CPT code 32141 represents a thoracotomy performed to remove or fold over pulmonary bullae, sometimes including pleural procedures. This operative code captures a clinically significant thoracic surgical intervention used to treat bullous lung disease and recurrent spontaneous pneumothorax caused by large air-filled spaces. Nationally, accurate coding for 32141 matters for surgical quality measurement, hospital case mix, and appropriate tracking of thoracic surgical volumes and outcomes. Key payers in typical analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, payer coverage considerations, and benchmarking and policy-oriented content relevant to billing and claims processing. The publication outlines typical sites of service and service type, common modifiers and coding considerations (when available), and how 32141 relates to related thoracic procedures. It provides guidance on documentation elements that support the code selection and highlights areas where policy or reimbursement updates commonly affect claim adjudication. Data not available in the input is explicitly noted where applicable.