CPT code 32668 is used for a thoracoscopy procedure involving the resection of a diagnostic wedge from the lung.
CPT code 32668 is used to describe a thoracoscopic procedure that involves the resection of a portion of the lung for diagnostic purposes. This minimally invasive procedure, also known as video-assisted thoracoscopic surgery (VATS), allows a surgeon to examine the chest cavity and remove lung tissue through small incisions. The resected tissue is typically sent for pathological examination to diagnose conditions such as lung cancer, infections, or other pulmonary diseases. This code is crucial for accurate billing and documentation of the procedure in the healthcare revenue cycle.
For CPT code 32668, which involves thoracoscopy with wedge resection for diagnostic purposes, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: This modifier is used when the work required to perform the procedure is substantially greater than typically required. This could be due to increased complexity or time.
2. Modifier 51 - Multiple Procedures: If multiple procedures are performed during the same surgical session, this modifier indicates that more than one procedure was carried out.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is often used to bypass National Correct Coding Initiative (NCCI) edits.
4. Modifier 62 - Two Surgeons: When two surgeons work together as primary surgeons performing distinct parts of a procedure, this modifier is applicable.
5. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
6. Modifier 81 - Minimum Assistant Surgeon: Used when an assistant surgeon is required for a portion of the procedure.
7. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): This is used when an assistant surgeon is necessary, and a qualified resident is not available.
8. Modifier LT - Left Side: This modifier is used to specify that the procedure was performed on the left side of the body.
9. Modifier RT - Right Side: This modifier is used to specify that the procedure was performed on the right side of the body.
10. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This is used when a patient requires a return to the operating room for a related procedure during the postoperative period.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. It is important to use them appropriately to avoid claim denials or delays.
CPT code 32668 is subject to reimbursement by Medicare, but its coverage and payment are determined by several factors, including its inclusion in the Medicare Physician Fee Schedule (MPFS) and the policies set forth by the Medicare Administrative Contractor (MAC) for your specific region.
The MPFS provides a comprehensive list of services covered by Medicare and assigns relative value units (RVUs) to each service, which are used to calculate reimbursement rates.
However, the final decision on whether CPT code 32668 is reimbursed can vary based on local coverage determinations (LCDs) and national coverage determinations (NCDs) issued by the MAC.
Therefore, it is essential for healthcare providers to verify the specific guidelines and reimbursement policies with their regional MAC to ensure compliance and proper billing practices.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and identifying underpayments down to the CPT code level, including CPT code 32668, and by individual payer. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
