2025 CPT code 32553
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Respiratory System Surgery Feed
Placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), reduced services (52), or laterality (LT, RT).
Medical necessity is established by the need for accurate radiation therapy targeting and/or dosage monitoring for a thoracic tumor or lesion.
The physician preps and anesthetizes the patient, then places the device(s) using imaging guidance. They ensure proper placement for accurate radiation therapy targeting and/or dosage measurement.
In simple words: The doctor inserts small markers or sensors through the skin into your chest to help target radiation treatment for tumors in the lung or chest area.
This procedure involves the percutaneous placement of one or more interstitial devices (such as fiducial markers or dosimeters) into the intra-thoracic cavity to guide radiation therapy.It is performed using imaging guidance. The placement of single or multiple devices is reported with this code.
Example 1: A patient with lung cancer requires fiducial markers to be placed percutaneously for precise targeting during stereotactic body radiation therapy., Multiple fiducial markers are placed in a patient with a chest wall tumor to guide radiation therapy., A dosimeter is placed percutaneously to measure radiation dose delivered to a tumor in the pleural cavity.
Documentation should include the number and type of devices placed, the location of placement, the use of imaging guidance, and the medical necessity for the procedure.
** The supply of the device should be reported separately.This code is specific to intra-thoracic placement.
- Revenue Code: P7B (Oncology - Other)
- Payment Status: Active
- Specialties:Radiation Oncology, Interventional Radiology, Thoracic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center