2025 CPT code 39560
(Active) Effective Date: N/A Surgery - Repair Procedures on the Diaphragm Surgery Feed
Resection of the diaphragm with simple repair (e.g., primary suture).
Modifiers may be applicable to 39560 to indicate specific circumstances, such as increased procedural services (modifier 22), or the presence of multiple procedures (modifier 51).Appropriate modifier usage should be based on individual payer guidelines.
Medical necessity for 39560 must be established by documenting the underlying condition requiring resection and repair of the diaphragm (e.g., tumor, traumatic injury, hernia).The documentation should clearly demonstrate that the procedure is necessary for the patient's health and well-being.
In simple words: The surgeon removes a diseased part of the diaphragm and fixes it with stitches.
This procedure involves the surgical removal of a portion of the diaphragm, followed by a straightforward repair using primary sutures.This is typically done to address diseased diaphragmatic tissue, such as that caused by a tumor.
Example 1: A patient presents with a benign tumor invading the diaphragm.Code 39560 is used when the surgeon removes the affected portion of the diaphragm and repairs it with sutures., Following a traumatic injury, a patient has a localized tear in their diaphragm. The surgeon resects the damaged tissue and performs a simple repair using primary sutures, utilizing code 39560., A patient has a diaphragmatic hernia requiring surgical intervention. The surgeon performs a resection of the herniated portion of the diaphragm and a simple repair, which is coded as 39560.
Operative report detailing the resection and repair, including the size and location of the resected portion of the diaphragm, type of suture material used, and any complications encountered. Supporting documentation may include pre-operative imaging (e.g., CT scan, MRI) and pathology reports if a tumor was resected.
- Specialties:Thoracic Surgery, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center