CPT® Code 32900

The procedure described by CPT® Code 32900 refers to the resection of ribs performed in an extrapleural manner, which involves the surgical removal of rib sections to facilitate the collapse of one side of the chest. This technique is primarily indicated for patients suffering from conditions such as pulmonary tuberculosis and chronic empyema, where the lung may be compromised and requires intervention to alleviate symptoms or improve function. The extrapleural approach allows for the removal of rib segments while minimizing disturbance to the pleura, which is the membrane surrounding the lungs. Various techniques can be employed during this procedure, ranging from the resection of a small section of rib to a more extensive long posterolateral rib resection. The latter involves a surgical incision over the third rib, followed by careful dissection through the subcutaneous tissue and muscles to access the rib. The procedure is often staged, meaning it may be performed over multiple sessions, particularly in patients who are seriously ill, to ensure better management of their health status and recovery. The use of CPT® Code 32900 encompasses all stages of this rib resection procedure, reflecting its comprehensive nature in addressing the underlying pulmonary issues.