32650 Thoracoscopy with pleurodesis
Also known as: VATS pleurodesis, thoracoscopic pleural sclerosis
Thoracoscopic pleurodesis procedure using chemical or mechanical sclerosing agent to create pleuritis and symphysis, preventing recurrent pleural effusion.
In Plain Language
camera surgery to glue chest lining
Clinical Context
Used for recurrent malignant pleural effusion when thoracoscopic approach allows direct visualization and pleurodesis agent application.
RVU Breakdown
| Work RVU | 10.56 |
| Total RVU | 10.56 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 10.56, this code ranks in the 60th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 32650?
CPT 32650 (Thoracoscopy with pleurodesis) is a Surgery code. Thoracoscopic pleurodesis procedure using chemical or mechanical sclerosing agent to create pleuritis and symphysis, preventing recurrent pleural effusion.
What is the wRVU value for CPT 32650?
The work RVU for CPT 32650 is 10.56. This code is primarily used by Thoracic Surgery, Pulmonology. It has a 90-day global period.
When is CPT 32650 used?
Used for recurrent malignant pleural effusion when thoracoscopic approach allows direct visualization and pleurodesis agent application.
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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.