How To Use CPT Code 32560

CPT 32560 describes the procedure of instilling a chemical agent into the pleural space via a chest tube or catheter for pleurodesis. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 32560?

CPT 32560 can be used to describe the procedure of instilling a chemical agent, such as talc, into the pleural space via a chest tube or catheter. This procedure is performed to promote pleurodesis, which is the process of causing the membranes of the lungs to stick together. Pleurodesis helps prevent the accumulation of air and fluid in the pleural space, particularly in cases of recurrent or persistent pneumothorax.

2. Official Description

The official description of CPT code 32560 is: ‘Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax).’ This code specifically refers to the procedure of instilling a chemical agent into the pleural space using a chest tube or catheter.

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate prepping and anesthesia.
2. An already inserted chest tube is used to introduce the chemical agent into the pleural cavity.
3. The chemical agent causes irritation to the pleural layers, leading them to adhere to one another.
4. The provider clamps the chest tube and instructs the patient to change positions multiple times to distribute the chemical throughout the pleural cavity.

4. Qualifying circumstances

CPT 32560 is performed in cases where pleurodesis is necessary to prevent the recurrence or persistence of pneumothorax. It is typically used when other treatment options have been ineffective. The procedure is performed by a qualified healthcare professional and involves the instillation of a chemical agent, such as talc, into the pleural space via a chest tube or catheter.

5. When to use CPT code 32560

CPT code 32560 should be used when the provider performs the procedure of instilling a chemical agent into the pleural space via a chest tube or catheter for pleurodesis. It is important to ensure that the procedure is performed for the specific purpose of treating recurrent or persistent pneumothorax and that the appropriate chemical agent, such as talc, is used.

6. Documentation requirements

To support a claim for CPT 32560, the healthcare professional must document the following information:

• Patient’s diagnosis indicating the need for pleurodesis
• Details of the chemical agent used, such as talc
• Date and time of the procedure
• Specific steps taken during the procedure, including the use of a chest tube or catheter
• Any complications or adverse reactions
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 32560, ensure that the procedure involves the instillation of a chemical agent into the pleural space via a chest tube or catheter. It is important to use the appropriate code for the specific purpose of pleurodesis for recurrent or persistent pneumothorax. Additionally, consider any specific guidelines or modifiers required by the payer for accurate billing and reimbursement.

8. Historical information

CPT 32560 was added to the Current Procedural Terminology system on January 1, 2008. Since its addition, there have been no updates or changes to the code.

9. Examples

1. A patient with recurrent pneumothorax undergoes the instillation of talc into the pleural space via a chest tube to promote pleurodesis.
2. For a patient with persistent pneumothorax, the provider performs the procedure of instilling a chemical agent into the pleural space using a catheter for pleurodesis.
3. In a case of recurrent pneumothorax, the healthcare professional instills talc into the pleural space via a chest tube to facilitate pleurodesis.
4. A patient with persistent pneumothorax undergoes the instillation of a chemical agent into the pleural space using a catheter for pleurodesis.
5. For a patient with recurrent pneumothorax, the provider performs the procedure of instilling talc into the pleural space via a chest tube to promote pleurodesis.
6. In a case of persistent pneumothorax, the healthcare professional instills a chemical agent into the pleural space using a catheter for pleurodesis.
7. A patient with recurrent pneumothorax undergoes the instillation of talc into the pleural space via a chest tube to facilitate pleurodesis.
8. For a patient with persistent pneumothorax, the provider performs the procedure of instilling a chemical agent into the pleural space using a catheter for pleurodesis.
9. In a case of recurrent pneumothorax, the healthcare professional instills talc into the pleural space via a chest tube to promote pleurodesis.
10. A patient with persistent pneumothorax undergoes the instillation of a chemical agent into the pleural space using a catheter for pleurodesis.