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The CPT® Code 32500 refers to the surgical procedure known as wedge resection of the lung, which involves the removal of a portion of lung tissue that is diseased or damaged, but does not encompass a total pneumonectomy. This procedure can involve the excision of single or multiple wedge-shaped sections from one lung. The term "wedge resection" indicates that the removed tissue is shaped like a wedge, allowing for the removal of both the affected lung tissue and a small margin of healthy tissue to ensure complete excision of the disease. The procedure typically requires an incision made at the front of the chest, which may be extended around to the back, providing access to the thoracic cavity. During the operation, the surgeon may need to remove a rib to enhance visibility and access to the lung. Once the targeted lung tissue is excised, a temporary drainage tube may be placed in the pleural space to facilitate the removal of any air, fluid, or blood that may accumulate post-surgery. Finally, the chest incision is sutured closed, completing the procedure.
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The wedge resection procedure, coded as CPT® 32500, is indicated for various conditions affecting the lung. These may include:
The wedge resection procedure involves several critical steps, which are outlined as follows:
Following the wedge resection, patients are typically monitored in a recovery area for any immediate complications. The presence of a drainage tube may require careful management to ensure proper drainage and prevent fluid accumulation. Patients can expect a recovery period that may involve pain management and respiratory therapy to aid in lung function. The duration of recovery can vary based on the extent of the surgery and the patient's overall health. Follow-up appointments are essential to monitor healing and assess lung function post-surgery.
| Short Descr | PARTIAL REMOVAL OF LUNG | Medium Descr | RMVL LNG OTH/THN TOT PNUMEC WEDGE RESCJ 1/MLT | Long Descr | Removal of lung, other than total pneumonectomy; wedge resection, single or multiple | Status Code | Active Code | Global Days | 090 - Major Surgery | 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 36 - Lobectomy or pneumonectomy |
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