CPT® Code 32653

Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit, commonly referred to as video-assisted thoracoscopic surgery (VATS), is a minimally invasive surgical procedure. This technique involves the use of a thoracoscope, which is a specialized instrument equipped with a camera and light source, allowing the surgeon to visualize the thoracic cavity without the need for large incisions. The procedure is indicated for the removal of foreign bodies or fibrin deposits that may be present in the pleural space, which is the area between the lungs and the chest wall. The approach typically involves making a small incision between the ribs, usually at the fifth or sixth intercostal space, to access the pleural cavity. The surgeon can then explore the thoracic cavity, aspirate any fluid present, and locate the foreign body or fibrin deposit for removal. This method is advantageous as it reduces recovery time, minimizes postoperative pain, and decreases the risk of complications associated with more invasive surgical techniques.