CPT® Code 32661

The procedure described by CPT® Code 32661 involves a surgical thoracoscopy, which is a minimally invasive technique used to access the thoracic cavity. This procedure is specifically performed to excise a pericardial cyst, tumor, or mass. The pericardium is a protective fibrous membrane that encases the heart, and the presence of a cyst, tumor, or mass can lead to various complications, including cardiac compression or inflammation. During the procedure, the physician makes a small incision between the ribs, typically at the sixth or seventh intercostal space along the anterior axillary line, to introduce a videothoracoscope. This instrument allows for visualization of the thoracic cavity, enabling the physician to locate the cyst, tumor, or mass. Additional incisions are made to facilitate the introduction of surgical instruments necessary for the excision. The procedure requires careful dissection to remove the lesion while preserving surrounding structures, and it may involve the use of synthetic materials to repair any defects in the pericardium post-excision. Overall, this procedure is crucial for addressing pericardial lesions that may pose risks to cardiac function and overall health.