32604 Thoracoscopy wbx sacral
Also known as: VATS pleural biopsy, thoracoscopic pleural biopsy
Thoracoscopic biopsy of the pleural sac, obtaining tissue samples of parietal pleura for histological diagnosis of pleural pathology.
In Plain Language
camera biopsy of chest lining
Clinical Context
Used for diagnosis of pleural disease including mesothelioma, tuberculosis, or malignancy when pleural involvement is suspected.
RVU Breakdown
| Work RVU | 8.55 |
| Total RVU | 8.55 |
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 8.55, this code ranks in the 52nd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32604?
CPT 32604 (Thoracoscopy wbx sacral) is a Surgery code. Thoracoscopic biopsy of the pleural sac, obtaining tissue samples of parietal pleura for histological diagnosis of pleural pathology.
What is the wRVU value for CPT 32604?
The work RVU for CPT 32604 is 8.55. This code is primarily used by Thoracic Surgery, Pulmonology.
When is CPT 32604 used?
Used for diagnosis of pleural disease including mesothelioma, tuberculosis, or malignancy when pleural involvement is suspected.
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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.