CPT® Code 32810

The procedure described by CPT® Code 32810 refers to the closure of the chest wall following an open flap drainage for empyema, specifically known as the Clagett type procedure. Empyema is a collection of pus within the pleural cavity, often resulting from infections such as pneumonia or lung abscesses. In this surgical intervention, the physician first inspects the empyema cavity to ensure it is free from gross infection. If any necrotic or inflamed tissue is present, it is carefully debrided to promote healing. Following this, the cavity is filled with an antibiotic solution to help prevent further infection. The procedure involves the use of a previously created skin flap, which is taken down to allow for closure of the chest wall defect. The physician has several options for closure, which may include using local pleural or intercostal muscle flaps, or more extensive muscle flaps such as those from the serratus anterior or latissimus dorsi muscles. An alternative method involves the use of an omental flap, which can be harvested through either an open or laparoscopic approach and then passed through the diaphragm to fill the empyema cavity. The chosen flap is developed, transposed, and secured over the empyema site, effectively closing the chest wall defect and facilitating recovery.