32557 Insert catheter pleura with image
Also known as: image-guided catheter insertion, ultrasound-guided catheter
Percutaneous insertion of a catheter into the pleural space with real-time ultrasound or imaging guidance, ensuring accurate placement and minimizing complications.
In Plain Language
ultrasound-guided drainage tube placement
Clinical Context
Used for pleural drainage requiring catheter placement when imaging guidance improves accuracy and safety, particularly for loculated effusions.
RVU Breakdown
| Work RVU | 3.04 |
| Total RVU | 3.04 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.04, this code ranks in the 21st percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32557?
CPT 32557 (Insert catheter pleura with image) is a Surgery code. Percutaneous insertion of a catheter into the pleural space with real-time ultrasound or imaging guidance, ensuring accurate placement and minimizing complications.
What is the wRVU value for CPT 32557?
The work RVU for CPT 32557 is 3.04. This code is primarily used by Thoracic Surgery, Interventional Radiology.
When is CPT 32557 used?
Used for pleural drainage requiring catheter placement when imaging guidance improves accuracy and safety, particularly for loculated effusions.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.