CPT® Code 32562

Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day

The procedure described by CPT® Code 32562 involves the instillation of a fibrinolytic agent via a chest tube or catheter into the pleural space, specifically on a subsequent day following the initial treatment. This procedure is typically performed after a patient has undergone an initial instillation of a fibrinolytic agent, which is coded under CPT® Code 32561. The primary purpose of this procedure is to address multiloculated effusions, which are collections of fluid in the pleural space that can become trapped due to the formation of fibrinous bands or loculations. The use of fibrinolytic agents, such as streptokinase or urokinase, is crucial as they work to break down these fibrinous structures, thereby facilitating improved drainage of purulent material from the pleural space. The process begins with the cleansing of the skin and administration of a local anesthetic, followed by the insertion of a chest tube or catheter. Once the fluid is drained, the fibrinolytic agent is instilled, and the chest tube is temporarily closed to allow the agent to disperse throughout the pleural space. After sufficient time has passed for the agent to act, the chest tube is reopened to suction out both the fibrinolytic agent and any remaining purulent material. This procedure may require the chest tube to remain in place for several days to ensure adequate drainage and recovery.