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The procedure described by CPT® Code 32201 refers to a pneumonostomy performed with the percutaneous drainage of an abscess or cyst located within the lung tissue. In simpler terms, this procedure involves the physician making an incision in the chest wall to access and drain fluid from a cyst or an abscess, which is a pus-filled sac that can form in the lung. The physician first identifies the location of the cyst or abscess, then incises the area to allow for drainage of the accumulated fluid. This drainage is crucial for alleviating symptoms and preventing further complications associated with the presence of the cyst or abscess. During the procedure, the skin is thoroughly cleansed, and a local anesthetic is administered to minimize discomfort for the patient. In some cases, imaging guidance such as fluoroscopy, ultrasound, or CT scans may be utilized to accurately locate the cyst or abscess prior to drainage. The drainage can be performed using a catheter with a sheath or a needle, which is inserted through the chest wall directly into the lung at the site of the cyst or abscess. After the fluid is drained, the wound may be temporarily left open, and a drainage tube may be placed to facilitate further fluid removal if necessary.
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The procedure is indicated for the following conditions:
The procedure involves several key steps to ensure effective drainage of the cyst or abscess:
Post-procedure care may include monitoring the patient for any signs of complications, such as infection or excessive bleeding. The drainage tube, if placed, will need to be managed and monitored for proper function. Patients may be advised on wound care and signs to watch for that could indicate complications. Follow-up appointments may be necessary to assess healing and determine if further intervention is required.
| Short Descr | DRAIN PERCUT LUNG LESION | Medium Descr | PNEUMONOSTOMY PERCUTANEOUS DRAINAGE ABSCESS/CYST | Long Descr | Pneumonostomy; with percutaneous drainage of abscess or cyst | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 42 - Other OR therapeutic procedures on respiratory system |
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| 2014-01-01 | Deleted | Deleted |
| 2011-01-01 | Changed | Short description changed. |
| 1998-01-01 | Added | Code added. |
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