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The procedure described by CPT® Code 32200 refers to a pneumonostomy, which is a surgical intervention aimed at addressing fluid accumulation within the lung tissue, specifically targeting a cyst or an abscess. In this context, a cyst is a closed sac-like structure filled with fluid, while an abscess is a localized collection of pus that can occur due to infection or inflammation. The procedure begins with the physician making a small incision in the skin over the identified site of the abscess or cyst, which allows access to the deeper tissues of the chest wall. Through this incision, a pneumonostomy tube is carefully advanced into the cavity of the cyst or abscess, facilitating the drainage of the accumulated fluid or pus. To ensure thorough cleansing of the cavity, the physician may flush it with normal saline or an antibiotic solution, which helps to reduce the risk of infection and promote healing. Following the drainage, a soft drain is placed within the cavity to maintain continuous drainage of any remaining fluid, and this drain is secured in place with sutures. Finally, the incision is closed around the drain, completing the procedure while allowing for ongoing management of the cyst or abscess.
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