CPT® Code 32506

Add-On Code

Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)

The CPT® Code 32506 refers to a surgical procedure known as a thoracotomy with therapeutic wedge resection, specifically for each additional resection performed on the same side of the chest (ipsilateral). This procedure is indicated when there is a need to remove a mass or nodule from the lung. The process begins with a skin incision made over the chest, typically at the location of the identified mass or nodule. The incision may extend around the back to provide adequate access to the lung. During the procedure, soft tissues are carefully dissected to expose the ribs, and the chest cavity is accessed through the intercostal space. In some cases, a rib may be removed to enhance visibility and access to the lung tissue. Once the area is accessed, the surgeon identifies the section of lung tissue that contains the mass or nodule and excises it along with a margin of healthy lung tissue to ensure complete removal of any potentially abnormal cells. A pathology examination is performed on the excised tissue to confirm that the margins are free of abnormal tissue. If any abnormal tissue is detected at the margins, further lung tissue is removed until clean margins are achieved. To facilitate recovery and prevent complications, a temporary drainage tube may be placed in the pleural space to remove any air, fluid, or blood that may accumulate post-surgery. Finally, the chest incision is closed. It is important to note that CPT® Code 32506 is used to report each additional wedge resection performed after the primary procedure, which is reported using CPT® Code 32505.