CPT® Code 32480

The procedure described by CPT® Code 32480 refers to the surgical removal of a single lobe of the lung, known as a lobectomy, which is performed through an intercostal incision. This incision is strategically made in the anterior chest and is extended around to the posterior chest at the level of the affected lobe. In cases where additional exposure is necessary for the surgeon to access the lung, a rib may be removed to facilitate the procedure. Once the incision is made, the lung is deflated to allow for better visibility and access to the surgical site. The main arteries and veins that supply blood to the affected lobe are carefully ligated and divided to prevent excessive bleeding during the operation. Following this, the secondary bronchi, which are the air passages leading to the lobes of the lungs, are clamped and divided as well. The diseased lobe is then meticulously dissected from the surrounding lung tissue and removed from the body. After the lobe is excised, the remaining portions of the secondary bronchi are either stapled or sutured closed to ensure that the airways are properly sealed. Post-surgery, the remaining portion of the lung is expected to expand and fill the chest cavity, which aids in maintaining normal respiratory function. To assist with drainage and prevent fluid accumulation in the pleural space, chest tubes are inserted before the chest incision is finally closed. It is important to use CPT® Code 32480 specifically when a single lobe is removed, while CPT® Code 32482 should be used if two lobes are excised during the procedure.