2025 CPT code 32669
(Active) Effective Date: N/A Revision Date: N/A Surgery - Respiratory System Surgery Feed
Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy).
Modifiers may be applicable to this code to denote specific circumstances such as increased procedural services (22), or the presence of other procedures during the same surgical session. Modifier 59 may be necessary to distinguish a separate segmentectomy performed on a different lobe or lung.
Medical necessity for a VATS segmentectomy must be supported by documentation demonstrating that the procedure is the most appropriate treatment for the patient's condition. This typically involves demonstrating the size, location, and type of lesion, as well as the patient's overall health status and suitability for this minimally invasive approach. The goal is to show that the benefits of removing the affected lung segment outweigh the risks of surgery.
The surgeon is responsible for performing the procedure, which includes positioning the patient, creating the incisions, inserting the thoracoscope and instruments, dissecting the lung segment, controlling bleeding, removing the segment, and closing the incisions. They also manage postoperative care.
In simple words: This procedure involves using a small camera and instruments inserted through small cuts in the chest to remove a section of one lung. This allows the surgeon to see inside the chest and remove the diseased part of the lung while minimizing the impact on the rest of the lung.
This code describes a surgical procedure involving thoracoscopy (visualization of the chest cavity using an endoscope) combined with the removal of a single segment of the lung (segmentectomy).This is typically performed for small, localized lung cancers or other lesions where preservation of lung tissue is desirable. It involves inserting a thoracoscope and surgical instruments through small incisions in the chest, dissecting and dividing the segmental bronchus, artery, and vein, and then removing the targeted lung segment.
Example 1: A patient with a small, stage I lung cancer located in a single segment of the lung undergoes a VATS segmentectomy to remove the tumor while preserving the remaining lung tissue., A patient with a benign lung tumor confined to a single segment undergoes a VATS segmentectomy to remove the mass and prevent complications., A patient with a localized fungal infection in one lung segment undergoes a VATS segmentectomy to remove the infected tissue.
Documentation should include the operative report detailing the thoracoscopic approach, the specific lung segment removed, intraoperative findings (including any complications), and postoperative status. Pathology reports confirming the diagnosis and margin status are also essential. Preoperative imaging studies (CT scan, PET scan) should be documented to justify the medical necessity of the procedure.
- Payment Status: Active
- Specialties:Thoracic Surgery, Pulmonary Medicine
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center