CPT code 32658 is used for a thoracoscopy procedure to remove a foreign body from the sac, aiding in accurate procedure documentation.
CPT code 32658 is a medical billing code used to describe the procedure of thoracoscopy with the removal of a foreign body from the sac. This procedure involves using a thoracoscope, a specialized instrument equipped with a camera, to visually examine the chest cavity and remove any foreign objects that may be present. The thoracoscope is inserted through small incisions in the chest, allowing the surgeon to perform the procedure with minimal invasiveness. This code is essential for accurately documenting and billing for the surgical service provided, ensuring proper reimbursement from insurance companies.
For CPT code 32658, which involves thoracoscopy with the removal of a foreign body from the sac, the following modifiers may be applicable:
1. Modifier 22 (Increased Procedural Services): Use this modifier if the procedure required significantly more work than typically required. This could be due to increased complexity or difficulty in removing the foreign body.
2. Modifier 51 (Multiple Procedures): If multiple procedures are performed during the same surgical session, this modifier indicates that 32658 is one of several procedures.
3. Modifier 59 (Distinct Procedural Service): Apply this modifier when the procedure is distinct or independent from other services performed on the same day. This is particularly relevant if the thoracoscopy is performed in conjunction with other procedures that are not typically performed together.
4. Modifier 62 (Two Surgeons): If two surgeons are required to perform the procedure due to its complexity, this modifier indicates that both surgeons are actively involved.
5. Modifier 80 (Assistant Surgeon): Use this modifier if an assistant surgeon is necessary to complete the procedure.
6. Modifier 81 (Minimum Assistant Surgeon): Apply this modifier when an assistant surgeon is required for a minimal portion of the procedure.
7. Modifier 82 (Assistant Surgeon when Qualified Resident Surgeon Not Available): This modifier is used when an assistant surgeon is necessary because a qualified resident surgeon is not available.
8. Modifier LT (Left Side) or RT (Right Side): Use these modifiers to specify the side of the body on which the procedure is performed, if applicable.
9. Modifier 76 (Repeat Procedure by Same Physician): If the procedure needs to be repeated by the same physician, this modifier indicates that it is a repeat service.
10. Modifier 77 (Repeat Procedure by Another Physician): Use this modifier if the procedure is repeated by a different physician.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. Always verify payer-specific guidelines as they may have unique requirements for modifier usage.
The CPT code 32658 is subject to reimbursement by Medicare, but its eligibility for payment depends on several factors, including its inclusion in the Medicare Physician Fee Schedule (MPFS) and the specific guidelines set by the Medicare Administrative Contractor (MAC) in your region.
The MPFS provides a comprehensive list of services covered by Medicare, along with the payment rates for each service.
To determine if CPT code 32658 is reimbursed, healthcare providers should verify its status on the MPFS and consult with their local MAC, as MACs have the authority to interpret national policies and may have additional local coverage determinations that affect reimbursement.
It is crucial for providers to stay informed about any updates or changes to these policies to ensure accurate billing and reimbursement.
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