CPT code 32674 is used for a thoracoscopy procedure involving the excision of lymph nodes, aiding in standardized medical procedure documentation.
CPT code 32674 is used to describe a thoracoscopic procedure for the excision of lymph nodes. This minimally invasive surgical technique involves the use of a thoracoscope, which is a specialized instrument equipped with a camera and light, allowing the surgeon to view the chest cavity on a monitor. The procedure is performed to remove lymph nodes for diagnostic or therapeutic purposes, often to assess or treat conditions such as cancer. By using thoracoscopy, healthcare providers can achieve the necessary surgical outcomes with reduced recovery time and less postoperative discomfort compared to traditional open surgery.
For CPT code 32674, which involves thoracoscopic lymph node excision, 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 unusual anatomy or extensive disease.
2. Modifier 51 (Multiple Procedures): Apply this modifier when multiple procedures are performed during the same surgical session. It indicates that 32674 was one of several procedures.
3. Modifier 59 (Distinct Procedural Service): This modifier is used to indicate that the procedure is distinct or independent from other services performed on the same day. It may be necessary if 32674 is performed in conjunction with other procedures that are not typically reported together.
4. Modifier 62 (Two Surgeons): Use this modifier if two surgeons are required to perform the procedure due to its complexity, with each surgeon performing a distinct part of the procedure.
5. Modifier 80 (Assistant Surgeon): This modifier is applicable if an assistant surgeon is necessary to complete the procedure, indicating that another qualified surgeon assisted in the operation.
6. Modifier 81 (Minimum Assistant Surgeon): Use this 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 is used when an assistant surgeon is necessary, and a qualified resident is not available.
8. Modifier LT (Left Side) or RT (Right Side): These modifiers are used to specify the side of the body on which the procedure was performed, particularly important in bilateral procedures.
9. 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 modifier is used if the patient needs to return to the operating room for a related procedure during the postoperative period.
10. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): Apply this modifier if the procedure is unrelated to the original surgery and occurs during the postoperative period.
These modifiers help provide additional information about the circumstances of the procedure, ensuring accurate billing and reimbursement. Always verify payer-specific guidelines as they may have unique requirements for modifier usage.
The CPT code 32674 is reimbursed by Medicare, but the reimbursement is subject to specific conditions and guidelines outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, along with the payment rates for each service.
However, the actual reimbursement for CPT code 32674 can vary based on geographic location and other factors, as determined by the local Medicare Administrative Contractor (MAC). Each MAC is responsible for processing claims and setting local coverage determinations, which can influence whether and how much Medicare reimburses for this particular code.
Therefore, healthcare providers should consult their local MAC for detailed information on reimbursement rates and any specific requirements that may apply to CPT code 32674.
Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With the ability to read your contracts and detect underpayments down to the CPT code level, including specific codes like 32674, RevFind provides unparalleled accuracy and insight. Schedule a demo today to see how RevFind can help you identify discrepancies by individual payer and enhance your revenue cycle management.
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
