How To Use CPT Code 32225

CPT 32225 describes a specific procedure known as partial decortication, which involves the removal of the fibrous layer surrounding a lung to improve lung expansion. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 32225?

CPT 32225 is a code used to describe the partial decortication procedure, which involves the removal of the outer fibrous layer surrounding a lung. This procedure is performed to enhance lung expansion and improve the patient’s respiratory function. It is important to note that CPT 32225 should only be reported when it is performed as a separate procedure and not as an integral part of a larger procedure.

2. Official Description

The official description of CPT code 32225 is: ‘Decortication, pulmonary (separate procedure); partial.’

3. Procedure

1. During the partial decortication procedure, the patient is appropriately prepped and anesthetized to ensure their comfort and safety.
2. The provider makes an incision, typically through a median sternotomy or another form of thoracotomy, to access the chest cavity.
3. A rib spreader is used to separate the ribs, allowing better access to the lungs.
4. The provider then carefully removes part of the fibrous membrane surrounding the lung and drains any fluid or pus present in the lung area.
5. After completing the necessary removal and drainage, the provider closes the incision using sutures or staples. In cases of sternotomy, the sternum may be wired back together.
6. Finally, the wound is dressed to promote proper healing.

4. Qualifying circumstances

Partial decortication, represented by CPT code 32225, is performed on patients who require the removal of the fibrous layer surrounding a lung to improve lung expansion. This procedure is typically indicated for patients with conditions such as pleural effusion or empyema, where the fibrous layer restricts the lung’s ability to expand fully. It is important to note that CPT code 32225 should only be reported when performed as a separate procedure and not as an integral part of a larger procedure.

5. When to use CPT code 32225

CPT code 32225 should be used when the provider performs a partial decortication procedure as a separate and distinct service. It should not be reported if it is an integral part of a larger procedure. It is crucial to review the documentation and ensure that the procedure meets the criteria for reporting CPT code 32225.

6. Documentation requirements

To support the claim for CPT code 32225, the provider must document the following information:

• Patient’s diagnosis necessitating the partial decortication procedure
• Details of the procedure performed, including the approach used (e.g., median sternotomy, thoracotomy)
• Incision date and time
• Specific steps taken during the procedure, such as the removal of the fibrous membrane and drainage of fluid or pus
• Method of wound closure (sutures, staples, wiring)
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 32225, it is crucial to ensure that the procedure is performed as a separate and distinct service. It should not be reported if it is an integral part of a larger procedure. Additionally, it is important to review any specific billing guidelines provided by payers to ensure accurate reporting and reimbursement. It is recommended to consult the payer’s policies and guidelines for any additional requirements or modifiers that may be necessary.

8. Historical information

CPT code 32225 was added to the Current Procedural Terminology system on January 1, 1990. The code has undergone no updates since its addition. However, it is important to stay updated with any changes or revisions to ensure accurate coding and billing practices.

9. Examples

1. A patient with pleural effusion undergoes a partial decortication procedure to remove the fibrous layer surrounding the lung and improve lung expansion.
2. A provider performs a separate and distinct partial decortication procedure on a patient with empyema to facilitate better respiratory function.
3. During a thoracotomy, the provider identifies the need for partial decortication and proceeds to remove the fibrous layer surrounding the lung.
4. A patient with a history of recurrent pleural effusion undergoes a partial decortication procedure to alleviate symptoms and improve lung function.
5. A provider performs a separate and distinct partial decortication procedure on a patient with a chronic lung condition to enhance respiratory capacity.
6. During a surgical exploration of the chest cavity, the provider identifies the need for partial decortication and proceeds with the procedure.
7. A patient with a severe infection in the lung area undergoes a partial decortication procedure to remove the infected tissue and promote healing.
8. A provider performs a separate and distinct partial decortication procedure on a patient with a lung injury to aid in the recovery process.
9. During a thoracotomy for diagnostic purposes, the provider discovers the need for partial decortication and performs the procedure.
10. A patient with a history of lung disease undergoes a partial decortication procedure to improve lung function and quality of life.