CPT® Code 32656

Surgical thoracoscopy, commonly known as video-assisted thoracoscopic surgery (VATS), is a minimally invasive surgical procedure that allows for direct visualization and access to the thoracic cavity. This technique involves making a small incision, typically located between the fifth or sixth ribs, just below the tip of the scapula. The procedure begins with the identification of the pleura, the membrane surrounding the lungs, through digital palpation. A trocar is then inserted to create an entry point for the thoracoscope, a specialized camera that provides a visual feed to the surgical team. To facilitate the procedure, two or more additional incisions are made to allow the introduction of various surgical instruments. In the context of CPT® Code 32656, the focus is on performing a parietal pleurectomy, which involves the surgical removal of a portion of the parietal pleura. This procedure is often indicated in cases where there are complications such as pleural adhesions or the presence of blebs or bullae, which may lead to conditions like pneumothorax. The thoracoscope enables the surgeon to inspect the pleura thoroughly, and any necessary interventions, such as the removal of adhesions, can be performed using diathermy or dissection techniques. The procedure is characterized by its precision and the ability to minimize recovery time compared to traditional open surgery, making it a preferred option for many thoracic conditions.