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CPT 32800: Surgical Repair of Pulmonary Herniation
CPT code 32800 denotes the surgical repair of lung tissue that is pushing through a tear or weak spot in the chest wall, neck passageway, or diaphragm. This thoracic surgical procedure is clinically important because it treats pulmonary herniation and related complications that can affect respiratory function and require operative management. Nationally, the code captures a distinct set of thoracic surgical interventions that intersect surgical practice patterns, hospital resource use, and payer coverage policies.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for CPT code 32800, typical sites of service, and the service type. The publication outlines benchmarks and utilization considerations, common billing modifiers in use for related thoracic procedures, and policy or coverage topics that commonly affect claims adjudication for surgical repair of pulmonary herniation. The material is intended to help billing professionals, clinical coders, and policy analysts understand how the procedure is documented and billed, and what areas often require attention during claim submission and review.
Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, related codes, and payer-specific rates are noted where applicable.
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Billing Code Overview
CPT code 32800 describes a surgical repair of part of a lung that is protruding through a tear or weak spot in the chest wall, neck passageway, or diaphragm. This procedure addresses breaches in the thoracic or diaphragmatic structures that allow lung tissue to herniate or push through adjacent openings.
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Service type: Surgical repair of pulmonary herniation or lung tissue protrusion
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Typical site of service: Inpatient or outpatient surgical setting, commonly performed in an operating room or surgical suite with thoracic capabilities