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Lori Posted Thu 03rd of August, 2017 12:40:55 PM
PROCEDURE TITLE 1. Right video-assisted thoracoscopic surgical evacuation of hematoma and repair of parenchymal air leak. 2. Bronchoscopy. I could not find a VATS code that satisfied both the evacuation of hematoma and air leak repair. The only one that comes close is 32654. Am I missing something?
SuperCoder Answered Fri 04th of August, 2017 02:45:42 AM


As per the above scenario, the appropriate CPT code would be 32653 (Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit) {also append modifier RT to indicate right side} which includes both evacuation of hematoma/clot as well as any parenchymal tears/air leakage repair. CPT code 32654 (Thoracoscopy, surgical; with control of traumatic hemorrhage) indicates ongoig thoracoscopic hemorrhage/bleeding control only, so it would not suffice the documentation given above.


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