CPT® Code 39560

The procedure described by CPT® Code 39560 involves the resection of the diaphragm, which is a critical muscle that separates the thoracic cavity from the abdominal cavity and plays a vital role in respiration. This surgical intervention is typically indicated for patients with metastatic lesions that have spread from the lungs or other thoracic structures to the diaphragm. The resection is performed using a thoracic approach, most commonly through an anterolateral thoracotomy, which involves making an incision in the chest wall through an intercostal space. In some cases, alternative approaches such as a median sternotomy or abdominal access may be utilized depending on the specific clinical scenario and the extent of the disease. During the procedure, the surgeon excises the affected portion of the diaphragm along with a margin of healthy tissue to ensure complete removal of the pathological area. Following this limited resection, the diaphragm is repaired using a simple primary suture technique, which is a straightforward method of closing the surgical site. It is important to note that there is a related procedure, CPT® Code 39561, which involves an extended resection of the diaphragm followed by a more complex repair using prosthetic materials or local muscle flaps. The choice of procedure depends on the extent of the disease and the specific surgical findings during the operation.