CPT® Code 32667

Add-On Code

Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)

Surgical thoracoscopy, commonly known as video-assisted thoracoscopic surgery (VATS), is a minimally invasive surgical procedure that allows physicians to access the thoracic cavity through small incisions. This technique is particularly useful for performing therapeutic wedge resections, which involve the removal of a wedge-shaped portion of lung tissue that may contain a mass or nodule. The procedure is performed under thoracoscopic control, which means that the surgeon uses a thoracoscope—a specialized camera and instrument—to visualize the surgical site on a monitor. The specific location of the incision and the placement of the thoracoscope are determined by the position of the lesion within the lung. During the procedure, the surgeon identifies the lesion and utilizes an endograsper to grasp and suspend it for resection. An endostapler is then employed to excise the wedge of lung tissue, ensuring that the lesion is completely removed. This method allows for precise and controlled resections while minimizing damage to surrounding lung tissue. After the wedge is excised, it is placed in an endobag for removal, and measures are taken to control any bleeding. A chest tube is typically inserted through the same incision to facilitate drainage and promote recovery. It is important to note that CPT® Code 32667 is specifically used to report each additional wedge resection performed on the same lung, following the primary procedure reported with CPT® Code 32666.