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2025 CPT code 32606

Diagnostic thoracoscopy (separate procedure); mediastinal space, with biopsy.

Follow all relevant CPT coding guidelines concerning thoracoscopy and biopsies. Ensure proper documentation supports medical necessity and accurate code selection.Refer to CPT manual for updates.

Modifiers may be applicable depending on the circumstances, such as modifier 59 for a distinct procedural service or other appropriate modifiers for anesthesia, assistant surgeon, etc. Consult current modifier guidelines.

Medical necessity for this procedure would be established by the presence of a suspicious mediastinal lesion detected on imaging studies or during other procedures, requiring tissue confirmation through biopsy to guide diagnosis and treatment.This is clinically indicated when non-invasive diagnostic methods are inconclusive.

The physician's responsibilities include pre-operative assessment and planning, performing the thoracoscopy procedure (including incision, insertion of instruments, biopsy sample collection, and closure), interpretation of intraoperative findings, and post-operative care instructions.

IMPORTANT:Codes 32601 (diagnostic thoracoscopy without biopsy) and 32604 (diagnostic thoracoscopy with pericardial sac biopsy) should be considered if the procedure does not involve mediastinal biopsy.If a more extensive procedure follows,add-on codes may be applicable depending on the nature of the subsequent procedure and anatomical location.

In simple words: The doctor uses a thin, tube-like instrument with a camera and light to look inside the chest and take a small tissue sample from the mediastinum (the area between the lungs) to test for disease.They may also put in a chest tube to help the lungs re-expand and drain any fluid or air.

This CPT code encompasses a diagnostic thoracoscopy performed as a separate procedure, specifically targeting the mediastinal space to obtain tissue samples (biopsies) for pathological evaluation.The procedure involves inserting a thoracoscope, a thin, flexible tube with a light and a camera, through a small incision to visualize the mediastinum. Biopsy samples are collected using instruments passed through additional incisions. Chest tubes may be placed for drainage and lung re-expansion. The incisions are subsequently closed.

Example 1: A patient presents with a mediastinal mass detected on imaging.A diagnostic thoracoscopy with mediastinal biopsy is performed to obtain tissue for pathological analysis to determine the nature of the mass (benign or malignant)., A patient with suspected lymphoma undergoes a diagnostic thoracoscopy with mediastinal lymph node biopsy to evaluate the extent of disease involvement. The results guide subsequent treatment decisions., During a routine thoracoscopy for another indication, an incidental mediastinal abnormality is observed. The surgeon performs a biopsy of this area under the same procedure for pathological examination.

** The provided information is based on publicly available data.Always refer to the most current CPT codebook and payer-specific guidelines for accurate billing and coding.

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