CPT® Code 32852

A lung transplant is a surgical procedure in which a single lung is replaced with a healthy lung from a donor. This operation is typically indicated for patients suffering from severe lung diseases that have not responded to other treatments. The procedure involves opening the thoracic cavity through a posterolateral incision, usually made between the fourth or fifth intercostal space, to gain access to the lung. In some cases, the fifth rib may be excised to improve visibility and access. If the use of cardiopulmonary bypass is necessary, an additional incision may be made in the groin to facilitate the connection of the bypass machine to the thoracic vessels. During the transplant, the lung with the poorest function is removed from the recipient, and the donor lung is carefully placed into the thoracic cavity. Various techniques may be employed for the transplant, including different methods for connecting the bronchus, pulmonary artery, and pulmonary vein. The bronchial anastomosis involves suturing the smaller bronchus into the larger one, and this site is often reinforced with surrounding tissue to ensure stability. The pulmonary arteries and veins are then anastomosed to restore blood flow to the new lung. After the transplant, the lung is reinflated, and any air trapped in the pulmonary vasculature is evacuated. The surgical site is meticulously closed, and the bronchial anastomosis is inspected to ensure proper healing. This procedure is coded as CPT® 32852 when performed with cardiopulmonary bypass, highlighting the complexity and critical nature of the operation.