2025 CPT code 32486
(Active) Effective Date: N/A Revision Date: N/A Surgery - Lung Resection Surgery Feed
Removal of a lung lobe (other than a total pneumonectomy) involving a circumferential resection of a bronchus segment, followed by a broncho-bronchial anastomosis (sleeve lobectomy).
Modifiers may be applicable in certain situations (e.g., modifier 59 for distinct procedural service). Refer to the most updated CPT guidelines for more detailed information on modifier application.
Medical necessity is established when a patient has a lung tumor in a location that necessitates a sleeve lobectomy for complete resection.Preoperative imaging studies are essential in determining the suitability of this procedure. The procedure should be medically necessary and documented appropriately per payer guidelines.
Thoracic surgeon performs the procedure.May involve other specialists for anesthesia, pathology, and post-operative care.
In simple words: The doctor removes a section of the lung, cuts around a part of the airway, and then sews the airway back together.
This procedure involves the removal of a single lobe of the lung (excluding a complete pneumonectomy).It includes a circumferential resection of a segment of the bronchus, which is then reconnected (anastomosis) to restore the airway.This technique is often used when a tumor is located in a way that prevents a simpler lobectomy.
Example 1: A 65-year-old male patient presents with a lung tumor in the upper lobe of the right lung, close to the main bronchus. A sleeve lobectomy is performed to remove the tumor, with resection and re-anastomosis of the affected bronchus segment., A 72-year-old female patient has a centrally located tumor in the lower lobe of the left lung, involving the bronchus.A sleeve lobectomy is necessary to achieve complete tumor resection, with reconstruction of the remaining airway., A 50-year-old patient requires resection of a large bronchus lesion that necessitates a sleeve lobectomy of the middle lobe to completely remove the tumor with negative margins.The surgeon then performs a broncho-bronchial anastomosis.
* Preoperative imaging studies (CT scan, MRI) demonstrating the tumor location and size.* Intraoperative findings, including details of the resection and anastomosis.* Pathology report confirming complete tumor resection and margin status.* Postoperative imaging (chest x-ray) to assess for complications.* Complete anesthesia record.
** This code is specifically for a sleeve lobectomy; other lung resections are coded differently.Always ensure accurate documentation to support the reported code. The information provided is for reference only, always refer to the most current CPT and payer guidelines for accurate coding and billing.
- Revenue Code: P1G (Major Procedure - Other)
- RVU: The RVUs for this code vary depending on the facility and payer.Consult your specific fee schedule for accurate values.
- Global Days: The global period for this procedure is dependent on the payer and specific circumstances.Check your payer's guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Fee schedules vary by payer and location. Check your local fee schedules for historical data.
- Specialties:Thoracic Surgery
- Place of Service:Inpatient Hospital