CPT® Code 32666

Surgical thoracoscopy, commonly known as video-assisted thoracoscopic surgery (VATS), is a minimally invasive surgical procedure that allows for direct visualization and intervention within the thoracic cavity. This technique is particularly useful for performing therapeutic wedge resections, which involve the removal of a specific section of lung tissue, such as a mass or nodule. The procedure is initiated through a single portal incision, the location of which is determined by the position of the lesion being targeted. During the surgery, a thoracoscope—a specialized camera—is inserted to provide a clear view of the internal structures. The surgeon identifies the lesion and utilizes an endograsper to grasp and suspend it for further manipulation. An endostapler is then introduced to excise the wedge of lung tissue containing the lesion. This is accomplished by positioning the lesion between the jaws of the endostapler, which are then closed and fired to cut through the lung parenchyma. The process may involve multiple firings of the endostapler or the use of endoscissors to ensure complete resection of the targeted tissue. After the wedge of lung tissue is removed, it is placed in an endobag for safe extraction from the thoracic cavity. The procedure concludes with the control of any bleeding, removal of surgical instruments, and the placement of a chest tube through the same incision to facilitate drainage and support recovery. This code, 32666, is specifically designated for the first wedge of lung tissue excised, while 32667 is used for any additional wedges removed from different sites within the same lung.