2025 CPT code 32442
Effective Date: N/A Surgery - Surgical Procedures on the Respiratory System Feed
Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy).
Modifiers may be applicable to this code in certain circumstances. For example, modifier -51 should be used if multiple procedures are performed during the same operative session.
Medical necessity should be established by documentation indicating that the procedure was required for definitive treatment of a condition affecting both the lung and trachea, and that less extensive procedures would be inadequate.
The surgeon is responsible for performing the entire procedure, including the incision, lung and tracheal resection, broncho-tracheal anastomosis, and closure of the incision.
In simple words: The doctor removes one of your lungs through an incision in your chest. Part of your windpipe is also removed and the remaining windpipe is reconnected to the airway of your other lung.
This procedure involves the complete removal of a lung (pneumonectomy) combined with the resection of a segment of the trachea and a subsequent broncho-tracheal anastomosis (sleeve pneumonectomy).The surgeon makes an incision in the chest, separates the ribs, and removes the entire diseased lung.A section of the trachea is also removed, and the remaining trachea is then surgically connected to the bronchus of the remaining lung, creating a new airway.
Example 1: A patient with lung cancer located near the hilum requires removal of the entire lung and a portion of the trachea to ensure complete resection of the tumor., A patient with a benign tracheal tumor involving the carina requires resection of the affected portion of the trachea along with the lung on the affected side. , A patient with severe tracheal stenosis requires removal of the stenotic segment and adjacent lung tissue with reconstruction of the airway.
Documentation should include operative report detailing the procedure, including the size and location of the tumor, the extent of tracheal resection, and confirmation of the broncho-tracheal anastomosis. Preoperative imaging studies and pathology reports confirming the diagnosis should also be included.
- Revenue Code: P1G
- Specialties:Thoracic Surgery
- Place of Service:Inpatient Hospital