How To Use CPT Code 32482

CPT 32482 describes the surgical procedure for the removal of two lobes of a lung, known as a bilobectomy. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 32482?

CPT 32482 is used to describe the surgical removal of two lobes of a lung, specifically the right lung. This procedure, known as a bilobectomy, involves excising two of the three lobes of the right lung. It is important to note that this code is not appropriate for the removal of the left lung, as it has only two lobes. For the removal of a single lobe, a different CPT code should be used.

2. Official Description

The official description of CPT code 32482 is: ‘Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy).’ This code specifically refers to the surgical removal of two lobes of a lung, excluding a total pneumonectomy.

3. Procedure

1. The procedure begins with the patient being appropriately prepped and anesthetized.
2. The provider then makes an incision in the chest, either through a thoracotomy or sternotomy approach.
3. If necessary, a rib spreader may be used to separate the ribs, allowing better access to the lungs.
4. The provider then removes two of the three lobes of the right lung.
5. The incision is closed using staples or stitches, ensuring that the air tube is not leaking air.
6. If a sternotomy was performed, the provider closes the incision by wiring the halves of the ribcage back together.

4. Qualifying circumstances

CPT 32482 is used when a patient requires the surgical removal of two lobes of the right lung. This procedure is typically performed on patients with specific lung conditions or diseases that necessitate the removal of these lobes. It is important to note that this code is not appropriate for the removal of the left lung or a single lobe. The provider must accurately document the medical necessity for the procedure and ensure that it meets the criteria for a bilobectomy.

5. When to use CPT code 32482

CPT code 32482 should be used when a patient undergoes a surgical procedure to remove two lobes of the right lung, known as a bilobectomy. It is important to accurately document the procedure and ensure that it meets the specific criteria for a bilobectomy. If the procedure involves the removal of the left lung or a single lobe, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT code 32482, the provider must document the following information:

• Medical necessity for the bilobectomy procedure
• Specific details of the procedure, including the approach used (thoracotomy or sternotomy)
• Confirmation of the removal of two lobes of the right lung
• Closure method used (staples or stitches)
• Any additional relevant information or complications encountered during the procedure

7. Billing guidelines

When billing for CPT code 32482, it is important to ensure that the procedure meets the criteria for a bilobectomy and that the documentation supports the medical necessity for the procedure. This code should only be used for the removal of two lobes of the right lung. It is not appropriate for the removal of the left lung or a single lobe. Providers should also be aware of any specific billing guidelines or requirements from insurance companies or payers.

8. Historical information

CPT code 32482 was added to the Current Procedural Terminology system on January 1, 1994. Since its addition, there have been a few changes to the code description, including updates to the terminology used. The most recent change occurred on January 1, 2012, when the code description was modified to clarify the removal of two lobes of the lung.

9. Examples

1. A patient with lung cancer undergoes a bilobectomy to remove two lobes of the right lung.
2. A patient with a severe lung infection requires a bilobectomy to remove two lobes of the right lung.
3. A patient with a lung abscess undergoes a bilobectomy to remove two lobes of the right lung.
4. A patient with a lung tumor undergoes a bilobectomy to remove two lobes of the right lung.
5. A patient with a chronic lung disease requires a bilobectomy to improve their lung function.
6. A patient with a lung injury undergoes a bilobectomy to remove damaged lobes of the right lung.
7. A patient with a lung cyst requires a bilobectomy to remove two lobes of the right lung.
8. A patient with a lung nodule undergoes a bilobectomy to remove two lobes of the right lung for further examination.
9. A patient with a lung abscess undergoes a bilobectomy to remove two lobes of the right lung and drain the infection.
10. A patient with a lung tumor undergoes a bilobectomy to remove two lobes of the right lung and prevent further spread of the cancer.