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Q&A What are the differences between CPT codes: 32220, 32310 and 32320? decortication =pleurectomy)

Differences between CPT codes 32220, 32310 and 32320?

  • Decortication is the same as pleurectomy

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CharlotteM

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Blitzer
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What are the differences between CPT codes: 32220 (decortication), 32310 (Parietal pleurectomy) and 32320 (Decortication and parietal pleurectomy). They all sound the same. Pulmonary decortication is the removal of the pleura of the lung (pleurectomy)
 
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Paul A

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ICD-10-CM BLITZ
PPM Physicians Practice Management
Looking at the following site. it does list Pleuectormy and Decortication as separate procedures. It also goes into deeper discussion of what is involved in each part

http://www.asbestos.com/treatment/surgery/pleurectomy.php

From what I was able to extract. Pleurectomy is the removal of the outside layer of the pleural lining. The Decortication involves removing any visible tumor growth in the chest area after completion of removal of the lining (or without removing the lining). So looks like 32220 does not include removal of the parietal lining.

So it appears

32320 is Pleuectormy and Decortication
32310 is Pleuectormy only
32220 is Decortication only
 
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