CPT CODES

CPT Code 32670

CPT code 32670 is used for a thoracoscopy procedure involving the removal of two lobes of the lung, known as a bilobectomy.

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What is CPT Code 32670

CPT code 32670 is used to describe a thoracoscopic procedure known as a bilobectomy. This minimally invasive surgical procedure involves the removal of two lobes of the lung through the use of a thoracoscope, which is a specialized instrument equipped with a camera and light. The procedure is typically performed to treat conditions such as lung cancer or severe lung infections that affect multiple lobes. By using thoracoscopy, surgeons can access the lungs with smaller incisions compared to traditional open surgery, potentially reducing recovery time and minimizing complications for the patient.

Does CPT 32670 Need a Modifier?

For CPT code 32670, which pertains to thoracoscopy bilobectomy, the following modifiers may be applicable depending on the specific circumstances of the procedure:

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 difficulty of the case.

2. Modifier 51 - Multiple Procedures: If multiple procedures are performed during the same surgical session, this modifier is used to indicate that multiple distinct procedures were carried out.

3. Modifier 59 - Distinct Procedural Service: This modifier is applied when a procedure or service was distinct or independent from other services performed on the same day. It is used to indicate that the procedure was not part of a bundled service.

4. Modifier 62 - Two Surgeons: When two surgeons work together as primary surgeons performing distinct parts of a procedure, this modifier is used to indicate the collaborative effort.

5. Modifier 66 - Surgical Team: This modifier is used when a complex procedure requires the expertise of a surgical team, indicating that multiple professionals were involved in the surgery.

6. Modifier 80 - Assistant Surgeon: If an assistant surgeon is required to help with the procedure, this modifier is used to denote their involvement.

7. Modifier 81 - Minimum Assistant Surgeon: This is used when an assistant surgeon is required on a limited basis during the procedure.

8. 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.

Each of these modifiers serves a specific purpose and should be applied based on the unique circumstances surrounding the procedure to ensure accurate billing and reimbursement.

CPT Code 32670 Medicare Reimbursement

CPT code 32670, which involves thoracoscopy bilobectomy, is subject to reimbursement by Medicare, provided it meets the necessary criteria outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers for services rendered. However, the reimbursement for CPT code 32670 can vary based on several factors, including geographic location and specific Medicare Administrative Contractor (MAC) policies. MACs are private organizations that contract with Medicare to process claims and determine coverage specifics in different regions. Therefore, healthcare providers should consult their local MAC to confirm the reimbursement details and any additional requirements for CPT code 32670.

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