CPT® Code 32659

The procedure described by CPT® Code 32659 involves a surgical thoracoscopy, commonly known as video-assisted thoracoscopic surgery (VATS), which is utilized to create a pericardial window or to perform a partial resection of the pericardial sac for the purpose of drainage. The pericardium is a fibrous membrane that encases the heart, and this procedure is typically indicated when there is an accumulation of fluid or other substances in the pericardial space that requires intervention. During the procedure, the physician makes a small incision between the ribs, usually at the sixth or seventh intercostal space along the anterior axillary line, to introduce a videothoracoscope. This minimally invasive approach allows for better visualization and access to the pericardial area. Additional incisions are made to accommodate surgical instruments, facilitating the necessary steps to either create a pericardial window or to partially resect the pericardial sac. The goal of this intervention is to effectively drain the pericardial space, thereby alleviating pressure on the heart and improving patient outcomes.