CPT® Code 32482

The procedure described by CPT® Code 32482 refers to the surgical removal of two lobes of the lung, a process known as bilobectomy. This operation is typically performed through an intercostal incision, which is a cut made between the ribs in the anterior (front) part of the chest, extending around to the posterior (back) side at the level of the affected lung lobes. In cases where greater visibility and access are required, a rib may be removed to facilitate the procedure. Once the incision is made, the lung is deflated to allow for easier manipulation and access to the lobes that need to be removed. The surgeon then identifies and ligates (ties off) the main arteries and veins that supply blood to the affected lobes, ensuring that there is no bleeding during the removal process. Following this, the secondary bronchi, which are the air passages leading to the lobes, are clamped and divided. The diseased lobes are carefully dissected from the surrounding lung tissue and removed from the chest cavity. After the lobes are excised, the remaining portions of the secondary bronchi are either stapled or sutured closed to prevent air leaks. Post-surgery, the remaining lung tissue often expands to fill the space left in the chest cavity. To aid in recovery and prevent complications such as fluid accumulation, chest tubes are inserted into the pleural space. Finally, the chest incision is closed, completing the procedure. It is important to note that CPT® Code 32482 is specifically used when two lobes are removed, while CPT® Code 32480 is designated for the removal of a single lobe.