Wiki VATS Coding Question-CPT Code 32601 VS. 32653

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Hi All - Looking for some guidance on a coding question I run into frequently. My thoracic surgeon performed an evacuation of a hemothorax. Most literature I can find recommends using CPT Code 32601. However, he states he removed a large amount of residual clot by suction and irrigation. Would this meet the criteria for CPT Code 32653 - removal of FB or fibrin deposit? I struggle with the use of one code versus the other. Any thoughts or experience on this would be greatly appreciated.

Thank you!
JoAnn
 
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