervention on the pleura, which is the membrane surrounding the lungs, this may also be performed during the thoracotomy. Following the completion of the procedure, a chest tube may be placed to assist with drainage, and the incision site is then closed to promote healing.