CPT® Code 32141

The procedure described by CPT® Code 32141 involves a thoracotomy, which is a surgical incision into the chest wall to access the lungs. This specific procedure focuses on the resection and plication of bullae, which are large air-filled spaces that can develop in the lungs, particularly in patients suffering from emphysema or chronic obstructive pulmonary disease (COPD). Bullae can significantly impair lung function as they occupy space that would otherwise be used for healthy lung tissue. The surgical approach includes making an incision on the side of the chest where the affected lung is located. During the operation, the lung is intentionally collapsed to facilitate access, and one-lung ventilation is employed to maintain oxygenation. The surgeon may need to cut through any pleural adhesions that may be present. Once the bulla is located, it can be excised or stapled to reduce its size and prevent further complications. In some cases, particularly with larger bullae, the surgeon may puncture and collapse them before removal. After the bulla is addressed, the pleural cavity is irrigated to ensure cleanliness, and the lung is then reinflated. To aid in recovery and prevent fluid accumulation, one or more chest tubes are inserted before the incision is closed. This comprehensive approach aims to restore lung function and alleviate symptoms associated with the presence of bullae.