CPT® Code 32551

The procedure described by CPT® Code 32551 refers to tube thoracostomy, which is a surgical intervention aimed at draining fluid or air from the pleural space surrounding the lungs. This procedure is typically performed when there is an accumulation of fluid, known as pleural effusion, or air, known as pneumothorax, which can compromise lung function and lead to respiratory distress. During the procedure, the physician begins by cleansing the skin over the area where the tube will be inserted and administering a local anesthetic to minimize discomfort. A small incision is then made between the ribs, either on the side or the front of the chest, to access the pleural cavity. A trocar, which is a sharp instrument, is used to puncture the pleural cavity, allowing for the insertion of a plastic tube. This tube serves as a conduit for draining the accumulated fluid or air. Once the tube is in place, it may be connected to a drainage system, such as a water seal, which helps prevent any backflow of air or fluid into the chest cavity. Additionally, suction may be applied to facilitate the drainage process. The tube remains in situ until the pleural space is adequately drained and the lungs have re-expanded, ensuring that normal respiratory function can be restored.